Mihaela Patrascu’s Post

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Endometriosis is a challenging condition of reproductive-aged women, causing problems ranging from chronic pain to infertility. It is characterized by an estrogen-dependent stroma and endometrial glands found predominantly, but not exclusively, in the pelvic compartment. Due to the necessity of surgical visualization for a definite and clear diagnostic, a precise evaluation of the prevalence and incidence of the disease is hard to obtain. This disease is characterized by a prevalence estimated at 5%, peaking between 25 and 35 years, and an annual incidence among women aged 15–49 years, evaluated at 0.1%, generating thus significant healthcare costs (according to a study conducted by Simoens et al., the average annual cost per woman was estimated at €9579 Concerning the environmental factors, it has been suggested that exposure to elevated levels of polychlorinated biphenyls, dioxin, phthalate esters, bisphenol A or organochlorinated pollutants and perfluorochemicals may play a role in the development of endometriosis. Some theories regarding the mechanism of action by which these pollutants are involved in initiating the disease include generating oxidative stress which can modulate the immunological activity or alter the hormonal homeostasis, however, further research is needed to shed light on the exact pathways of the intervention of these toxins regarding endometriosis.

Endometriosis Associated Infertility: A Critical Review and Analysis on Etiopathogenesis and Therapeutic Approaches

Endometriosis Associated Infertility: A Critical Review and Analysis on Etiopathogenesis and Therapeutic Approaches

ncbi.nlm.nih.gov

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