Gut Microbiota Profile in Endometriosis Patients at Dr. M. Djamil Padang, West Sumatra, Indonesia

In: Andalas Obstetrics And Gynecology Journal · 2025 · vol. 9(1) , pp. 134–145 · doi:10.25077/aoj.9.1.134-145.2025 · W4406808510
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AI-generated summary by claude@2026-06, 2026-06-08

This case-control study found that gut microbiota dysbiosis, characterized by increased Bacteroidetes and decreased Firmicutes, is associated with endometriosis.

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AI-generated deep summary by claude@2026-07, 2026-07-09 · read from full text

This case-control observational study investigated whether gut microbiota dysbiosis is associated with endometriosis, enrolling women aged 18–40 years diagnosed with endometriosis as cases and reproductive-age women without endometriosis as controls at Dr. M. Djamil Padang General Hospital in May 2024 (n=44), using next-generation sequencing microbiome analysis and SPSS for testing. Gut microbiota composition was dominated by Bacteroidetes and Firmicutes at the phylum level, and the majority of endometriosis patients were aged 30–37 years. The key reported finding was a relationship between gut microbiota dysbiosis and endometriosis incidence, characterized by increased Bacteroidetes and decreased Firmicutes, with the paper’s main limitation being its small sample and observational case-control design. This paper is centrally about endometriosis — it profiles gut microbiota dysbiosis in endometriosis patients in West Sumatra, Indonesia, focusing on Bacteroidetes and Firmicutes differences.

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Abstract

Objective: Endometriosis (EMS) is a chronic gynecological condition affecting up to 10% of women worldwide. The pathogenesis associated with hormonal imbalance, immune dysregulation, and changes in the gut microbiota. Gut microbiota dysbiosis may drive chronic inflammation that contributes to the progression of EMS. This study hypothesizes that certain gut microbiota profiles are associated with these factors in EMS patients, potentially developing non-invasive diagnostics and more targeted therapies. Methods: This is an observational analytical study with a case-control design conducted at Dr. M. Djamil Padang General Hospital in May 2024 with a sample size of 44 people. Case samples were women aged 18–40 years who were diagnosed with endometriosis based on the inclusion criteria, while the control group were women of reproductive age without a diagnosis of endometriosis. Data testing used the Next Generation Sequencing method, microbiome analysis test, and SPSS test. Results: The majority of EMS patients were aged 30-37 years, married, and had Nullipara obstetric status. In addition, the gut microbiota was dominated by the phyla Bacteroidetes and Firmicutes. Conclusion: There is a relationship between gut microbiota dysbiosis and the incidence of endometriosis, namely an increase in Bacteroidetes and a decrease in Firmicutes Keywords: endometriosis, dysbiosis, bacteroides, firmicutes, gut microbiota
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Objective

Endometriosis (EMS) is a chronic gynecological condition affecting up to 10% of women worldwide. The pathogenesis associated with hormonal imbalance, immune dysregulation, and changes in the gut microbiota. Gut microbiota dysbiosis may drive chronic inflammation that contributes to the progression of EMS. This study hypothesizes that certain gut microbiota profiles are associated with these factors in EMS patients, potentially developing non-invasive diagnostics and more targeted therapies.

Methods

This is an observational analytical study with a case-control design conducted at Dr. M. Djamil Padang General Hospital in May 2024 with a sample size of 44 people. Case samples were women aged 18–40 years who were diagnosed with endometriosis based on the inclusion criteria, while the control group were women of reproductive age without a diagnosis of endometriosis. Data testing used the Next Generation Sequencing method, microbiome analysis test, and SPSS test.

Results

The majority of EMS patients were aged 30-37 years, married, and had Nullipara obstetric status. In addition, the gut microbiota was dominated by the phyla Bacteroidetes and Firmicutes.

Conclusion

There is a relationship between gut microbiota dysbiosis and the incidence of endometriosis, namely an increase in Bacteroidetes and a decrease in Firmicutes

Keywords

endometriosis, dysbiosis, bacteroides, firmicutes, gut microbiota

References

Le N, Cregger M, Brown V, de Mola JL, Bremer P, Nguyen L, et al. Association of microbial dynamics with urinary estrogens and estrogen metabolites in patients with endometriosis. PLoS One. 2021;16(12):1–19. Imperiale L, Nisolle M, Noël JC, Fastrez M. Three Types of Endometriosis: Pathogenesis, Diagnosis and Treatment. State of the Art. J Clin Med. 2023;12(3). Fatimah D, Hutagaol IEB, Romus I. Profil Kasus Endometriosis di RSUD Arifin Achmad Provinsi Riau Periode 1 Januari 2012 – 31 Desember 2016. Jurnal Ilmu Kedokteran (Journal of Medical Science). 2019;12(1):39. Guo C, Zhang C. Role of the gut microbiota in the pathogenesis of endometriosis: a review. Front Microbiol. 2024 Mar 5;15. Zizolfi B, Foreste V, Gallo A, Martone S, Giampaolino P, Di Spiezio Sardo A. Endometriosis and dysbiosis: State of art. Front Endocrinol (Lausanne). 2023;14:1–6. Jiang I, Yong PJ, Allaire C, Bedaiwy MA. Intricate connections between the microbiota and endometriosis. Int J Mol Sci. 2021;22(11):1–23. Hajjo R, Sabbah DA, Al Bawab AQ. Unlocking the Potential of the Human Microbiome for Identifying Disease Diagnostic Biomarkers. Diagnostics. 2022;12(7):1–27. Hidayat A, Hendry D. Characteristics of Endometriosis and Adenomiosis Patients In Dr. M. Djamil Hospital Padang in The Period of January 2017-Octobe 2018. Ruang Redaksi Andalas Obstetrics and Gynecology Journal [Internet]. 3(1):25127. Available from: https://jurnalobgin.fk.unand.ac.id/index.php/JOE Magne F, Gotteland M, Gauthier L, Zazueta A, Pesoa S, Navarrete P, et al. The firmicutes/bacteroidetes ratio: A relevant marker of gut dysbiosis in obese patients? Vol. 12, Nutrients. MDPI AG; 2020. Qin R, Tian G, Liu J, Cao L. The gut microbiota and endometriosis: From pathogenesis to diagnosis and treatment. Front Cell Infect Microbiol. 2022;12(November):1–8. Portincasa P, Bonfrate L, Vacca M, De Angelis M, Farella I, Lanza E, et al. Gut Microbiota and Short Chain Fatty Acids: Implications in Glucose Homeostasis. Vol. 23, International Journal of Molecular Sciences. MDPI; 2022. Baker JM, Al-Nakkash L, Herbst-Kralovetz MM. Estrogen–gut microbiome axis: Physiological and clinical implications. Maturitas [Internet]. 2017;103(June):45–53. Available from: https://dx.doi.org/10.1016/j.maturitas.2017.06.025 Uzuner C, Mak J, El-Assaad F, Condous G. The bidirectional relationship between endometriosis and microbiome. Front Endocrinol (Lausanne). 2023;14(March):1–9. Downloads Published How to Cite Issue Section License Copyright (c) 2025 Haviz Yuad, Bobby Indra Utama, Nur Indrawaty Lipoeto, Andani Eka Putra This work is licensed under a Creative Commons Attribution 4.0 International License.

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