New Insights in Pathogenesis of Endometriosis

Endometriosis is a gynecological disease characterized by the growth of endometrial glands and stroma outside the uterine cavity. The incidence of the disease is very high, there are currently no reliable early diagnostic tests, the therapies are only symptomatic and, consequently, the social impact...

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Main Authors: Pietro G. Signorile, Rosa Viceconte, Alfonso Baldi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.879015/full
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author Pietro G. Signorile
Rosa Viceconte
Alfonso Baldi
author_facet Pietro G. Signorile
Rosa Viceconte
Alfonso Baldi
author_sort Pietro G. Signorile
collection DOAJ
description Endometriosis is a gynecological disease characterized by the growth of endometrial glands and stroma outside the uterine cavity. The incidence of the disease is very high, there are currently no reliable early diagnostic tests, the therapies are only symptomatic and, consequently, the social impact of endometriosis is very important, also considering the related fertility problems. Despite this, the pathogenesis of endometriosis is still not fully defined. Retrograde menstruation and coelomic metaplasia are currently the most recognized pathogenetic hypotheses. Recent experimental evidences generated by our research group and by others have indicated an alteration of the fine-tuning of the female genital system developmental program during a critical window of time in the fetal life as the pathogenetic event prompting to the development of endometriosis later in life. Goal of this article is to present a revision of the recent literature about the different pathogenetic mechanisms proposed for endometriosis with particular emphasis on the embryologic theory. The possible clinical and pathological implications of these findings will be discussed.
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spelling doaj.art-27ad31e69ee14764882a18af1fc38f7b2022-12-22T01:54:28ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-04-01910.3389/fmed.2022.879015879015New Insights in Pathogenesis of EndometriosisPietro G. Signorile0Rosa Viceconte1Alfonso Baldi2Italian Endometriosis Foundation, Rome, ItalyItalian Endometriosis Foundation, Rome, ItalyDepartment of Environmental, Biological and Pharmaceutical Sciences and Technologies, Università degli Studi della Campania Luigi Vanvitelli, Caserta, ItalyEndometriosis is a gynecological disease characterized by the growth of endometrial glands and stroma outside the uterine cavity. The incidence of the disease is very high, there are currently no reliable early diagnostic tests, the therapies are only symptomatic and, consequently, the social impact of endometriosis is very important, also considering the related fertility problems. Despite this, the pathogenesis of endometriosis is still not fully defined. Retrograde menstruation and coelomic metaplasia are currently the most recognized pathogenetic hypotheses. Recent experimental evidences generated by our research group and by others have indicated an alteration of the fine-tuning of the female genital system developmental program during a critical window of time in the fetal life as the pathogenetic event prompting to the development of endometriosis later in life. Goal of this article is to present a revision of the recent literature about the different pathogenetic mechanisms proposed for endometriosis with particular emphasis on the embryologic theory. The possible clinical and pathological implications of these findings will be discussed.https://www.frontiersin.org/articles/10.3389/fmed.2022.879015/fullendometriosisfetal lifecritical periodadenomyosiscoelomic metaplasia
spellingShingle Pietro G. Signorile
Rosa Viceconte
Alfonso Baldi
New Insights in Pathogenesis of Endometriosis
Frontiers in Medicine
endometriosis
fetal life
critical period
adenomyosis
coelomic metaplasia
title New Insights in Pathogenesis of Endometriosis
title_full New Insights in Pathogenesis of Endometriosis
title_fullStr New Insights in Pathogenesis of Endometriosis
title_full_unstemmed New Insights in Pathogenesis of Endometriosis
title_short New Insights in Pathogenesis of Endometriosis
title_sort new insights in pathogenesis of endometriosis
topic endometriosis
fetal life
critical period
adenomyosis
coelomic metaplasia
url https://www.frontiersin.org/articles/10.3389/fmed.2022.879015/full
work_keys_str_mv AT pietrogsignorile newinsightsinpathogenesisofendometriosis
AT rosaviceconte newinsightsinpathogenesisofendometriosis
AT alfonsobaldi newinsightsinpathogenesisofendometriosis