The Presence of Endometriosis in the Human Fetus

In: Endometriosis in Adolescents · 2020 · pp. 205–214 · doi:10.1007/978-3-030-52984-0_8 · W3102959422
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This chapter summarizes recent evidence on the presence of endometriosis in human fetuses, discussing its potential clinical and pathological implications.

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This chapter summarizes evidence for the presence of endometriosis in the human fetus and discusses potential clinical and pathological implications. Drawing on prior research, the authors argue that altered fine-tuning of the female genital system developmental program during fetal life may be the initiating pathogenetic event leading to endometriosis later, and they contextualize this with major hypotheses such as retrograde menstruation and coelomic metaplasia, alongside experimental evidence from the group and others. A stated limitation is that, despite its frequency and impact, the chapter notes that pathogenesis, diagnosis, and therapy are not perfectly delineated. This paper is centrally about endometriosis — it focuses on evidence that endometriosis is present in the human fetus and on fetal developmental mechanisms that may drive later disease.

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Abstract

Endometriosis is a gynecological disease characterized by the presence of endometrial glands and stroma outside the uterine cavity. Despite the fact that this disease is very frequent and has a significant social impact, the pathogenesis, diagnosis, and therapy are still not perfectly delineated. Retrograde menstruation and coelomic metaplasia are the most documented pathogenetic hypotheses. Research directed by our group and others has outlined experimental evidence indicating an alteration of the fine-tuning of the female genital system developmental program during the fetal life as the pathogenetic event prompting to the development of endometriosis later in life. The goal of this chapter is to summarize the latest evidences about the presence of endometriosis in the human fetus. The possible clinical and pathological implications of these findings will be discussed. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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