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The main difference in steroid response between eutopic and ectopic endometrium is that in endometriosis, dying tissues and cells in ectopic lesions are unable to leave the body

[DOI] [PubMed] [Google Scholar] 81.Chauhan A., Gu F., Essa M.M., Wegiel J., Kaur K., Brown W.T., Chauhan V

The lack may be due to a deficit in the diet, but also to genetic components causing problems in its synthesis, intestinal mal-absorption or liver disorders