The hidden story of endometriosis: Pain, lesions, and the microbiome
Update: 2025-05-27
Description
If you’ve been diagnosed with endometriosis, the big question is: What type of lesions?
In this episode, Lara challenges long-held assumptions to explore:
- the three types of endometriosis lesions,
- emerging evidence that superficial lesions may not explain pain or other symptoms,
- alternative explanations for pelvic pain and infertility, including pelvic congestion, immune dysfunction, and gut microbiome imbalance, and
- an update on the bacterial contamination hypothesis.
Links:
- Could pelvic congestion syndrome explain your pelvic pain?
- Prevalence of endometriosis in asymptomatic women (1991 study)
- Surgical removal of superficial peritoneal endometriosis for managing women with chronic pelvic pain: time for a rethink? (2019 BJOG article)
- Bacterial contamination hypothesis (2018 paper)
- Fusobacterium infection facilitates the development of endometriosis (2023 paper)
- ANZCA 2024 Statement on pelvic pain and endometriosis
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