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Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

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Abstract

Endometriosis, defined as estrogen-dependent lesions containing endometrial glands and stroma outside the uterus, is a chronic and often painful gynecological condition that affects 6% to 10% of reproductive age women. Endometriosis has estimated annual costs of US $12 419 per woman (approximately €9579), comprising one-third of the direct health care costs with two-thirds attributed to loss of productivity. Decreased quality of life is the most important predictor of direct health care and total costs. It has been estimated that there is a mean delay of 6.7 years between onset of symptoms and a surgical diagnosis of endometriosis, and each affected woman loses on average 10.8 hours of work weekly, mainly owing to reduced effectiveness while working. To encourage and facilitate research into this debilitating disease, a consensus workshop to define future directions for endometriosis research was held as part of the 11th World Congress on Endometriosis in September 2011 in Montpellier, France. The objective of this workshop was to review and update the endometriosis research priorities consensus statement developed following the 10th World Congress on Endometriosis in 2008.1 A total of 56 recommendations for research have been developed, grouped under 6 subheadings: (1) diagnosis, (2) classification and prognosis, (3) clinical trials, treatment, and outcomes, (4) epidemiology, (5) pathophysiology, and (6) research policy. By producing this consensus international research priorities statement, it is the hope of the workshop participants that researchers will be encouraged to develop new interdisciplinary research proposals that will attract increased funding support for work on endometriosis.

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References

  1. Rogers PA, D’Hooghe TM, Fazleabas A, et al. Priorities for endometriosis research: recommendations from an international consensus workshop. Reprod Sci. 2009;16(4):335–346.

    Article  PubMed  Google Scholar 

  2. Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010;362(25):2389–2398.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24(2):235–258.

    Article  CAS  PubMed  Google Scholar 

  4. Prevalence and anatomical distribution of endometriosis in women with selected gynaecological conditions: results from a multicentric Italian study. Gruppo italiano per lo studio dell’endometriosi. Hum Reprod. 1994;9(6):1158–1162.

  5. Meuleman C, Vandenabeele B, Fieuws S, Spiessens C, Timmerman D, D’Hooghe T. High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners. Fertil Steril. 2009;92(1):68–74.

    Article  PubMed  Google Scholar 

  6. Simoens S, Dunselman G, Dirksen C, et al. The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod. 2012;27(5):1292–1299.

    Article  PubMed  Google Scholar 

  7. Nnoaham KE, Hummelshoj L, Webster P, et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril. 2011;96(2):366–373 e368.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Painter JN, Anderson CA, Nyholt DR, et al. Genome-wide association study identifies a locus at 7p15.2 associated with endometriosis. Nat Genet. 2011;43(1):51–54.

    Article  CAS  PubMed  Google Scholar 

  9. Uno S, Zembutsu H, Hirasawa A, et al. A genome-wide association study identifies genetic variants in the CDKN2BAS locus associated with endometriosis in Japanese. Nat Genet. 2010;42(8):707–710.

    Article  CAS  PubMed  Google Scholar 

  10. Wang G, Tokushige N, Fraser IS. Nerve fibers and menstrual cycle in peritoneal endometriosis. Fertil Steril. 2011;95(8):2772–2774.

    Article  PubMed  Google Scholar 

  11. Wood C, Kuhn R, Tsaltas J. Laparoscopic diagnosis of endometriosis. Aust N Z J Obstet Gynaecol. 2002;42(3):277–281.

    Article  PubMed  Google Scholar 

  12. Mettler L, Schollmeyer T, Lehmann-Willenbrock E, et al. Accuracy of laparoscopic diagnosis of endometriosis. JSLS. 2003;7(1):15–18.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Walter AJ, Hentz JG, Magtibay PM, Cornella JL, Magrina JF. Endometriosis: correlation between histologic and visual findings at laparoscopy. Am J Obstet Gynecol. 2001;184(7):1407–1411; discussion 1411–1403.

    Article  CAS  PubMed  Google Scholar 

  14. Stegmann BJ, Sinaii N, Liu S, et al. Using location, color, size, and depth to characterize and identify endometriosis lesions in a cohort of 133 women. Fertil Steril. 2008;89(6):1632–1636.

    Article  PubMed  Google Scholar 

  15. Wykes CB, Clark TJ, Khan KS. Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review. BJOG. 2004;111(11):1204–1212.

    Article  PubMed  Google Scholar 

  16. Hori Y. Diagnostic laparoscopy guidelines: This guideline was prepared by the SAGES Guidelines Committee and reviewed and approved by the Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), November 2007. Surg Endosc. 2008;22(5):1353–1383.

    Article  PubMed  Google Scholar 

  17. Chapron C, Querleu D, Bruhat MA, et al. Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29,966 cases. Hum Reprod. 1998;13(4):867–872.

    Article  CAS  PubMed  Google Scholar 

  18. May KE, Villar J, Kirtley S, Kennedy SH, Becker CM. Endometrial alterations in endometriosis: a systematic review of putative biomarkers. Hum Reprod Update. 2011;17(5):637–653.

    Article  CAS  PubMed  Google Scholar 

  19. Vodolazkaia A, El-Aalamat Y, Popovic D, et al. Evaluation of a panel of 28 biomarkers for the non-invasive diagnosis of endometriosis. Hum Reprod. 2012;27(9):2698–2711.

    Article  CAS  PubMed  Google Scholar 

  20. Fassbender A, Waelkens E, Verbeeck N, et al. Proteomics analysis of plasma for early diagnosis of endometriosis. Obstet Gynecol. 2012;119(2 Pt 1):276–285.

    Article  CAS  PubMed  Google Scholar 

  21. Chamie LP, Blasbalg R, Pereira RM, Warmbrand G, Serafini PC. Findings of pelvic endometriosis at transvaginal us, mr imaging, and laparoscopy. Radiographics. 2011;31(4):E77–E100.

    Article  PubMed  Google Scholar 

  22. Grasso RF, Di Giacomo V, Sedati P, et al. Diagnosis of deep infiltrating endometriosis: accuracy of magnetic resonance imaging and transvaginal 3D ultrasonography. Abdom Imaging. 2010;35(6):716–725.

    Article  PubMed  Google Scholar 

  23. Revised American Fertility Society classification of endometriosis: 1985. Fertil Steril. 1985;43(3):351–352.

  24. Revised American society for reproductive medicine classification of endometriosis: 1996. Fertil Steril. 1997;67(5):817–821.

  25. Tuttlies F, Keckstein J, Ulrich U, et al. [ENZIAN-score, a classification of deep infiltrating endometriosis]. Zentralbl Gynakol. 2005;127(5):275–281.

    Article  CAS  PubMed  Google Scholar 

  26. Adamson GD. Endometriosis classification: an update. Curr Opin Obstet Gynecol. 2011;23(4):213–220.

    Article  PubMed  Google Scholar 

  27. Adamson GD, Pasta DJ. Endometriosis fertility index: the new, validated endometriosis staging system. Fertil Steril. 2010;94(5):1609–1615.

    Article  PubMed  Google Scholar 

  28. van Dijk LJ, Nelen WL, D’Hooghe TM, et al. The European society of human reproduction and embryology guideline for the diagnosis and treatment of endometriosis: an electronic guideline implementability appraisal. Implement Sci. 2011;6(1):7.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Halis G, Mechsner S, Ebert AD. The diagnosis and treatment of deep infiltrating endometriosis. Dtsch Arztebl Int. 2010;107(25):446–455; quiz 456.

    PubMed  PubMed Central  Google Scholar 

  30. Treatment of pelvic pain associated with endometriosis. Fertil Steril. 2006;86(5 suppl 1):S18–S27.

  31. Endometriosis and infertility: a committee opinion. Fertil Steril. 2012;98(3):591–598.

  32. Leyland N, Casper R, Laberge P, Singh SS. Endometriosis: diagnosis and management. J Obstet Gynaecol Can. 2010;32(7 suppl 2):S1–S32.

    Article  PubMed  Google Scholar 

  33. Vercellini P, Crosignani PG, Abbiati A, Somigliana E, Vigano P, Fedele L. The effect of surgery for symptomatic endometriosis: the other side of the story. Hum Reprod Update. 2009;15(2):177–188.

    Article  CAS  PubMed  Google Scholar 

  34. Stratton P, Berkley KJ. Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications. Hum Reprod Update. 2011;17(3):327–346.

    Article  PubMed  Google Scholar 

  35. Brown J, Kives S, Akhtar M. Progestagens and anti-progestagens for pain associated with endometriosis. Cochrane Database Syst Rev. 2012;3:CD002122.

    Google Scholar 

  36. Streuli I, de Ziegler D, Borghese B, Santulli P, Batteux F, Chapron C. New treatment strategies and emerging drugs in endometriosis[published online march 23, 2012]. Expert Opin Emerg Drugs. 2012.

  37. Flower A, Liu JP, Lewith G, Little P, Li Q. Chinese herbal medicine for endometriosis. Cochrane Database Syst Rev. 2012;5:CD006568.

    Google Scholar 

  38. Laufer MR, Sanfilippo J, Rose G. Adolescent endometriosis: diagnosis and treatment approaches. J Pediatr Adolesc Gynecol. 2003;16(suppl 3):S3–S11.

    Article  PubMed  Google Scholar 

  39. Vercellini P, Parazzini F, Pietropaolo G, Cipriani S, Frattaruolo M, Fedele L. Pregnancy outcome in women with peritoneal, ovarian and rectovaginal endometriosis: a retrospective cohort study. BJOG. 2012;119(12):1538–1543.

    Article  CAS  PubMed  Google Scholar 

  40. Stephansson O, Kieler H, Granath F, Falconer H. Endometriosis, assisted reproduction technology, and risk of adverse pregnancy outcome. Hum Reprod. 2009;24(9):2341–2347.

    Article  PubMed  Google Scholar 

  41. Bischoff F, Simpson JL. Genetics of endometriosis: heritability and candidate genes. Best Pract Res Clin Obstet Gynaecol. 2004;18(2):219–232.

    Article  PubMed  Google Scholar 

  42. Kennedy S. The genetics of endometriosis. Eur J Obstet Gynecol Reprod Biol. 1999;82(2):129–133.

    Article  CAS  PubMed  Google Scholar 

  43. Stefansson H, Geirsson RT, Steinthorsdottir V, et al. Genetic factors contribute to the risk of developing endometriosis. Hum Reprod. 2002;17(3):555–559.

    Article  CAS  PubMed  Google Scholar 

  44. Zondervan KT, Cardon LR. The complex interplay among factors that influence allelic association. Nat Rev Genet. 2004;5(2):89–100.

    Article  CAS  PubMed  Google Scholar 

  45. Treloar SA, O’Connor DT, O’Connor VM, Martin NG. Genetic influences on endometriosis in an Australian twin sample. sueT@qimr.edu.au. Fertil Steril. 1999;71(4):701–710.

    Article  CAS  PubMed  Google Scholar 

  46. Guo SW. Glutathione S-transferases M1/T1 gene polymorphisms and endometriosis: a meta-analysis of genetic association studies. Mol Hum Reprod. 2005;11(10):729–743.

    Article  CAS  PubMed  Google Scholar 

  47. Montgomery GW, Nyholt DR, Zhao ZZ, et al. The search for genes contributing to endometriosis risk. Hum Reprod Update. 2008;14(5):447–457.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Simpson JL, Bischoff FZ, Kamat A, Buster JE, Carson SA. Genetics of endometriosis. Obstet Gynecol Clin North Am. 2003;30(1):21–40, vii.

    Article  PubMed  Google Scholar 

  49. Zondervan KT, Weeks DE, Colman R, et al. Familial aggregation of endometriosis in a large pedigree of rhesus macaques. Hum Reprod. 2004;19(2):448–455.

    Article  PubMed  Google Scholar 

  50. Zondervan KT, Cardon LR, Kennedy SH. What makes a good case-control study? Design issues for complex traits such as endometriosis. Hum Reprod. 2002;17(6):1415–1423.

    Article  PubMed  Google Scholar 

  51. Visscher PM, Brown MA, McCarthy MI, Yang J. Five years of GWAS discovery. Am J Hum Genet. 2012;90(1):7–24.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Fjerbaek A, Knudsen UB. Endometriosis, dysmenorrhea and diet–what is the evidence? Eur J Obstet Gynecol Reprod Biol. 2007;132(2): 140–147.

    Article  PubMed  Google Scholar 

  53. Trabert B, Peters U, De Roos AJ, Scholes D, Holt VL. Diet and risk of endometriosis in a population-based case-control study. Br J Nutr. 2011;105(3):459–467.

    Article  CAS  PubMed  Google Scholar 

  54. Vigano P, Somigliana E, Panina P, Rabellotti E, Vercellini P, Candiani M. Principles of phenomics in endometriosis. Hum Reprod Update. 2012;18(3):248–259.

    Article  CAS  PubMed  Google Scholar 

  55. Lafay Pillet MC, Schneider A, Borghese B, et al. Deep infiltrating endometriosis is associated with markedly lower body mass index: a 476 case-control study. Hum Reprod. 2012;27(1):265–272.

    Article  PubMed  Google Scholar 

  56. Missmer SA, Hankinson SE, Spiegelman D, Barbieri RL, Michels KB, Hunter DJ. In utero exposures and the incidence of endometriosis. Fertil Steril. 2004;82(6):1501–1508.

    Article  PubMed  Google Scholar 

  57. Crain DA, Janssen SJ, Edwards TM, et al. Female reproductive disorders: the roles of endocrine-disrupting compounds and developmental timing. Fertil Steril. 2008;90(4):911–940.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Buck Louis GM, Chen Z, Peterson CM, et al. Persistent lipophilic environmental chemicals and endometriosis: the ENDO Study. Environ Health Perspect. 2012;120(6):811–816.

    Article  CAS  PubMed  Google Scholar 

  59. Eisenberg VH, Zolti M, Soriano D. Is there an association between autoimmunity and endometriosis? Autoimmun Rev. 2012;11(11):806–814.

    Article  CAS  PubMed  Google Scholar 

  60. Matalliotakis I, Cakmak H, Matalliotakis M, Kappou D, Arici A. High rate of allergies among women with endometriosis. J Obstet Gynaecol. 2012;32(3):291–293.

    Article  CAS  PubMed  Google Scholar 

  61. Maybin JA, Critchley HO, Jabbour HN. Inflammatory pathways in endometrial disorders. Mol Cell Endocrinol. 2011;335(1):42–51.

    Article  CAS  PubMed  Google Scholar 

  62. Defrere S, Gonzalez-Ramos R, Lousse JC, et al. Insights into iron and nuclear factor-kappa B (NF-kappaB) involvement in chronic inflammatory processes in peritoneal endometriosis. Histol Histopathol. 2011;26(8):1083–1092.

    CAS  PubMed  Google Scholar 

  63. Gonzalez-Ramos R, Van Langendonckt A, Defrere S, et al. Involvement of the nuclear factor-kappaB pathway in the pathogenesis of endometriosis. Fertil Steril. 2010;94(6):1985–1994.

    Article  CAS  PubMed  Google Scholar 

  64. Sharpe-Timms KL, Nabli H, Zimmer RL, Birt JA, Davis JW. Inflammatory cytokines differentially up-regulate human endometrial haptoglobin production in women with endometriosis. Hum Reprod. 2010;25(5):1241–1250.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  65. Lu D, Song H, Li Y, Clarke J, Shi G. Pentoxifylline for endometriosis. Cochrane Database Syst Rev. 2012;1: CD007677.

    PubMed  Google Scholar 

  66. Macdonald LJ, Boddy SC, Denison FC, Sales KJ, Jabbour HN. A role for lipoxin A(4) as an anti-inflammatory mediator in the human endometrium. Reproduction. 2011;142(2):345–352.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. Xu Z, Zhao F, Lin F, Chen J, Huang Y. Lipoxin a4 inhibits the development of endometriosis in mice: the role of anti-inflammation and anti-angiogenesis. Am J Reprod Immunol. 2012;67(6):491–497.

    Article  CAS  PubMed  Google Scholar 

  68. Berbic M, Fraser IS. Regulatory T cells and other leukocytes in the pathogenesis of endometriosis. J Reprod Immunol. 2011;88(2):149–155.

    Article  CAS  PubMed  Google Scholar 

  69. Lousse JC, Van Langendonckt A, Defrere S, Ramos RG, Colette S, Donnez J. Peritoneal endometriosis is an inflammatory disease. Front Biosci (Elite Ed). 2012;4(1):23–40.

    Article  Google Scholar 

  70. Wieser F, Wu J, Shen Z, Taylor RN, Sidell N. Retinoic acid suppresses growth of lesions, inhibits peritoneal cytokine secretion, and promotes macrophage differentiation in an immunocompetent mouse model of endometriosis. Fertil Steril. 2012;97(6):1430–1437.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Weiss G, Goldsmith LT, Taylor RN, Bellet D, Taylor HS. Inflammation in reproductive disorders. Reprod Sci. 2009;16(2):216–229.

    Article  CAS  PubMed  Google Scholar 

  72. Cakmak H, Guzeloglu-Kayisli O, Kayisli UA, Arici A. Immuneendocrine interactions in endometriosis. Front Biosci (Elite Ed). 2009;1(2):429–443.

    Google Scholar 

  73. Fieren MW. The local inflammatory responses to infection of the peritoneal cavity in humans: their regulation by cytokines, macrophages, and other leukocytes. Mediators Inflamm. 2012;2012:976241.

    Article  CAS  Google Scholar 

  74. Lousse JC, Defrere S, Gonzalez Ramos R, Van Langendonckt A, Colette S, Donnez J. Involvement of iron, nuclear factor-kappa B (NF-kB) and prostaglandins in the pathogenesis of peritoneal endometriosis-associated inflammation: a review. J Endometriosis. 2009;1(1):19–29.

    Article  Google Scholar 

  75. Ngo C, Chereau C, Nicco C, Weill B, Chapron C, Batteux F. Reactive oxygen species controls endometriosis progression. Am J Pathol. 2009;175(1):225–234.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Ngo C, Nicco C, Leconte M, et al. Protein kinase inhibitors can control the progression of endometriosis in vitro and in vivo. J Pathol. 2010;222(2):148–157.

    Article  CAS  PubMed  Google Scholar 

  77. Carvalho LF, Samadder AN, Agarwal A, Fernandes LF, Abrao MS. Oxidative stress biomarkers in patients with endometriosis: systematic review. Arch Gynecol Obstet. 2012;286(4):1033–1040.

    Article  CAS  PubMed  Google Scholar 

  78. Anaf V, Simon P, El Nakadi I, et al. Relationship between endometriotic foci and nerves in rectovaginal endometriotic nodules. Hum Reprod. 2000;15(8):1744–1750.

    Article  CAS  PubMed  Google Scholar 

  79. Tokushige N, Markham R, Russell P, Fraser IS. High density of small nerve fibres in the functional layer of the endometrium in women with endometriosis. Hum Reprod. 2006;21(3):782–787.

    Article  CAS  PubMed  Google Scholar 

  80. Bokor A, Kyama CM, Vercruysse L, et al. Density of small diameter sensory nerve fibres in endometrium: a semi-invasive diagnostic test for minimal to mild endometriosis. Hum Reprod. 2009;24(12):3025–3032.

    Article  CAS  PubMed  Google Scholar 

  81. McAllister SL, Dmitrieva N, Berkley KJ. Sprouted innervation into uterine transplants contributes to the development of hyperalgesia in a rat model of endometriosis. PLoS One. 2012;7(2):e31758.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  82. Arnold J, Barcena de Arellano ML, Ruster C, et al. Imbalance between sympathetic and sensory innervation in peritoneal endometriosis. Brain Behav Immun. 2012;26(1):132–141.

    Article  CAS  PubMed  Google Scholar 

  83. Borghese B, Vaiman D, Mondon F, et al. [Neurotrophins and pain in endometriosis]. Gynecol Obstet Fertil. 2010;38(7–8):442–446.

    Article  CAS  PubMed  Google Scholar 

  84. Browne AS, Yu J, Huang RP, Francisco AM, Sidell N, Taylor RN. Proteomic identification of neurotrophins in the eutopic endometrium of women with endometriosis. Fertil Steril. 2012;98(3):713–719.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Giannini A, Bucci F, Luisi S, Cela V, Pluchino N, Merlini S. Brain-derived neurotrophic factor in plasma of women with endometriosis. J Endometriosis. 2010;2(3):144–145.

    Article  Google Scholar 

  86. Al-Jefout M, Dezarnaulds G, Cooper M, et al. Diagnosis of endometriosis by detection of nerve fibres in an endometrial biopsy: a double blind study. Hum Reprod. 2009;24(12):3019–3024.

    Article  CAS  PubMed  Google Scholar 

  87. Wang G, Tokushige N, Markham R, Fraser IS. Rich innervation of deep infiltrating endometriosis. Hum Reprod. 2009;24(4):827–834.

    Article  PubMed  Google Scholar 

  88. Novembri R, Borges LE, Carrarelli P, et al. Impaired CRH and urocortin expression and function in eutopic endometrium of women with endometriosis. J Clin Endocrinol Metab. 2011;96(4):1145–1150.

    Article  CAS  PubMed  Google Scholar 

  89. Alvarez P, Chen X, Hendrich J, et al. Ectopic uterine tissue as a chronic pain generator. Neuroscience. 2012;225:269–282.

    Article  CAS  PubMed  Google Scholar 

  90. Laschke MW, Menger MD. Anti-angiogenic treatment strategies for the therapy of endometriosis. Hum Reprod Update. 2012;18(6):682–702.

    Article  CAS  PubMed  Google Scholar 

  91. Laschke MW, Giebels C, Menger MD. Vasculogenesis: a new piece of the endometriosis puzzle. Hum Reprod Update. 2011;17(5):628–636.

    Article  CAS  PubMed  Google Scholar 

  92. Becker CM, Beaudry P, Funakoshi T, et al. Circulating endothelial progenitor cells are up-regulated in a mouse model of endometriosis. Am J Pathol. 2011;178(4):1782–1791.

    Article  PubMed  PubMed Central  Google Scholar 

  93. Rogers PA, Donoghue JF, Walter LM, Girling JE. Endometrial angiogenesis, vascular maturation, and lymphangiogenesis. Reprod Sci. 2009;16(2):147–151.

    Article  PubMed  Google Scholar 

  94. Hey-Cunningham AJ, Ng FW, Busard MPH, et al. Uterine lymphatic and blood micro-vessels in women with endometriosis through the menstrual cycle. J Endometriosis. 2010;2(4):197–204.

    Article  Google Scholar 

  95. Hey-Cunningham AJ, Berbic M, Ng CHM, Markham R, Fraser IS. Lymphatic vessels in peritoneal endometriotic lesions. J Endometriosis. 2011;2(3):59–66.

    Article  Google Scholar 

  96. Keichel S, Barcena de Arellano ML, Reichelt U, et al. Lymphangiogenesis in deep infiltrating endometriosis. Hum Reprod. 2011;26(10):2713–2720.

    Article  CAS  PubMed  Google Scholar 

  97. Riedlinger WFJ, Weichbrodt M, Gericke J, et al. Sentinel Lymph node labeling of patients with deep infiltrating rectovaginal endometriosis: Does this make sense? J Endometriosis. 2010;2(1):33–40.

    Article  Google Scholar 

  98. Mechsner S, Weichbrodt M, Riedlinger WF, Kaufmann AM, Schneider A, Kohler C. Immunohistochemical evaluation of endometriotic lesions and disseminated endometriosis-like cells in incidental lymph nodes of patients with endometriosis. Fertil Steril. 2010;94(2):457–463.

    Article  PubMed  Google Scholar 

  99. Hey-Cunningham AJ, Fazleabas AT, Braundmeier AG, Markham R, Fraser IS, Berbic M. Endometrial stromal cells and immune cell populations within lymph nodes in a nonhuman primate model of endometriosis. Reprod Sci. 2011;18(8):747–754.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  100. Asante A, Taylor RN. Endometriosis: the role of neuroangiogenesis. Annu Rev Physiol. 2011;73:163–182.

    Article  CAS  PubMed  Google Scholar 

  101. Chan RW, Schwab KE, Gargett CE. Clonogenicity of human endometrial epithelial and stromal cells. Biol Reprod. 2004;70(6): 1738–1750.

    Article  CAS  PubMed  Google Scholar 

  102. Kato K, Yoshimoto M, Kato K, et al. Characterization of side-population cells in human normal endometrium. Human Reproduction. 2007;22(5):1214–1223.

    Article  CAS  PubMed  Google Scholar 

  103. Gargett CE. Uterine stem cells: what is the evidence? Hum Reprod Update. 2007;13(1):87–101.

    Article  CAS  PubMed  Google Scholar 

  104. Cervello I, Simon C. Somatic stem cells in the endometrium. Reprod Sci. 2009;16(2):200–205.

    Article  PubMed  Google Scholar 

  105. Figueira PG, Abrao MS, Krikun G, Taylor HS. Stem cells in endometrium and their role in the pathogenesis of endometriosis. Ann N Y Acad Sci. 2011;1221(1):10–17.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  106. Maruyama T, Yoshimura Y. Stem cell theory for the pathogenesis of endometriosis. Front Biosci (Elite Ed). 2012;4(8):2754–2763.

    Article  Google Scholar 

  107. Du H, Taylor HS. Contribution of bone marrow-derived stem cells to endometrium and endometriosis. Stem Cells. 2007;25(8):2082–2086.

    Article  CAS  PubMed  Google Scholar 

  108. Sasson IE, Taylor HS. Stem cells and the pathogenesis of endometriosis. Ann N Y Acad Sci. 2008;1127(1):106–115.

    Article  Google Scholar 

  109. Taniguchi F, Kaponis A, Izawa M, et al. Apoptosis and endometriosis. Front Biosci (Elite Ed). 2011;3(2):648–662.

    Article  Google Scholar 

  110. Nasu K, Nishida M, Kawano Y, et al. Aberrant expression of apoptosis-related molecules in endometriosis: a possible mechanism underlying the pathogenesis of endometriosis. Reprod Sci. 2011;18(3):206–218.

    Article  CAS  PubMed  Google Scholar 

  111. Han SJ, Hawkins SM, Begum K, et al. A new isoform of steroid receptor coactivator-1 is crucial for pathogenic progression of endometriosis. Nat Med. 2012;18(7):1102–1111.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  112. Teague EM, Print CG, Hull ML. The role of microRNAs in endometriosis and associated reproductive conditions. Hum Reprod Update. 2010;16(2):142–165.

    Article  PubMed  CAS  Google Scholar 

  113. Hawkins SM, Creighton CJ, Han DY, et al. Functional micro-RNA involved in endometriosis. Mol Endocrinol. 2011;25(5):821–832.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  114. Ramon LA, Braza-Boils A, Gilabert-Estelles J, et al. micro-RNAs expression in endometriosis and their relation to angiogenic factors. Hum Reprod. 2011;26(5):1082–1090.

    Article  CAS  PubMed  Google Scholar 

  115. Pullen N, Birch CL, Douglas GJ, Hussain Q, Pruimboom-Brees I, Walley RJ. The translational challenge in the development of new and effective therapies for endometriosis: a review of confidence from published preclinical efficacy studies. Hum Reprod Update. 2011;17(6):791–802.

    Article  PubMed  Google Scholar 

  116. Jeong JW, Lee HS, Lee KY, et al. Mig-6 modulates uterine steroid hormone responsiveness and exhibits altered expression in endometrial disease. Proc Natl Acad Sci U S A. 2009;106(21):8677–8682.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  117. Jeong JW, Lee HS, Franco HL, et al. beta-catenin mediates glandular formation and dysregulation of beta-catenin induces hyperplasia formation in the murine uterus. Oncogene. 2009;28(1):31–40.

    Article  CAS  PubMed  Google Scholar 

  118. Pearce CL, Templeman C, Rossing MA, et al. Association between endometriosis and risk of histological subtypes of ovarian cancer: a pooled analysis of case-control studies. Lancet Oncol. 2012;13(4):385–394.

    Article  PubMed  PubMed Central  Google Scholar 

  119. Taylor-Robinson D, Jensen JS, Svenstrup H, Stacey CM. Difficulties experienced in defining the microbial cause of pelvic inflammatory disease. Int J STD AIDS. 2012;23(1):18–24.

    Article  CAS  PubMed  Google Scholar 

  120. Dancet EA, Apers S, Kluivers KB, et al. The ENDOCARE questionnaire guides European endometriosis clinics to improve the patient-centeredness of their care. Hum Reprod. 2012;27(11):3168–3178.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Peter A. W. Rogers BSc, PhD.

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Rogers, P.A.W., D’Hooghe, T.M., Fazleabas, A. et al. Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France. Reprod. Sci. 20, 483–499 (2013). https://doi.org/10.1177/1933719113477495

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