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February 23, 1957


JAMA. 1957;163(8):678. doi:10.1001/jama.1957.02970430068026

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To the Editor:—  The editorial on endometriosis (J. A. M. A.162:575 [Oct. 6] 1956) is not in keeping with many of the known facts regarding this disease entity. the statement "it is likely to remain quiescent or even undergo some regression" is a frank understatement. My experience has shown that endometriosis definitely regresses during pregnancy. Thus the editorial thought of a cesarean hysterectomy for endometriosis is inconsistent with the conservative treatment advocated and is contraindicated from the standpoint of the observed behavior of this lesion. Physiological amenorrhea of pregnancy or the pregnancy equivalent induced by stilbestrol (Karnaky) has produced regressive changes so remarkable that operative treatment once endorsed by all gynecologists is declining in popularity and usage. Although I dislike belaboring the obsolete material in this editorial, it should be pointed out that the likelihood of finding bluish cysts in the posterior vaginal fornix, presumably having worked their

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