Clinical and Molecular Study of Endometriosis and Adenomyosis

  • STATUS
    Recruiting
  • End date
    Dec 5, 2040
  • participants needed
    5300
  • sponsor
    Assistance Publique - Hôpitaux de Paris
Updated on 19 February 2024
microbiota
endometriosis
infertility
adenomyosis
uterine bleeding
pelvic pain
abnormal bleeding

Summary

The purpose of this study is to determine whether endometriosis and adenomyosis are progressive diseases, in terms of symptoms (pain, abnormal uterine bleeding and infertility), anatomical lesions size, and recurrences. We also aimed to address molecular questions on immune dialogues between ectopic lesions and the eutopic endometrium, auto-immunity in endometriosis and adenomyosis and the role of the microbiota in their respective pathophysiologies.

Description

Endometriosis and adenomyosis are benign gynecological conditions which affect more than 10% of women, that typically cause pain and / or infertility, thereby exerting a negative impact on the patients' quality of life.

Although the pathogenesis of endometriosis and adenomyosis are controversial, both diseases are defined by the presence of endometrial tissue outside the uterine cavity. Endometriosis is a heterogeneous disease, with three phenotypes: superficial peritoneal endometriosis (SUP), ovarian endometrioma (OMA), and deep infiltrating endometriosis (DIE) The most widely accepted pathophysiological hypothesis for endometriosis is that of the implantation of ectopic endometrial cells following peritoneal reflux. Endometriosis can be associated with adenomyosis, also heterogeneous, characterized by the infiltration of endometrial tissue into the myometrium, presenting different forms: diffuse, focal or cystic.

Due to diseases heterogeneity, the diagnosis of endometriosis and adenomyosis is difficult and affected patients are subject to a long delay for appropriate management.

We hypothesize that the disease may be progressive in terms of symptoms (pain, abnormal uterine bleeding and infertility), anatomical lesions and recurrences. Furthermore, highlighting specific clinical and molecular markers would shorten the diagnostic time.

Details
Condition Disorder of uterus NOS, Endometriosis, Endometriosis, Female Genital Diseases
Age 18-42 years
Treatment Biological/Vaccine
Clinical Study IdentifierNCT04481321
SponsorAssistance Publique - Hôpitaux de Paris
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Women of age between - 18 and 42 years old
In-service care for one of the pelvic pain and/or infertility, or for a pelvic mass
Having a radiological diagnosis made by a referral practitioner and/or operated in the department

Exclusion Criteria

HIV-positive women, HBV and HCV
During pregnancy
Having a cancer diagnosis
Refusing to sign a consent
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