1Service de gynécologie-obstétrique, hôpital Saint-Vincent-de-Paul, 74-82, avenue Denfert-Rochereau, 75674 Paris cedex 14, France. jean.belaisch@wanadoo.fr
Psychological distress may contribute to endometriosis development, not just result from it. This perspective suggests altered psycho-neuro-endocrino-immunologic pathways, potentially influenced by adolescent experiences, could be key.
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