The gut microbiota and endometriosis: From pathogenesis to diagnosis and treatment

March 18, 2025

  • Women’s Health
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    Women’s health, a vital aspect of medical science, encompasses various conditions unique to women’s physiological makeup. Historically, women were often excluded from clinical research, leading to a gap in understanding the intricacies of women’s health needs. However, recent advancements have highlighted the significant role that the microbiome plays in these conditions, offering new insights and potential therapies. MicrobiomeSignatures.com is at the forefront of exploring the microbiome signature of each of these conditions to unravel the etiology of these diseases and develop targeted microbiome therapies.

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    Autoimmune Diseases

    Autoimmune disease is when the immune system mistakenly attacks the body's tissues, often linked to imbalances in the microbiome, which can disrupt immune regulation and contribute to disease development.

Last Updated: 2024

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Karen Pendergrass

Karen Pendergrass is a microbiome researcher specializing in microbiome-targeted interventions (MBTIs). She systematically analyzes scientific literature to identify microbial patterns, develop hypotheses, and validate interventions. As the founder of the Microbiome Signatures Database, she bridges microbiome research with clinical practice. In 2012, based on her own investigative research, she became the first documented case of FMT for Celiac Disease—four years before the first published case study.

What was reviewed?

The study reviewed the relationship between the gut microbiota and endometriosis, focusing on how the gut microbiota may influence the pathogenesis, diagnosis, and potential treatment of endometriosis through various mechanisms such as estrogen modulation, immune response, and inflammation.

 

Who was reviewed?

The review did not involve specific individuals as subjects of study but instead synthesized findings from various studies that investigate the gut microbiota’s involvement in patients with endometriosis. It includes analysis of microbial profiles and their correlations with the disease.

 

What were the most important findings?

Important findings highlighted that alterations in the gut microbiota are associated with endometriosis and could potentially influence the disease’s pathogenesis through mechanisms linked to hormonal balance, immune modulation, and inflammatory responses. Specifically, changes in bacterial diversity and specific bacterial groups (such as an increase in the Firmicutes/Bacteroidetes ratio) were noted in patients with endometriosis.

 

What are the greatest implications of this review?

The review suggests that targeting the gut microbiota might offer new strategies for the diagnosis and treatment of endometriosis. Understanding the role of the gut microbiota in endometriosis could lead to non-invasive diagnostic biomarkers and novel therapeutic approaches that involve modulating the gut microbiota through diet, probiotics, or even fecal microbiota transplantation.

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