Endometriosis Is Not “Just Lesions” — It’s a Persistence Problem Most women with endometriosis already know something that medicine still struggles to say out loud. The pain doesn’t always match what scans show. Surgery can “work” and then somehow… not work. Hormones help for a while, then stop helping. Pregnancy can bring relief, and then symptoms return. You can do everything right and still end up back where you started. If endometriosis were simply about rogue tissue growing in the wrong place, none of this would make sense. But that’s not what’s really going on. The real problem isn’t just what’s there — it’s what won’t switch off Endometriosis behaves less like a tumour and more like a state the body gets stuck in . Certain tissues enter a mode where inflammation, pain signalling, altered mechanics, and hormonal sensitivity reinforce each other. Once that state is established, it can persist across cycles, treatments, and even surgery. This is why removing visi...