Endometriosis: the Impact of hormones, sexual practice, and surgical treatments

Endometriosis is a chronic inflammatory disease modulated by estrogen levels, characterized by the presence of ectopic endometrial lesions and a pro-inflammatory environment. This condition is associated with microbial dysbiosis, an imbalance in bacterial communities affecting the gastrointestinal (GI) and urogenital (UG) tracts. These microbial alterations not only result from inflammation but also actively contribute to disease progression and symptoms.