Androgens, Endometriosis and Pain

The intriguing relationship between androgens, endometriosis and chronic pain continues to unfold. Determining this relationship is of crucial importance to gynecologists managing people with these conditions, as common treatments dramatically alter her hormonal profiles, with both intended and unin...

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Autores principales: Susan F. Evans, M. Louise Hull, Mark R. Hutchinson, Paul E. Rolan
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/0c88681d44874561aebead25369500fe
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spelling oai:doaj.org-article:0c88681d44874561aebead25369500fe2021-12-03T06:35:41ZAndrogens, Endometriosis and Pain2673-315310.3389/frph.2021.792920https://doaj.org/article/0c88681d44874561aebead25369500fe2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/frph.2021.792920/fullhttps://doaj.org/toc/2673-3153The intriguing relationship between androgens, endometriosis and chronic pain continues to unfold. Determining this relationship is of crucial importance to gynecologists managing people with these conditions, as common treatments dramatically alter her hormonal profiles, with both intended and unintended consequences. Although they may be present in the same individual, there is a recognized disconnect between pain or pain-related symptoms, and the presence or extent of endometriosis lesions. Reduced androgen levels provide a potential mechanism to link the development of endometriosis lesions and the presence of chronic pain. This research paper expands the presentation of our research at the World Endometriosis Congress in 2021, subsequently published in the Journal of Pain Research which demonstrated a strong inverse relationship between androgen levels and days per month of pelvic and period pain. Here we extend and further explore the evidence for a role for androgens in the etiology and management of dysmenorrhea and pelvic pain in women, both with and without endometriosis. We explore the potential for inflammation to induce low androgen levels and consider ways in which clinicians can optimize levels of androgens when treating women with these conditions. This article prompts the question: Is it estrogens that predispose people to a life of pain, or androgens that are protective?Susan F. EvansM. Louise HullM. Louise HullMark R. HutchinsonMark R. HutchinsonPaul E. RolanFrontiers Media S.A.articleandrogenendometriosischronic painaromatase inhibitorhormonalwomenReproductionQH471-489Medicine (General)R5-920ENFrontiers in Reproductive Health, Vol 3 (2021)
institution DOAJ
collection DOAJ
language EN
topic androgen
endometriosis
chronic pain
aromatase inhibitor
hormonal
women
Reproduction
QH471-489
Medicine (General)
R5-920
spellingShingle androgen
endometriosis
chronic pain
aromatase inhibitor
hormonal
women
Reproduction
QH471-489
Medicine (General)
R5-920
Susan F. Evans
M. Louise Hull
M. Louise Hull
Mark R. Hutchinson
Mark R. Hutchinson
Paul E. Rolan
Androgens, Endometriosis and Pain
description The intriguing relationship between androgens, endometriosis and chronic pain continues to unfold. Determining this relationship is of crucial importance to gynecologists managing people with these conditions, as common treatments dramatically alter her hormonal profiles, with both intended and unintended consequences. Although they may be present in the same individual, there is a recognized disconnect between pain or pain-related symptoms, and the presence or extent of endometriosis lesions. Reduced androgen levels provide a potential mechanism to link the development of endometriosis lesions and the presence of chronic pain. This research paper expands the presentation of our research at the World Endometriosis Congress in 2021, subsequently published in the Journal of Pain Research which demonstrated a strong inverse relationship between androgen levels and days per month of pelvic and period pain. Here we extend and further explore the evidence for a role for androgens in the etiology and management of dysmenorrhea and pelvic pain in women, both with and without endometriosis. We explore the potential for inflammation to induce low androgen levels and consider ways in which clinicians can optimize levels of androgens when treating women with these conditions. This article prompts the question: Is it estrogens that predispose people to a life of pain, or androgens that are protective?
format article
author Susan F. Evans
M. Louise Hull
M. Louise Hull
Mark R. Hutchinson
Mark R. Hutchinson
Paul E. Rolan
author_facet Susan F. Evans
M. Louise Hull
M. Louise Hull
Mark R. Hutchinson
Mark R. Hutchinson
Paul E. Rolan
author_sort Susan F. Evans
title Androgens, Endometriosis and Pain
title_short Androgens, Endometriosis and Pain
title_full Androgens, Endometriosis and Pain
title_fullStr Androgens, Endometriosis and Pain
title_full_unstemmed Androgens, Endometriosis and Pain
title_sort androgens, endometriosis and pain
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/0c88681d44874561aebead25369500fe
work_keys_str_mv AT susanfevans androgensendometriosisandpain
AT mlouisehull androgensendometriosisandpain
AT mlouisehull androgensendometriosisandpain
AT markrhutchinson androgensendometriosisandpain
AT markrhutchinson androgensendometriosisandpain
AT paulerolan androgensendometriosisandpain
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