Endometriosis and chronic intestinal diseases: is there a relationship? (Literature review)
This literature review analyzed the relationship between endometriosis and gastrointestinal diseases, finding that these conditions can coexist and require multidisciplinary examination and treatment.
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This 2025 literature review analyzes and systematizes published data on the relationship between genital endometriosis and gastrointestinal tract diseases, focusing on comorbidity patterns and contradictions in the literature. It describes overlapping clinical presentations between endometriosis involving the bowel (reported in a minority of genital endometriosis cases, with common involvement of the rectosigmoid) and chronic GI disorders such as irritable bowel syndrome, celiac disease, and inflammatory bowel diseases (Crohn’s disease and ulcerative colitis), including shared symptom domains and differences in timing and features; it also notes that most intestinal involvement is thought to be secondary to spread from other sites, while primary intestinal disease is rare. The review explicitly highlights that the evidence includes existing discrepancies and that further clarification is needed. Relevance to endometriosis: This paper is centrally about endometriosis — it specifically reviews potential links between genital endometriosis and chronic intestinal diseases (IBS, celiac disease, Crohn’s disease, ulcerative colitis) and their combined clinical course.
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