The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
The Relation of Endometriosis to Menstrual Characteristics, Smoking, and Exercise
Abstract
We compared menstrual characteristics and constitutional factors in 268 white women with primary infertility due to endometriosis and in 3,794 white women admitted for delivery at seven collaborating hospitals from 1981 to 1983. Adjusting for confounding factors, including location, age, religion, and education, women with short-cycle lengths (less than or equal to 27 days) and longer flow (greater than or equal to one week) had more than double the risk for endometriosis compared with women with longer cycle lengths and shorter duration of flow. There was a trend for increasing risk for endometriosis to be associated with increasing menstrual pain. Adjusting for these menstrual characteristics, we found decreased risk for endometriosis associated with smoking or exercise that was largely confined to women who began either habit at an early age and were heavier smokers or more strenuous exercisers. We conclude that risk for endometriosis may relate to menstrual factors that predispose to greater pelvic contamination with menstrual products and to constitutional factors that influence endogenous hormonal levels.
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“epidemiological studies analyzing the cycle of women with endometriosis have shown that the early first cycle (before the age of 11) is associated with the risk of endometriosis [43,44,45,46]”
From Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature) (2021) · cites this paper as [43]
Citations
Cites
Cigarette Smoking and Urinary Estrogens
MacMahon, B., Trichopoulos, D., Cole, P., & Brown, J. (1982) · New England Journal of Medicine · doi:10.1056/nejm198210213071707 · Cited by 404
The development of the implantation theory for the origin of peritoneal endometriosis
Sampson, J. A. (1940) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(40)91238-8 · Cited by 348
Menstrual Dysfunction in Distance Runners
Dale, E., Gerlach, D. H., & WILHITE, A. L. (1979) · Obstetrics and Gynecology · doi:10.1097/00006250-197907000-00013 · Cited by 302
Endometriosis: Role of Ovarian Steroids in Initiation, Maintenance, and Suppression
diZerega, G. S., Barber, D. L., & Hodgen, G. D. (1980) · Fertility and Sterility · doi:10.1016/s0015-0282(16)44780-1 · Cited by 290
Exercise-associated amenorrhea: A distinct entity?
Schwartz, B., Cumming, D. C., Riordan, E., Selye, M., Yen, S. S. C., & Rebar, R. W. (1981) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(15)33308-1 · Cited by 208
Effect of body weight reduction on plasma androgens in obese, infertile women
Bates, G. W., & Whitworth, N. S. (1982) · Fertility and Sterility · doi:10.1016/s0015-0282(16)46571-4 · Cited by 183
Endometriosis in 1,000 consecutive celiotomies: Incidence and management
Williams, T. J., & PRATT, J. H. (1977) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(77)90773-6 · Cited by 182
Origin of endometriosis from the mesenchyme of the celomic walls
Gruenwald, P. (1942) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(42)90484-8 · Cited by 179
Baker, E. R., Mathur, R. S., Kirk, R. F., & Williamson, H. O. (1981) · Fertility and Sterility · doi:10.1016/s0015-0282(16)45676-1 · Cited by 172
Tubal infertility and the intrauterine device
Cramer, D. W., Schiff, I., Schoenbaum, S. C., Gibson, M., Bélisle, S., Albrecht, B. H., Stillman, R. J., Berger, M. J., Wilson, E. A., Stadel, B. V., et al. (1985) · Studies in Family Planning · doi:10.2307/1967088 · Cited by 168
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Roles of regulatory T cells in endometriosis-associated infertility
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Symptômes douloureux de l'endométriose
Fauconnier, A., Dubuisson, J. B., & Bréart, G. (2005) · EMC - Gynécologie-obstétrique · doi:10.1016/j.emcgo.2005.07.007 · Cited by 1
Sagae, U. E. (2005) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.5.2005.tde-12012006-100332 · Cited by 1
Identifying biomarkers for non-invasive diagnosis of endometriosis
Irungu, S. (2016) · UCL Discovery (University College London) · Cited by 1
Comparison of Health Behaviors in Adolescents With and Without Endometriosis
Brandt, K. A. (2004) · The Knowledge Bank (The Ohio State University) · Cited by 1
Physiopathologie de l'endométriose
Dumont, A., Collinet, P., Merlot, B., Abergel, A., Rubod, C., & Robin, G. (2017) · Time to knit · doi:10.1016/s0246-1064(17)65070-9 · Cited by 1
Runnebaum, B., Rabe, T., Sillem, M., & Eggert-Kruse, W. (1997) · Springer eBooks · doi:10.1007/978-3-642-60390-7_20 · Cited by 1
Runnebaum, B., Rabe, T., Sillem, M., & Eggert-Kruse, W. (1994) · Springer eBooks · doi:10.1007/978-3-662-07633-0_4 · Cited by 1
Biberoglu, E. H., & Biberoglu, K. O. (2014) · Springer eBooks · doi:10.1007/978-4-431-54421-0_18
Genetic Polymorphisms and Molecular Pathogenesis of Endometriosis
Kodati, V., & Has, Q. (2012) · InTech eBooks · doi:10.5772/28907
Serum- und Urinmarker als diagnostische Tests für Endometriose
Agic, A., Diedrich, K., & Hornung, D. (2010) · Der Gynäkologe · doi:10.1007/s00129-010-2585-6
Síntomas dolorosos de la endometriosis
Fauconnier, A., Dubuisson, J. B., & Bréart, G. (2006) · EMC - Ginecología-Obstetricia · doi:10.1016/s1283-081x(06)45060-8
Pelvic pain in endometriosis: is success of therapy gone in cigarette smoke?
Koppán, Á., Hamori, J., Vranics, I., Garai, J., Kriszbacher, I., Bódis, J., Oehmke, F., Tinneberg, H., & Koppán, M. (2011) · Health · doi:10.4236/health.2011.39098
Endométriose génitale et extragénitale
Remoue, L., & Fauvet, R. (2007) · EMC - Traité de médecine AKOS · doi:10.1016/s1634-6939(07)45157-2
Endometriosis genital y extragenital
Remoue, L., & Fauvet, R. (2008) · EMC - Tratado de Medicina · doi:10.1016/s1636-5410(08)70612-3
Endometriosis, A Mysterious and Elusive Disease
Rönnberg, L. (1989) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.3109/00016348909020987
Chung, H. K., Lee, J. Y., Jeong, K. A., & Chung, H. W. (2011) · Korean Journal of Obstetrics & Gynecology · doi:10.5468/kjog.2011.54.8.441
Dolor pélvico crónico e infertilidad como factores diagnósticos de endometriosis
Karame, A. (2008) · Revista de Obstetricia y Ginecología de Venezuela
Mueck, A. O., & Seeger, H. (2015) · Gynäkologische Endokrinologie · doi:10.1007/s10304-015-0015-5
Neme, R. M. (2005) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2005.tde-12042005-181432
Eziopatogenesi dell'endometriosi
Farina, M., Tomaselli, I. R., & Cianci, A. (2005) · CNR Solar (Scientific Open-access Literature Archive and Repository) (Consiglio Nazionale delle Ricerche)
Factores de riesgo para endometriosis
Calle, A. M. C. (1989) · Revista Colombiana de Obstetricia y Ginecología · doi:10.18597/rcog.2404
A case of left inguinal endometriosis.
Kawabata, K., Watanabe, K., Ozaki, S., ISHIYAMA, S., Ando, S., & Tango, M. (2000) · 日本臨床細胞学会雑誌 · doi:10.5795/jjscc.39.536
Traitements des localisations urologiques de l'endométriose
Simon, P., Cortesse, A., & Villet, R. (2009) · Annales d Urologie · doi:10.1016/s1762-0953(09)41423-7
Women's reproductive health: recent advances in therapies.
Stillman, R. J. (1987) · Europe PMC (PubMed Central)
Cassagne, M. (2015)
Chapter 4 What is Endometriosis?
(1999) · Journal SOGC · doi:10.1016/s0849-5831(16)30090-8
Women with inherited bleeding disorders and their offspring - the unresolved issues
Davies, J. (2017) · UCL Discovery (University College London)
Case Based Discussion of Surgical Approach to Deep Infiltrating Endometriosis
Ahmed, H. (2019) · World Journal of Gynecology & Womens Health · doi:10.33552/wjgwh.2019.01.000523
Laparoscopy in Infertility: A Retrospective Analysis of 200 Cases
Pathak, C. (2018) · Journal of South Asian Federation of Obstetrics and Gynaecology · doi:10.5005/jp-journals-10006-1636
Discerning Endometriosis as a Multifaceted Entity: A Comprehensive Review
Sah, S. K. (2020) · Biomedical Journal of Scientific & Technical Research · doi:10.26717/bjstr.2020.31.005132
Hoseini, H., Sarani, A., Sarabandi, A., & Saravi, M. K. (2021) · Disease and Diagnosis · doi:10.34172/ddj.2021.13
A Novel Model To Predict Endometriosis in Patients with Ovarian Cysts: A Retrospective Study.Preprint
Xiang, J., Shen, W., Liang, Z., Zhang, Q., & Duan, P. (2021) · Research Square · doi:10.21203/rs.3.rs-762131/v1
Common comorbid disorders in endometriosis patients
Adewuyi, E. O. (2021) · Queensland University of Technology · doi:10.5204/thesis.eprints.212039
Choi, M. Y., Hahn, J., Malspeis, S., Stevens, E. F., Karlson, E. W., Sparks, J. A., Yoshida, K., Kubzansky, L. D., & Costenbader, K. H. (2021) · Arthritis & Rheumatology · doi:10.1002/art.41990
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Dor, estresse e qualidade de vida em mulheres com endometriose
Petrelluzzi, K. F. S. (2005) · doi:10.47749/t/unicamp.2005.349540
Traitement médicamenteux de l'endométriose (adénomyose exclue)
AZOULAY, C., & Daraï, É. (2005) · EMC - Gynécologie · doi:10.1016/s0246-1064(05)43143-6
The Patient’s Perspective. The Endometriosis Association
(1999) · Journal SOGC · doi:10.1016/s0849-5831(16)31086-2
Batt, R. E., & Louis, G. M. B. (2007) · Elsevier eBooks · doi:10.1016/b978-0-323-04708-1.10009-3
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Manero, M. G., Olartecoechea, B., Manero, P. R., Aubà, M., & López, G. (2017) · Revista de medicina de la Universidad de Navarra · doi:10.15581/021.8318
Integrity analysis of histological evaluation for endometriosis in laparoscopically guided biopsies
Hurtado, R., & Geber, S. (2010) · JBRA · doi:10.5935/1518-0557.2011.14.3.04
Heynemann, S., Accadia, E. R., Cameron, M., Dauer, R., Barnes, C., & Grover, S. R. (2023) · medRxiv · doi:10.1101/2023.03.03.23286728
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Alsomali, O. H., Alharbi, A. A., Aloula, . S. A., Alazmiy, . S., Alanazi, A., Alanazi, S. D., Al-Arej, I. M., Alsayegh, A. S., Alanazi, A. R., Alduaybi, M. A., et al. (2017) · International Journal of Health Sciences · doi:10.53730/ijhs.v1ns1.15299
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Lin, Y., & Wang, C. C. (2024) · Integrated science · doi:10.1007/978-3-031-72079-6_30
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Puilya, A. N., Kamila, S., Khatoon, R., & Sarkar, S. (2025) · Homœopathic Links · doi:10.1055/s-0044-1788298
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Marrodán-Wojtczak, K., Krzeszowska, P., Zajączkowska, A., Zajączkowski, J., Wilk, J., Stępniak, K., Jarmołowicz, J., Kujawa, A., Krochmal, K., & Kuźma, R. (2025) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.3(47).2025.3916
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Koch, Y. (2014) · DuEPublico (University of Duisburg-Essen)
Etude phénotypique des cellules endométriosiques profondes
Leconte, M. (2012) · theses.fr (ABES) · doi:10.70675/6c60e34az6799z41eaz8bacz16682a3d37ea
Tennfjord, M. K., Gabrielsen, R., & Tellum, T. (2021) · Figshare · doi:10.6084/m9.figshare.16779375
Tennfjord, M. K., Gabrielsen, R., & Tellum, T. (2021) · Figshare · doi:10.6084/m9.figshare.16779381
Tennfjord, M. K., Gabrielsen, R., & Tellum, T. (2021) · Figshare · doi:10.6084/m9.figshare.16779378
Pocate-Cheriet, K. (2020) · theses.fr (ABES) · doi:10.70675/8a1fbb23z175dz4bbcz8427z6f4af93f23d1
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Finas, D., Küpker, W., Diedrich, K., & Felberbaum, R. E. (2004) · Springer eBooks · doi:10.1007/978-3-7091-0574-0_1
Metadata
- Authors
- Cramer, D. W.
- Corresponding author
- Cramer, Daniel W.
- ORCID
- Cramer, Daniel W.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1986-04-11
- Volume
- 255
- Issue
- 14
- Pages
- 1904
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2015536508
- Cited by
- 367
- References
- 16
- Citations by year
- 2026: 2 · 2025: 16 · 2024: 9 · 2023: 7 · 2022: 6 · 2021: 15 · 2020: 9 · 2019: 6 · 2018: 8 · 2017: 16 · 2016: 12 · 2015: 9 · 2014: 13 · 2013: 8 · 2012: 10
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (n01hd002822-007)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (N01-HD-02822)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- endometriosis, menstrual characteristics, menstrual cycle length, menstrual flow, dysmenorrhea, smoking, physical activity, primary infertility, risk factors, endogenous hormones
- MeSH terms
- Adolescent, Adult, Endometriosis, Physical Exertion, Female, Humans, Menstruation Disturbances, Pregnancy, Risk, Smoking
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