Embryologic origin of endometriosis: Analysis of 101 human female fetuses

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Researchers analyzed 101 human female fetuses and describe four new cases of fetal endometriosis, suggesting it originates from primitive endometrial tissue displaced during organogenesis.

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Abstract

The etiology of endometriosis, a gynecological disease characterized by the presence of endometrial glands and stroma outside the uterine cavity, is still unknown. Our research group has recently demonstrated the presence of ectopic endometrium in human female fetuses at different gestational ages. In this manuscript we describe four new cases of fetal endometriosis found among a series of 52 female fetuses analyzed at autopsy. The anatomical localization of this ectopic endometrium, and its histological and immunohistochemical characteristics are depicted. We suggest that endometriosis is caused by dislocation of primitive endometrial tissue outside the uterine cavity during organogenesis. The clinical and pathological implications of these findings are discussed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Female Genitalia, Female Genitalia, Female Gestational Age Humans Immunohistochemistry Neprilysin Neprilysin Pregnancy Prenatal Exposure Delayed Effects Receptors, Estrogen Receptors, Estrogen

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europepmc
last seen: 2026-08-07T06:07:27.085738+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:16:42.478857+00:00
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