Effects of hormonal treatment on nerve fibers in endometrium and myometrium in women with endometriosis
Open accessAbstract
Objective To investigate how hormonal treatment can change nerve fiber density and to identify types of nerve fibers in endometrium and myometrium in women with endometriosis. Design Laboratory study using human tissue. Setting University-based laboratory. Patient(s) Hormonally treated and untreated women with endometriosis undergoing hysterectomy or curettage. Intervention(s) Endometrial and myometrial tissues were prepared from women with hormonally treated endometriosis and women with untreated endometriosis. Main outcome measure(s) Types and density of nerve fibers in endometrium and myometrium in women with hormonally treated and untreated endometriosis were determined immunohistochemically. Result(s) The nerve fiber density (mean density +/- SD per square millimeter) in the functional and the basal layers of endometrium (0.2 +/- 0.7/mm(2) and 0.9 +/- 1.3/mm(2), respectively) and myometrium (1.5 +/- 0.8/mm(2)) from women with hormonally treated endometriosis was much lower than that of endometrium (functional layer: 11 +/- 5/mm(2), basal layer: 18 +/- 8/mm(2), respectively) and myometrium (3 +/- 1/mm(2)) from women with untreated endometriosis. Nerve growth factor and nerve growth factor receptor p75 expression was also significantly reduced in women with hormonally treated endometriosis compared with women with untreated endometriosis. Conclusion(s) Hormonal treatment significantly reduced nerve fiber density in endometrium and myometrium in women with endometriosis.
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Women with endometriosis who undergo endometrial biopsy or hysterectomy have more nerve fibers in the endometrium and myometrium than other women and than women with endometriosis using hormonal treatments.
“An increase of nerve fibers in the endometrium and myometrium was observed in women with endometriosis undergoing endometrial biopsy or hysterectomy compared with other women and women with endometriosis using hormonal treatments”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Tokushige et al., 2008
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Zomer, M. T., Kondo, W., Cavalcanti, T. C. S., Linsigen, R. V., Ferreira, L. R. G., Cabrera, R., Trippia, C. H., & Kulak, J. (2021) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2021.08.008 · Cited by 5 · see citing works
Epidemiologia e fatores associados à histerectomia em um grupo de mulheres
Piotto, K. L., Lazarotto, A. K., Vieira, V. K., Sotomayor, M. R., & Lúcio, L. C. (2022) · Research Society and Development · doi:10.33448/rsd-v11i7.29746 · Cited by 4 · see citing works
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Cyclic Changes of Nerve Fibers in Human Endometrium
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Endometrial nerve fibre density in patients undergoing IVF: a pilot study
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Hernández-Hernández, O. T., Velázquez-Hernández, D. M., & Camacho‐Arroyo, I. (2026) · Current Issues in Molecular Biology · doi:10.3390/cimb48070649 · Cited by 1 · see citing works
Preparing the Endometrium to Maximize Success: The Dynamics of Artificial Cycles
de Ziegler, D., Streuli, I., Marszałek, A., Gayet, V., & Chapron, C. (2013) · Springer eBooks · doi:10.1007/978-1-4471-2392-7_9
Semi-invasive Diagnosis of Endometriosis Doctoral Thesis
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The nervous system and genomics in endometriosis
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Self-citationRadzinsky, V., Orazov, M. R., Viktorovna, S. O., & Khamoshina, M. B. (2020) · Gynecological Endocrinology · doi:10.1080/09513590.2020.1816721 · Cited by 1 · see citing works
How to Protect Fertility Potential in Endometriosis
Begum, M. R., Ehsan, M., Ehsan, N., & Rashid, F. (2024) · Journal of South Asian Federation of Obstetrics and Gynaecology · doi:10.5005/jp-journals-10006-2380 · Cited by 1 · see citing works
Comparative analysis of eutopic endometrium from women with and without endometriosis
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Pelvic organ cross-talk: A new paradigm for endometriosis-related pelvic pain?
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FACTORS OF ENDOMETRIAL RECEPTIVITY DOWN-REGULATION IN GENITAL ENDOMETRIOSIS
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Pelvic Mechanisms Involved in the Pathophysiology of Pain in Endometriosis
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Pain related genes in endometriosis: A meta-analysis
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Analyse von Nervenfasern und Nervenwachstumsfaktoren in der Adenomyose
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Rectovaginal endometriosis : pain treatment options
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Hysterectomy in the Surgical Management of Endometriosis
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“Endometriosis”: A neuro-etiologic framework for its causes and consequences
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- Authors
- Tokushige, N., Markham, R., Russell, P., & Fraser, I. S.
- Affiliations
- The University of Sydney (AU)
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2008-11
- Volume
- 90
- Issue
- 5
- Pages
- 1589-1598
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2024418590
- Cited by
- 85
- References
- 42
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 3 · 2016: 5 · 2015: 8 · 2014: 6 · 2013: 8 · 2012: 6
- FWCI
- 5.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Sydney
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Life Sciences › Agricultural and Biological Sciences › Ecology, Evolution, Behavior and Systematics › Plant and fungal interactions
- Keywords
- endometriosis, hormone therapy, nerve fiber density, endometrium, myometrium, nerve growth factor, p75 neurotrophin receptor
- MeSH terms
- Adult, Contraceptives, Oral, Dilatation and Curettage, Endometriosis, Endometrium, Female, Humans, Hysterectomy, Immunohistochemistry, Middle Aged, Myometrium, Nerve Fibers, Nerve Tissue Proteins, Receptors, Nerve Growth Factor, Nerve Growth Factor
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