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In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
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Characterization and Functional Prediction of Bacteria in Ovarian Tissues
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Research progress on the correlation between microbiota and endometriosis.

Jingyi Wang1, Xiaojie Wang1

  • 1Department of Gynecologic Oncology, Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai Institute of Maternal-Fetal Medicine and Gynecologic Oncology, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai 200092, China.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|August 27, 2025
PubMed
Summary

Microbiota dysbiosis, an imbalance in gut and reproductive tract microbes, is linked to endometriosis pathogenesis. Interventions targeting the microbiota offer promising new strategies for managing this inflammatory disorder.

Keywords:
EndometriosisGut microbiotaGut-brain axisMicrobiota dysbiosisReproductive tract microbiota

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Area of Science:

  • Microbiology
  • Gynecology
  • Immunology

Background:

  • The human microbiota is essential for physiological functions.
  • Endometriosis (EMs) is a chronic inflammatory disorder characterized by ectopic endometrial tissue.
  • EMs causes significant pain, infertility, and psychological distress.

Purpose of the Study:

  • To review current research on the interaction between microbiota dysbiosis and endometriosis.
  • To explore the role of microbial imbalances in EMs pathogenesis.
  • To identify potential microbiota-targeted diagnostic and therapeutic strategies for EMs.

Main Methods:

  • Systematic review of existing literature.
  • Analysis of studies investigating gut and reproductive tract microbiota in EMs.
  • Synthesis of evidence on inflammatory pathways and metabolic alterations.

Main Results:

  • Dysbiosis in the gut and reproductive tract microbiota contributes to EMs.
  • Microbial imbalances can trigger local and systemic inflammation via cytokines and metabolites.
  • These inflammatory responses are implicated in the development and progression of EMs.

Conclusions:

  • Microbiota dysbiosis is a significant factor in endometriosis development.
  • Understanding these interactions can lead to novel diagnostic tools.
  • Microbiota-targeted therapies represent a promising avenue for EMs management.