4.5 Review

Origins and Progression of Adolescent Endometriosis

Journal

REPRODUCTIVE SCIENCES
Volume 23, Issue 10, Pages 1282-1288

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/1933719116637919

Keywords

adolescent endometriosis; endometrioma; stem cells; progression

Funding

  1. National Health and Medical Research Council of Australia [1042298]
  2. Victorian Infrastructure Support Program

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Accumulating evidence indicates that adolescent endometriosis is common and often severe. Here we explore the possibility that seeding of naive endometrial progenitor cells into the pelvic cavity early in life, that is, at the time of neonatal uterine bleeding or soon after the menarche, results in more florid and progressive disease, characterized by highly angiogenic implants, recurrent ectopic bleeding, and endometrioma formation. We discuss the potential intergenerational risk factors associated with early-onset endometriosis and explore the molecular drivers of disease progression. Taken together, the available data suggest that an increased focus on early-life events may help to identify young women at risk of severe, progressive endometriosis.

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