Evidence map›Paper›PMID 40428769›Full record

ReviewMedicina (Kaunas, Lithuania)2025

The Multifactorial Pathogenesis of Endometriosis: A Narrative Review Integrating Hormonal, Immune, and Microbiome Aspects.

Zaure Datkhayeva, Ainur Iskakova, Alla Mireeva, Aida Seitaliyeva, Raikhan Skakova, Gulshat Kulniyazova, Aiman Shayakhmetova, Gaukhar Koshkimbayeva, Chapen Sarmuldayeva, Lazzat Nurseitova and 8 more

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Zaure DatkhayevaDepartment of General Medical Practice No. 2, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Ainur IskakovaDepartment of Public Health and Social Sciences, Kazakhstan's Medical University "KSPH", Utepov str.19A., Almaty 050000, Kazakhstan.
Alla MireevaDepartment of General Medical Practice No. 2, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Aida SeitaliyevaHigher School of Medicine, Al-Farabi Kazakh National University, Tole-bi 96, Almaty 050040, Kazakhstan.ORCID 0000-0003-0177-5599
Raikhan SkakovaDepartment of Obstetrics and Gynecology, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Gulshat KulniyazovaHigher School of Medicine, Al-Farabi Kazakh National University, Tole-bi 96, Almaty 050040, Kazakhstan.
Aiman ShayakhmetovaHigher School of Medicine, Al-Farabi Kazakh National University, Tole-bi 96, Almaty 050040, Kazakhstan.ORCID 0009-0002-4458-7889
Gaukhar KoshkimbayevaDepartment of General Medical Practice with Courses, Kazakh-Russian Medical University, Abylai Khan 51/53, Almaty 050000, Kazakhstan.
Chapen SarmuldayevaCity Center for Human Reproduction, st. Zhibek-Zholy 7W6M+CQR, Almaty 050000, Kazakhstan.
Lazzat NurseitovaDepartment of General Medical Practice No. 2, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Lyailya KoshenovaDepartment of Obstetrics and Gynecology, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Gulzhan Imanbekova"Almaty City Hospital No. 29" Communal State Enterprise on the Right of Economic Management, Microdistrict Zerdeli 371/3, Almaty 050000, Kazakhstan.
Dina MaxutovaDepartment of General Medical Practice No. 2, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Sandugash YerkenovaDepartment of General Medical Practice No. 2, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Aigerim ShukirbayevaDepartment of Obstetrics and Gynecology, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Ulzhan PernebekovaDepartment of Obstetrics and Gynecology, School of Medicine, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.
Zaure DushimovaHigher School of Medicine, Al-Farabi Kazakh National University, Tole-bi 96, Almaty 050040, Kazakhstan.
Akerke AmirkhanovaSchool of Pharmacy, S.D. Asfendiyarov Kazakh National Medical University, Tole-bi 94, Almaty 050012, Kazakhstan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometriosis (EM) is a common estrogen-dependent chronic inflammatory disorder affecting reproductive-aged women, yet its pathogenesis remains incompletely understood. Recent evidence suggests that the gut microbiota significantly influence immune responses, estrogen metabolism, and systemic inflammation, potentially contributing to EM progression. This narrative review explores the relationship between the gut microbiota and EM, emphasizing microbial dysbiosis, inflammation, estrogen regulation, and potential microbiome-targeted therapies. Studies published within the last 30 years were included, focusing on the microbiota composition, immune modulation, estrogen metabolism, and therapeutic interventions in EM. The selection criteria prioritized peer-reviewed articles, clinical trials, meta-analyses, and narrative reviews investigating the gut microbiota's role in EM pathophysiology and treatment. Microbial dysbiosis in EM is characterized by a reduced abundance of beneficial bacteria (

Indexed as

EndometriosisGastrointestinal MicrobiomeDysbiosisEstrogensFemaleHumansInflammationEstrogensendometriosisestrogenfecal microbiota transplantationgut microbiotainflammationmicrobialprobiotics

Identifiers

PMID40428769
PMCPMC12113382

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.