historyanalysisWellcome Collection1920s–1940s · United States
Endometriosis was named in 1921, and for decades doctors blamed it on career women who delayed childbirth
Endometriosis is a condition in which tissue like the uterine lining grows outside the womb, often causing severe pelvic pain and sometimes infertility. In 1921 the American gynaecologist John Sampson studied patients with dark, fluid-filled cysts he called chocolate cysts and proposed that menstrual blood flowed backwards through the fallopian tubes into the pelvis, a theory now called retrograde menstruation. He named the condition endometriosis. Joe Vincent Meigs later argued that it appeared mostly in affluent, ambitious women who put off childbearing, and that pregnancy protected against it. The idea gave the condition the nickname the career-woman's disease and tied women's pain to their reproductive choices, a framing that persisted into later decades.
Retrograde menstruation proposes that during periods some menstrual tissue flows backwards through the fallopian tubes into the pelvis instead of leaving the body. Once there, the tissue can implant on pelvic organs, grow in response to hormones and form cysts and scar tissue.
The history shows how a disease can be shaped by social anxieties about women's roles, with diagnosis and treatment delayed as a result. It also explains why endometriosis is still often underdiagnosed, and why the origins of the condition are still studied today.
background
Endometriosis is a disease in which tissue similar to the endometrium—the lining of the uterus (womb)—grows elsewhere in the body. The tissue most often grows close to the uterus, such as on the ovaries, fallopian tubes, or the lining of the pelvis. It can also appear on the bowel, bladder, and in some cases on the lungs or skin. Worldwide, endometriosis affects approximately 10% of the female population of reproductive age, representing nearly 200 million women. Symptoms typically begin in adolescence or the early 20s, and tend to improve after menopause as estrogen levels go down.
From Wikipedia: Endometriosis (CC BY-SA 4.0) ↗ · text CC BY-SA 4.0