Tubal ligation does not cause endo, HOWEVER endo occurs in something like 10-20% of women and can ONLY be confirmed via visual diagnosis. The reason tubal ligation so often leads to an endo diagnosis is that endo is common and it's otherwise rare to conduct exploratory surgery on a 20-40 year old woman's abdominal cavity.
Also, doctors are loath to conduct surgery to look for endo because half of them think it's just women exaggerating period symptoms (because, you know, crippling pain is normal amirite), and the other half are well aware "A hysterectomy or suffer" are the only real treatment options.
An obgyn recently told me that severe cramps which cause dizziness and vomiting is normal, that i'll "get used to it eventually". It's been two decades for me now...still not used to it.
obgyn's don't care about female health unless it's cancer related, can be cured with birth control, or is affecting fertility. I'm starting to wonder if it's caused by women not sticking up for themselves and getting angry.
It's a mix of low female assertiveness coupled with women being significantly higher in trait neuroticism. If a man goes to the doctor reporting dizziness and vomiting, its probably been going on for six months and he's dying. If a woman does the same, it's a toss-up between a severe medical issue and an anxiety driven nothing burger.
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