Below is an instruction from Human. Write a response.
    ### Instruction:
    What causes Disseminated peritoneal leiomyomatosis ?
    ### Response:
    What causes disseminated peritoneal leiomyomatosis (DPL)? The cause of disseminated peritoneal leiomyomatosis (DPL) is unknown, but medical researchers believe it is influenced by both hormonal and genetic factors. Not all cases are related to hormone levels, as some cases have occurred in men and in post-menopausal women not receiving hormone replacement therapy.
    