Advances in Metabolic Syndrome and Endometriosis: Emerging Insights and Therapeutic Horizons
Women with endometriosis face a higher risk of developing metabolic syndrome, necessitating comprehensive screening and early lifestyle interventions to mitigate long-term health complications.
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This paper is a narrative review exploring the relationship between metabolic syndrome (MetS) and endometriosis, using literature selection from Google Scholar, PubMed, and CrossRef to summarize prevalence, shared mechanisms, clinical implications, diagnostic options for endometriosis, and emerging therapeutic approaches. Across epidemiologic evidence (including NHANES analyses), women with endometriosis have higher odds of developing MetS (reported as 1.5-fold), and the review highlights shared pathways such as chronic inflammation, hormonal imbalance, oxidative stress, and genetic predisposition. It also notes bidirectional effects on cardiometabolic risk and reproductive outcomes, while acknowledging key limitations including diagnostic delays for endometriosis (often 7–10 years) and the nonstandard nature of MetS diagnostic cut-offs across criteria (ATP III, IDF, JIS, JIS). This paper is centrally about endometriosis — specifically reviewing interplay between endometriosis and metabolic syndrome, including mechanisms, diagnostic challenges, and therapeutic horizons.
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