Endometrial Anomalies in Women with Endometriosis
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Eutopic endometrium from women with endometriosis exhibits structural, immunological, and molecular anomalies compared to endometrium from women without the condition.
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Abstract
Endometriotic lesions are defined by extrauterine growth of endometrial glands and stroma. Retrograde menstruation with subsequent attachment, invasion, and neovascularization are believed to give rise to the endometriotic lesions. As most women exhibit some degree of retrograde menstruation, some other unidentified factor(s) must render certain women susceptible to attachment and growth of ectopic endometrial tissue. A variety of theories have been proposed to account for this susceptibility, including genetic predisposition, aberrant immunological response, and an altered peritoneal environment. Ectopic endometriotic lesions are histologically similar to their putative eutopic precursors, yet significant biochemical differences exist between these two tissues. Less information is available regarding differences between eutopic endometrium from women with or without endometriosis. This report describes anomalies in structure, proliferation, immune components, adhesion molecules, proteolytic enzymes and inhibitors, steroid and cytokine production and responsiveness, and gene expression and protein production that have been identified in eutopic endometrium from women with endometriosis.
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- Dysbiosis as a Risk Factor for Endometriosis: A Synthesis of Systematic Reviews and Meta-analyses 2025
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- The crucial component(s) of Guizhi Fuling Wan in inhibiting endometriosis development 2024
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- Investigation of Galectin-3 Levels of Endometriosis Patients According to Stages 2023
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