Objective. To study the reproductive and medical history of monozygoti
c twin sisters and mothers of patients with endometriosis. Material an
d Methods. Among 515 patients with endometriosis, eight had a monozygo
tic twin sister all of whom had had a gynecological laparoscopy or lap
arotomy. In addition, five of their mothers had had a laparotomy. Deta
ils about these 13 relatives were obtained either from medical records
(ten cases) or by unmistakable reports from the proband (three cases)
. Result. Six of the monozygotic twin sisters (75%) also had symptomat
ic endometriosis compared with 3.8% among other types of sisters (p<0.
0005). Three of the mothers (38%) had either endometriosis or adenomyo
sis. Conclusion. This study gives support to the assumption that endom
etriosis has a genetic trait.