‘Here comes the sun’: pigmentary traits and sun habits in women with endometriosis
Open accessAbstract
BACKGROUND: There is limited but interesting evidence suggesting that endometriosis may be associated with specific pigmentary traits and sun habits. In this case-control study, we aimed to further clarify this point. MATERIALS AND METHODS: Consecutive patients with a first laparoscopic diagnosis of endometriosis according to Holt and Weiss criteria were selected as cases. Controls were women who underwent laparoscopy during the same study period, but who were found to be free of the disease. Selected women were interviewed and examined by two trained physicians. An unconditional logistic regression model that included age and baseline variables significantly differing between the two groups was used to estimate the adjusted odds ratios (OR). RESULTS: There were 98 women with endometriosis and 94 controls selected. Overall, women with the disease had a more photo-sensitive phenotype and were exposed less to sun or ultraviolet radiation. A statistically significant difference was documented for eye color, skin reaction to first sun exposure, freckles score and the use of tanning creams. The adjusted OR (95% CI) for the disease was 1.95 (1.02-3.72) for women with green/blue eyes, 2.19 (1.12-4.28) for those who frequently/always had skin burn reaction to first sun exposure, 5.67 (1.98-16.24) for those with a higher number of freckles and 0.35 (0.15-0.85) for the use of tanning creams. CONCLUSIONS: Women with endometriosis have a specific photo-sensitive phenotype and protect themselves more from the sun. This latter habit may be consequent to the former. We speculate that there is a shared genetic background between pigmentation and endometriosis.
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Hair and eye color are associated with endometriosis.
“Two questions on hair and eye color, previously associated with endometriosis (71–75) and possibly useful in marking genetic subpopulations, are also included.”
Cites
Revised American Society for Reproductive Medicine classification of endometriosis: 1996
American Society for Reproductive Medicine (1997) · Fertility and Sterility · doi:10.1016/s0015-0282(97)81391-x · Cited by 3,018 · see citing works
Eskenazi, B., & Warner, M. L. (1997) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(05)70302-8 · Cited by 1,617 · see citing works
Genetic determinants of hair, eye and skin pigmentation in Europeans
Sulem, P., Gudbjartsson, D. F., Stacey, S. N., Helgason, A., Rafnar, T., Magnusson, K. P., Manolescu, A., Karason, A., Palsson, A., Thorleifsson, G., et al. (2007) · Nature Genetics · doi:10.1038/ng.2007.13 · Cited by 750 · cited 2× · see citing works
“Hair, skin and eye colors are also highly heritable traits in humans (Sulem et al., 2007).”
BackgroundWho, what, where and when—influences on cutaneous vitamin D synthesis
Webb, A. R. (2006) · Progress in Biophysics and Molecular Biology · doi:10.1016/j.pbiomolbio.2006.02.004 · Cited by 501 · see citing works
Kugaya, A., Akechi, T., Okuyama, T., Nakano, T., Mikami, I., Okamura, H., & Uchitomi, Y. (2000) · Cancer · doi:10.1002/1097-0142(20000615)88:12 · Cited by 309 · see citing works
Somigliana, E., Viganò, P., Parazzini, F., Stoppelli, S., Giambattista, E., & Vercellini, P. (2006) · Gynecologic Oncology · doi:10.1016/j.ygyno.2005.11.033 · Cited by 296 · see citing works
The search for genes contributing to endometriosis risk
Montgomery, G. W., Nyholt, D. R., Zhao, Z. Z., Treloar, S. A., Painter, J. N., Missmer, S. A., Kennedy, S. H., & Zondervan, K. T. (2008) · Human Reproduction Update · doi:10.1093/humupd/dmn016 · Cited by 211 · see citing works
The risk of cancer and the role of parity among women with endometriosis
Melin, A., Sparén, P., & Bergqvist, A. (2007) · Human Reproduction · doi:10.1093/humrep/dem209 · Cited by 152 · see citing works
Causes of Infertility as Predictors of Subsequent Cancer Risk
Brinton, L. A., Westhoff, C. L., Scoccia, B., Lamb, E. J., Althuis, M. D., Mabie, J. E., & Moghissi, K. S. (2005) · Epidemiology · doi:10.1097/01.ede.0000164812.02181.d5 · Cited by 134 · see citing works
Vitamin D reserve is higher in women with endometriosis
Somigliana, E., Panina‐Bordignon, P., Murone, S., Lucia, P. D., Vercellini, P., & Viganò, P. (2007) · Human Reproduction · doi:10.1093/humrep/dem142 · Cited by 121 · see citing works
Recommendations for the Design of Epidemiologic Studies of Endometriosis
Holt, V. L., & Weiss, N. S. (2000) · Epidemiology · doi:10.1097/00001648-200011000-00007 · Cited by 117 · see citing works
Functional genetic polymorphisms and female reproductive disorders: Part II--endometriosis
Tempfer, C. M., Simoni, M., Destenaves, B., & Fauser, B. C. J. M. (2008) · Human Reproduction Update · doi:10.1093/humupd/dmn040 · Cited by 107 · see citing works
Rizzoli, R., Eisman, J. A., Norquist, J. M., Ljunggren, Ö., Krishnarajah, G., Lim, S., & Chandler, J. (2006) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2006.01066.x · Cited by 71 · see citing works
Genetics of endometriosis: current status and prospects
Vigano, P. (2007) · Frontiers in Bioscience · doi:10.2741/2308 · Cited by 62 · see citing works
Vitamin D metabolites – relation to age, menopause and endometriosis
Hartwell, D., Rødbro, P., Jensen, S., & Christiansen, C. (1990) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.3109/00365519009089142 · Cited by 60 · see citing works
Kvaskoff, M., Mesrine, S., Clavel-Chapelon, F., & Boutron-Ruault, M.-C. (2009) · International Journal of Epidemiology · doi:10.1093/ije/dyp175 · Cited by 53 · see citing works
Woodworth, S. H., Singh, M., Yussman, M. A., Sanfilippo, J. S., Cook, C. L., & Lincoln, S. R. (1995) · Fertility and Sterility · doi:10.1016/s0015-0282(16)57809-1 · Cited by 45 · see citing works
Kvaskoff, M., Mesrine, S., Fournier, A., Boutron‐Ruault, M., & Clavel‐Chapelon, F. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.19.2061 · Cited by 42 · see citing works
Hornstein, M. D., Thomas, P. P., Sober, A. J., Wyshak, G., Albright, N. L., & Frisch, R. E. (1997) · Human Reproduction · doi:10.1093/humrep/12.1.143 · Cited by 41 · see citing works
Natural hair color and the incidence of endometriosis
Missmer, S. A., Spiegelman, D., Hankinson, S. E., Malspeis, S., Barbieri, R. L., & Hunter, D. J. (2006) · Fertility and Sterility · doi:10.1016/j.fertnstert.2005.12.008 · Cited by 38 · see citing works
Back to the Original Question in Endometriosis: Implantation or Metaplasia?
Viganò, P., Somigliana, E., Gentilini, D., Benaglia, L., & Vercellini, P. (2009) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.1177/228402650900100102 · Cited by 31 · see citing works
Red hair color, melanoma, and endometriosis: suggestive associations
Wyshak, G., & Frisch, R. E. (2000) · International Journal of Dermatology · doi:10.1046/j.1365-4362.2000.00051-2.x · Cited by 28 · see citing works
DYSPLASTIC NEVI, CUTANEOUS MELANOMA, AND GYNECOLOGIC DISORDERS
Frisch, R. E., Wyshak, G., Albert, L. S., & Sober, A. J. (1992) · International Journal of Dermatology · doi:10.1111/j.1365-4362.1992.tb03948.x · Cited by 23 · see citing works
Commentary: Endometriosis--epidemiologic considerations for a potentially 'high-risk' population
Missmer, S. A. (2009) · International Journal of Epidemiology · doi:10.1093/ije/dyp249 · Cited by 20 · see citing works
Back to the original question in endometriosis: Implantation or metaplasia?
Viganò, P., Somigliana, E., Gentilini, D., et al. (2009) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/je.2009.2828 · Cited by 18 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Endometriosis: pathogenesis and treatment
Vercellini, P., Viganò, P., Somigliana, E., & Fedele, L. (2014) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2013.255 · Cited by 1,940 · see citing works
Risk for and consequences of endometriosis: A critical epidemiologic review
Shafrir, A. L., Farland, L. V., Shah, D. K., Harris, H. R., Kvaskoff, M., Zondervan, K., & Missmer, S. A. (2018) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2018.06.001 · Cited by 823 · see citing works
Epidemiology of endometriosis and its comorbidities
Parazzini, F., Esposito, G., Tozzi, L., Noli, S. A., & Bianchi, S. (2016) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2016.04.021 · Cited by 364 · see citing works
“An association between light eye colour (green/blue) and endometriosis has also been observed [21].”
BackgroundKunisue, T., Chen, Z., Louis, G. M. B., Sundaram, R., Hediger, M. L., Sun, L., & Kannan, K. (2012) · Environmental Science & Technology · doi:10.1021/es204415a · Cited by 304 · see citing works
Fuldeore, M. J., & Soliman, A. M. (2016) · Gynecologic and Obstetric Investigation · doi:10.1159/000452660 · Cited by 270 · see citing works
Clinical Management of Endometriosis
Falcone, T., & Lebovic, D. I. (2011) · Obstetrics and Gynecology · doi:10.1097/aog.0b013e31822adfd1 · Cited by 263 · see citing works
Vitonis, A. F., Vincent, K., Rahmioglu, N., Fassbender, A., Buck Louis, G. M., Hummelshoj, L., Giudice, L. C., Stratton, P., Adamson, G. D., Becker, C. M., et al. (2014) · Fertility and Sterility · doi:10.1016/j.fertnstert.2014.07.1244 · Cited by 236 · see citing works
Peterson, C. M., Johnstone, E. B., Hammoud, A. O., Stanford, J. B., Varner, M. W., Kennedy, A., Chen, Z., Sun, L., Fujimoto, V. Y., Hediger, M. L., et al. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.02.040 · Cited by 130 · see citing works
Principles of phenomics in endometriosis
Viganò, P., Somigliana, E., Panina‐Bordignon, P., Rabellotti, E., Vercellini, P., & Candiani, M. (2012) · Human Reproduction Update · doi:10.1093/humupd/dms001 · Cited by 76 · see citing works
“, 2010); and (iii) the sun habits reported by women with the disease (Somigliana et al., 2010).”
BackgroundResultInfluentialEndometriosis and the risk of skin cancer: a prospective cohort study
Farland, L. V., Lorrain, S., Missmer, S. A., Dartois, L., Cervenka, I., Savoye, I., Mesrine, S., Boutron‐Ruault, M., & Kvaskoff, M. (2017) · Cancer Causes & Control · doi:10.1007/s10552-017-0939-2 · Cited by 35 · see citing works
Kvaskoff, M., Han, J., Qureshi, A. A., & Missmer, S. A. (2013) · International Journal of Epidemiology · doi:10.1093/ije/dyt235 · Cited by 32 · see citing works
Perinatal Environment and Endometriosis
Somigliana, E., Viganò, P., Abbiati, A., Paffoni, A., Benaglia, L., Vercellini, P., & Fedele, L. (2011) · Gynecologic and Obstetric Investigation · doi:10.1159/000323531 · Cited by 32 · see citing works
Long-Term Health Consequences of Endometriosis—Pathways and Mediation by Treatment
Farland, L. V., & Harris, H. R. (2020) · Current Obstetrics and Gynecology Reports · doi:10.1007/s13669-020-00287-9 · Cited by 31 · see citing works
Buggio, L., Vercellini, P., Somigliana, E., Viganò, P., Frattaruolo, M. P., & Fedele, L. (2012) · Gynecological Endocrinology · doi:10.3109/09513590.2012.662545 · Cited by 29 · see citing works
RETRACTED: Attractiveness of women with rectovaginal endometriosis: a case-control study
Vercellini, P., Buggio, L., Somigliana, E., Barbàra, G., Viganò, P., & Fedele, L. (2012) · Fertility and Sterility · doi:10.1016/j.fertnstert.2012.08.039 · Cited by 26 · see citing works
Retracted'Behind blue eyes': the association between eye colour and deep infiltrating endometriosis
Vercellini, P., Buggio, L., Somigliana, E., Dridi, D., Marchese, M. A., & Viganò, P. (2014) · Human Reproduction · doi:10.1093/humrep/deu169 · Cited by 23 · see citing works
The interplay between endometriosis and obesity
Rahman, M. S., Park, Y., Hosseinirad, H., Shin, J., & Jeong, J. (2025) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2025.03.011 · Cited by 23 · see citing works
Health status by gender, hair color, and eye color: Red-haired women are the most divergent
Fröst, P., Kleisner, K., & Jaroslav Flegr, A. (2017) · PLoS ONE · doi:10.1371/journal.pone.0190238 · Cited by 22 · see citing works
Endometriosis: Epidemiology, and Etiological Factors
Parazzini, F., Vercellini, P., & Pelucchi, C. (2011) · Wiley eBooks · doi:10.1002/9781444398519.ch2 · Cited by 20 · see citing works
Epidemiological and Clinical Risk Factors for Endometriosis
Farland, L. V., Shah, D. K., Kvaskoff, M., Zondervan, K. T., & Missmer, S. A. (2017) · Springer eBooks · doi:10.1007/978-3-319-59856-7_6 · Cited by 21 · see citing works
Endometriosis and estroprogestins: the chicken or the egg causality dilemma
Somigliana, E., Vercellini, P., Viganò, P., Abbiati, A., Benaglia, L., & Fedele, L. (2010) · Fertility and Sterility · doi:10.1016/j.fertnstert.2010.08.057 · Cited by 18 · see citing works
Ricci, G., Castelpietra, E., Romano, F., Lorenzo, G. D., Zito, G., Ronfani, L., Biffi, S., & Monasta, L. (2020) · PLoS ONE · doi:10.1371/journal.pone.0230828 · Cited by 15 · see citing works
RetractedSevere teenage acne and risk of endometriosis
Xie, J., Kvaskoff, M., Li, Y., Zhang, M., Qureshi, A. A., Missmer, S. A., & Han, J. (2014) · Human Reproduction · doi:10.1093/humrep/deu207 · Cited by 11 · see citing works
Salmeri, N., Ottolina, J., Bartiromo, L., Schimberni, M., Dolci, C., Ferrari, S. M., Villanacci, R., Arena, S., Berlanda, N., Buggio, L., et al. (2022) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2022.05.001 · Cited by 9 · see citing works
Genetic Relationship Between Endometriosis and Melanoma
Yang, F. Y., Mortlock, S., MacGregor, S., Iles, M. M., Landi, M. T., Shi, J., Law, M. H., & Montgomery, G. W. (2021) · Frontiers in Reproductive Health · doi:10.3389/frph.2021.711123 · Cited by 8 · see citing works
Recreational and residential sun exposure and risk of endometriosis: a prospective cohort study
Farland, L. V., Degnan, W. J., Harris, H. R., Han, J., Cho, E., VoPham, T., Kvaskoff, M., & Missmer, S. A. (2020) · Human Reproduction · doi:10.1093/humrep/deaa280 · Cited by 8 · see citing works
“, 2014), freckling (Kvaskoff et al., 2009; Somigliana et al., 2010) and/or a high naevus propensity (Frisch et al.”
BackgroundInfluentialJaroslav Flegr, A., Sýkorová, K., Fiala, V., Hlaváčová, J., Bičı́ková, M., Máčová, L., & Kaňková, Š. (2020) · Experimental Dermatology · doi:10.1111/exd.14119 · Cited by 6 · see citing works
Pigmentary traits and risk of endometriosis
Kvaskoff, M., Bijon, A., Mesrine, S., Clavel‐Chapelon, F., & Boutron‐Ruault, M. (2010) · Human Reproduction · doi:10.1093/humrep/deq250 · Cited by 6 · see citing works
Risk of melanoma in women with endometriosis: A Scottish national cohort study
Saraswat, L., Ayansina, D., Cooper, K. G., & Bhattacharya, S. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.12.033 · Cited by 4 · see citing works
Rahmioğlu, N., Fassbender, A., Vitonis, A. F., Hummelshøj, L., Adamson, G. D., Becker, C. M., Missmer, S. A., & Zondervan, K. T. (2017) · Springer eBooks · doi:10.1007/978-3-319-59856-7_11 · Cited by 3 · see citing works
Endometriosis and Cancer: Epidemiology
Viganò, P., Somigliana, E., Parazzini, F., & Vercellini, P. (2011) · doi:10.1002/9781444398519.ch49 · Cited by 1 · see citing works
The emerging role of epigenetics in the aetiology of endometriosis.
Rosser, M. (2011) · DMU Open Research Archive (De Montfort University)
Biberoglu, E. H., & Biberoglu, K. O. (2014) · Springer eBooks · doi:10.1007/978-4-431-54421-0_18
Yarmohamadi, A., & Mogharabi, N. (2012) · InTech eBooks · doi:10.5772/36774
DEMİR, C. A., Kucur, S. K., DEMİR, M., Apı, M., & KAYGUSUZ, E. I. (2014) · Zeynep Kamil Tıp Bülteni · doi:10.16948/zktb.90601
‘Here comes the sun’: pigmentary traits and sun habits in women with endometriosis
SHULMAN, L. P. (2010) · Yearbook of Obstetrics Gynecology and Women s Health · doi:10.1016/s1090-798x(10)79161-x
Jaroslav Flegr, A., Sýkorová, K., Fiala, V., Hlaváčová, J., Bičı́ková, M., Máčová, L., & Kaňková, Š. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2019.12.30.890889
“Many anecdotal observations (Chen et al., 2017; Liem, Hollensead, Joiner, & Sessler, 2006; Missmer et al., 2006; Somigliana et al., 2010; Tell-Marti et al., 2015) and one systematic largescale study (Frost et al., 2017) reveal that redhaired persons, especially women, tend to suffer from various…”
BackgroundChen, Q., Yang, T., Wu, P., Liu, Q., Wu, F., Shi, H., Zhang, Z., Marah, B., Koroma, S. F., Jin, X., et al. (2024) · Obstetrics and gynecology. · doi:10.5772/intechopen.1006721
Pocate-Cheriet, K. (2020) · theses.fr (ABES) · doi:10.70675/8a1fbb23z175dz4bbcz8427z6f4af93f23d1
- Authors
- Somigliana, E., Vigano, P., Abbiati, A., Gentilini, D., Parazzini, F., Benaglia, L., Vercellini, P., & Fedele, L.
- Affiliations
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
- University of Milan (IT)
- IRCCS Istituto Auxologico Italiano (IT)
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-01-17
- Volume
- 25
- Issue
- 3
- Pages
- 728-733
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2158909808
- Cited by
- 40
- References
- 24
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 2 · 2020: 6 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 2 · 2014: 5 · 2013: 3 · 2012: 5
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Keywords
- endometriosis, UV exposure, eye color, freckles, sunburn, genetic susceptibility, skin pigmentation
- MeSH terms
- Adult, Beauty Culture, Endometriosis, Eye Color, Female, Humans, Melanosis, Phenotype, Photosensitivity Disorders, Skin Pigmentation, Sunlight, Sunscreening Agents, Case-Control Studies, Sunbathing
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