Can Endometriosis Cause Acne? All About Endometriosis and Acne
Endometriosis1 itself is not a direct cause of acne. However, endometriosis is a condition in which endometrial tissue grows outside the uterus2, and it can lead to hormonal imbalances in the body, particularly an excess of estrogen. Hormonal imbalances, especially fluctuations in estrogen and progesterone levels, can contribute to acne breakouts in some individuals.
It is believed that the abnormal growth of endometrial tissue outside of the uterus may trigger inflammatory responses in the body, leading to hormonal imbalances and the overproduction of androgens. Additionally, endometriosis can disrupt the normal functioning of the ovaries and other reproductive organs, which can also contribute to the increased production of androgens.
- Endometriosis causes an increase in the production of androgens, such as testosterone.
- Excess androgens such as testosterone stimulate the sebaceous glands in the skin to produce more sebum, which can clog pores.
- The clogged pores mean an accumulation of sebum and dead skin cells, which can create an environment for acne-causing bacteria to thrive.
- The bacteria cause inflammation, leading to the development of acne lesions.
While there is no direct link between endometriosis and acne, if you have endometriosis and are experiencing acne, it may be due to the hormonal imbalances3 caused by the condition.
It’s important to consult with a healthcare professional to determine the root cause of your acne and receive appropriate treatment for both the acne and any underlying hormonal imbalances.
My expertise: Besides being a certified organic skincare formulator and health coach, I hold a CPD certification in Natural Beauty Care & Sanitation for Acne Prone Skin. My experience: I sell my own natural skincare at my local market, and over the years, I’ve come across many individuals with acne-prone skin looking for information, advice and practical solutions.
Can Endometriosis Cause Acne? An Introduction
As an accredited skincare technician and formulator, I will try to guide you through this topic so you can get all the information you need about endometriosis and acne in one page.
Endometriosis and acne: two seemingly unrelated conditions, yet a common question arises – can endometriosis cause acne? The below comprehensive guide dives deep into the link between these conditions, unravelling the intricate web of hormonal imbalances and their impact on your skin.
As an accredited natural skincare formulator with a CPD accreditation in skin care treatment and Natural Beauty Care & Sanisation for Acne-Prone skin, I’ve spent time studying this topic to bring you the most accurate and helpful information. Buckle your seatbelt, there’s a lot to take in as the world of skincare and hormonal health can be overwhelming.
In this article, we’ll break down complex concepts into easily digestible bitesize pieces while also discussing some fascinating insights. Together, we’ll navigate the enigmatic realm of endometriosis, hormonal imbalances, and acne, equipping you with the knowledge to take control of your skin health.
So, let’s embark on this journey and unveil the mysteries of endometriosis and acne!
Understanding Endometriosis
Endometriosis, an enigmatic condition that affects millions of women worldwide, often leaves them grappling with a lot of symptoms. Let’s look into the complexity of endometriosis and explore its potential connection to acne. We’ll also shed light on the underlying factors that may exacerbate this issue.
What is Endometriosis?
Endometriosis, or “endo” for short, occurs when endometrial tissue, which usually lines the uterus, starts growing outside the uterus. This abnormal growth often leads to pain, inflammation, and even fertility issues.
The endometrium is the inner lining of your uterus. This tissue is what you shed during a menstrual period. Think of endometrium as layers of tissue that build up along the inside lining of your uterus. When you have a period, these layers fall away from the walls of your uterus and leave your body.
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Symptoms and Causes
Table 1: Common Symptoms of Endometriosis
| Symptom | Description |
|---|---|
| Pelvic pain | Persistent or intermittent pain in the pelvic region, often worsening during the menstrual cycle |
| Painful periods | Intense pain and cramping during menstruation |
| Pain during intercourse | Discomfort or pain experienced during sexual activity |
| Infertility | Difficulty conceiving |
| Heavy or irregular bleeding | Unusually heavy periods or irregular bleeding between periods |
While the exact cause of endometriosis remains a bit of a mystery, factors such as hormonal imbalances, immune system dysfunction, and genetics play a role in its development.4
Acne and Endometriosis: The Hormonal Connection
Endometriosis can trigger hormonal imbalances, particularly an excess of estrogen. This hormonal rollercoaster might be the missing link between endometriosis and acne, including severe acne forms like cystic acne.
Here’s my article on estrogen and acne, and, so that you know, an excess of estrogen is also not the cause of acne but rather the hormonal imbalance and fluctuations that an excess of estrogen produces (estrogen levels usually decrease before menstruation, and this change, along with an increase in progesterone, can contribute to acne breakouts in some individuals.)
Table 2: Acne Types and Descriptions
| Acne Type | Description |
|---|---|
| Pimple | A small, red, inflamed bump that occurs when pores become clogged with oil, dead skin cells, and bacteria |
| Cyst | A large, painful, pus-filled lesion that develops deep within the skin |
| Cystic Acne | Severe acne characterized by the presence of multiple cysts and nodules, often leaving scars and requiring intervention by a dermatologist |
Women with endometriosis may experience an increase in sebum production due to hormonal imbalances. Excess sebum can clog pores, creating the ideal environment for acne to flourish.
While not a direct symptom of endometriosis, acne may become more pronounced during the menstrual cycle, when hormonal fluctuations are at their peak.
Seeking Professional Help
If you suspect that your acne is related to endometriosis or hormonal imbalances, consult a dermatologist or healthcare professional for proper diagnosis and treatment. A dermatologist can assess your skin condition and suggest tailored solutions to manage acne and address any underlying issues.
In summary, endometriosis can indirectly contribute to acne, especially in cases of hormonal imbalance. Women with endometriosis should be aware of this potential connection and seek professional guidance to address both their skin condition and hormonal health.
When clients at the market ask me for a skincare product that tackles their acne problem, I have to ask them the cause of their acne. Some of them don’t even know about endometriosis, and I always ask them to consult a dermatologist if in doubt about why they are getting their acne.
The Connection Between Hormonal Imbalances and Acne
Hormonal imbalances are notorious for disrupting our skin, often manifesting as acne. In this section, we’ll dive into the relationship between hormones, acne, and endometriosis, unveiling some startling connections and equipping you with the knowledge to make informed decisions about your skincare journey.
Hormonal Acne: A Complex Culprit
Hormonal acne, often characterized by deep, painful cystic pimples beneath the skin, can be a persistent challenge for many people. Factors like PCOS, hormonal birth control, and, as we’ve seen, endometriosis can cause hormonal imbalances, subsequently affecting sebum production and skin sensitivity.
Table 3: Hormones and Their Impact on Acne
| Hormone | Acne Connection |
|---|---|
| Estrogen | High levels can reduce acne, while low levels can worsen acne |
| Progesterone | High levels can increase sebum production, potentially leading to acne |
| Androgens | High levels can increase sebum production and inflammation, contributing to the occurrence of acne |
The Surprising Link Between Severe Teenage Acne and Endometriosis
Studies have uncovered an intriguing connection between severe teenage acne and an increased risk of endometriosis later in life. One study found that women who had severe acne as a teenager had a 20% higher risk of developing endometriosis.5 While this correlation doesn’t imply causation, it raises endometriosis awareness and emphasizes the importance of monitoring skin problems during teenage years.
In my youth this was not something that would have been the topic of conversation. Many people had not heard of endometriosis and acne was still a bit of a mystery for many.
Navigating Acne Treatments and Managing Endometriosis
Addressing hormonal acne requires a multifaceted approach, combining lifestyle changes, skincare products, and medical treatment options. Here’s what you need to know to tackle acne and manage endometriosis effectively:
- Personalize your skincare routine: Choose skin care products that suit your skin type, such as non-comedogenic products to avoid clogged pores. Consider incorporating benzoyl peroxide or salicylic acid to help improve acne. Since I make my own skincare and use only high-quality ingredients, my skin looks pretty clear, and I rarely get any acne.
- Seek professional guidance: Consult a dermatologist or healthcare professional for personalized advice and potential hormonal treatments, such as hormonal birth control or other medications. I always tell this to my clients at the market.
- Explore home remedies: Some natural remedies, like tea tree oil or green tea, may help reduce acne for certain individuals. Always perform a patch test to check for skin sensitivity before trying a new remedy. These seem to work well for many of my clients.
- Stay informed about endometriosis: If you’ve been diagnosed with endometriosis or have a personal history of the condition, stay up-to-date on endometriosis research and treatment advancements.
Table 4: Acne Treatments and Their Efficacy
| Acne Treatment | Description |
|---|---|
| Topical creams and gels | Benzoyl peroxide, salicylic acid, and retinoids can help reduce acne lesions |
| Oral medications | Antibiotics, isotretinoin, or hormonal treatments may be prescribed for more severe forms of acne |
| Light and laser therapies | Can help reduce inflammation, kill acne-causing bacteria, and minimize acne scarring |
| Chemical peels | Help exfoliate the skin, unclog pores, and reduce acne |
In conclusion, while endometriosis doesn’t directly give you acne, it can indirectly contribute to hormonal imbalances, increasing the likelihood of acne development. By understanding the complex interplay between hormones, endometriosis, and acne, you can make empowered decisions to take care of your skin and overall health.
Diagnosing Endometriosis and Acne
Ascertaining the connection between endometriosis and acne can be a complex process, but a correct diagnosis is crucial for effective treatment.
In this section, we’ll discuss the steps involved in diagnosing both conditions and the importance of considering their potential interplay.
Identifying Endometriosis
Endometriosis is a chronic condition with diverse symptoms, which can make diagnosis challenging.
If you suspect you may have endometriosis or have a personal history of the condition, consult a healthcare professional for a thorough evaluation. Check symptoms here.6
Table 5: Steps to Diagnose Endometriosis
| Step | Description |
|---|---|
| Medical history | Discussing symptoms, menstrual cycle patterns, and family history with a healthcare professional |
| Physical examination | A pelvic exam to check for abnormalities or tender areas |
| Imaging tests | Ultrasound or MRI to visualize potential endometrial lesions |
| Laparoscopy | A minimally invasive surgical procedure, considered the gold standard for diagnosing endometriosis |
Recognizing Acne Related to Hormonal Imbalances
While acne is a common skin condition, distinguishing hormonal acne from other types can be a valuable clue in understanding the potential link between severe acne and endometriosis. Hormonal acne often presents as deep, cystic lesions around the jawline, chin, and cheeks.
Table 6: Indicators of Hormonal Acne
| Indicator | Description |
|---|---|
| Location | Predominantly affects the lower face, jawline, and neck |
| Lesion type | Cystic or nodular acne, painful and deep beneath the skin |
| Timing | Acne flare-ups that coincide with the menstrual cycle or hormonal fluctuations |
The Importance of a Comprehensive Approach
It’s essential to consider the potential association between endometriosis and acne when seeking a diagnosis.
People with endometriosis are more likely to experience hormonal imbalances, which can exacerbate acne.
If you notice a pattern of severe acne that seems to be linked to your menstrual cycle, inform your healthcare provider to ensure a comprehensive evaluation of your symptoms.
Navigating the Acne Journey
Treating acne, particularly when associated with endometriosis, can be a long and winding journey.
Embrace the process, knowing that one day your skin may improve as a result of effective treatments and lifestyle changes. Many of my clients have to be patient and understand that changes take time. Keep in mind that everyone’s acne journey is unique and requires personalized care.
Diagnosing endometriosis and acne is a vital step in understanding their potential connection and developing effective treatment strategies.
By recognizing the signs of hormonal acne and seeking professional guidance, you can better navigate the complexities of these conditions and work towards improved skin health and overall well-being.
Managing Acne in Individuals with Endometriosis
For those grappling with endometriosis and acne, finding the right balance of treatments and lifestyle changes can make a significant difference in managing both conditions. In this section, we’ll explore various strategies to address acne in individuals with endometriosis, ensuring a comprehensive and personalized approach.
Tailored Treatment for Endometriosis and Acne
When it comes to treating acne in individuals with endometriosis, a multi-pronged approach is essential. This includes addressing the underlying hormonal imbalances, adopting suitable skincare routines, and considering medical interventions as needed.
Table 7: Treatment Options for Endometriosis-Related Acne
| Treatment Type | Description |
|---|---|
| Hormonal therapies | Hormonal birth control, anti-androgens, or other medications to balance hormone levels and reduce acne |
| Topical treatments | Topical retinoids, benzoyl peroxide, or salicylic acid to unclog pores and reduce inflammation |
| Oral medications | Antibiotics or isotretinoin for severe, unresponsive acne |
| Professional treatments | Chemical peels, light therapy, or laser treatments for persistent acne or scarring |
Lifestyle Changes to Complement Treatment
In addition to medical interventions, several lifestyle changes can support acne management for individuals with endometriosis. These adjustments can help improve acne results and overall well-being.
Table 8: Lifestyle Changes for Acne Management
| Change | Description |
|---|---|
| Stress reduction | Engage in stress-relieving activities like yoga, meditation, or exercise to help balance hormones |
| Diet modifications | Consume a balanced, nutrient-rich diet; consider reducing high-glycemic foods, dairy, or other potential triggers |
| Consistent skincare routine | Adopt a gentle, non-irritating skincare routine tailored to your skin type and concerns |
| Sleep optimization | Prioritize adequate, high-quality sleep to support hormonal balance and overall health |
Monitoring and Adjusting Treatment Plans
It’s crucial to keep track of your progress and adjust your treatment plan as needed. Consult with healthcare professionals to discuss the effectiveness of your current treatment and explore additional options if necessary.
Addressing Additional Health Risks
Endometriosis has been linked to an increased risk of certain health conditions, such as cutaneous melanoma. Stay vigilant about monitoring your skin for changes or irregularities, and schedule regular skin cancer screenings as part of your healthcare routine.
Managing acne in individuals with endometriosis involves a comprehensive approach that addresses hormonal imbalances, employs personalized treatments, and encourages supportive lifestyle changes. By staying proactive and collaborating with healthcare professionals, you can navigate the challenges of acne and endometriosis with confidence and resilience.
Natural Remedies for Managing Acne in Individuals with Endometriosis
In addition to conventional treatments, incorporating natural remedies into your skincare routine can provide complementary support for managing acne in individuals with endometriosis.
This section will explore various natural options, emphasizing their potential benefits and suitability for those with sensitive skin or a preference for holistic approaches.
Herbal Supplements and Vitamins
Certain herbal supplements and vitamins may help balance hormones and reduce inflammation, thus alleviating acne symptoms.
Always consult your healthcare provider before starting any new supplements, especially if you have endometriosis or other health concerns.
Table 9: Natural Supplements for Acne Management
| Supplement | Description |
|---|---|
| Vitex (Chaste Tree) | An herbal supplement that may help balance hormone levels and improve acne |
| Zinc | An essential mineral that supports skin health, reduces inflammation, and aids in wound healing |
| Omega-3 fatty acids | Anti-inflammatory supplements, often derived from fish oil or flaxseed oil, that can help manage acne |
| Vitamin D | An essential vitamin that supports immune function and may play a role in acne management |
Topical Natural Remedies
Applying natural, gentle ingredients to the skin can help soothe inflammation and promote a clear complexion. Be sure to patch test any new products on a small area of skin before incorporating them into your routine.
Table 10: Topical Natural Remedies for Acne
| Remedy | Description |
|---|---|
| Tea tree oil | A natural antiseptic and anti-inflammatory oil that can help reduce acne lesions; dilute before applying |
| Green tea extract | Contains antioxidant and anti-inflammatory properties that may help soothe acne-prone skin |
| Witch hazel | A natural astringent that can help tighten pores, reduce inflammation, and balance sebum production |
| Aloe vera | A soothing, anti-inflammatory gel that can help hydrate and calm irritated skin |
Holistic Lifestyle Changes
Adopting a holistic approach to your lifestyle can also support overall skin health and acne management in individuals with endometriosis. Consider the following changes for a more balanced and harmonious daily routine:
- Mind-body practices: Engage in activities like yoga, meditation, or deep breathing exercises to reduce stress and promote hormonal balance.
- Dietary adjustments: Incorporate anti-inflammatory foods, such as leafy greens, berries, and fatty fish, while minimizing processed and sugary foods.
- Adequate hydration: Drink plenty of water to support skin hydration and overall health.
- Regular exercise: Engage in physical activities that you enjoy to maintain a healthy weight and support hormonal balance.
Incorporating natural remedies and holistic lifestyle changes into your acne management routine can complement conventional treatments and provide additional support for individuals with endometriosis. Always consult with a healthcare professional before embarking on any new treatments, and remember that a personalized approach is essential for optimal results.
Expert Advice: 7 Tips and Tricks for Acne-Prone Skin
The world of acne management can be challenging, particularly if you suspect (or know) you have endometriosis.
In this section, I’ve compiled expert advice, tips, and tricks to help you better understand and care for acne-prone skin.
By implementing these strategies, you can help build a healthier complexion and feel more confident in your skin.
1. Know Your Skin Type
Understanding your skin type is crucial when choosing the right products and skincare routine. Skin types can vary from oily, dry, combination, to sensitive. Knowing your skin type will help you select appropriate, non-irritating products that address your unique concerns.
2. Gentle Cleansing and Exfoliation
Overly harsh cleansers or excessive scrubbing can exacerbate acne and cause irritation. Opt for gentle, sulfate-free cleansers and non-abrasive exfoliants, such as chemical exfoliants with AHAs or BHAs, to maintain a healthy skin barrier and prevent breakouts.
3. Use Non-Comedogenic Products
Selecting non-comedogenic products, which don’t clog pores, is vital for acne-prone skin. Check product labels and avoid ingredients known to cause breakouts, such as heavy oils, silicones, or certain alcohols.
4. Moisturizing
Moisturizing is essential, even for acne-prone skin. Choose a lightweight, oil-free moisturizer to hydrate your skin without contributing to breakouts. Proper hydration can help regulate sebum production and support a healthy skin barrier.
5. Protect Your Skin from the Sun
Sun protection is crucial for all skin types, including acne-prone skin. Look for non-comedogenic, broad-spectrum sunscreens with SPF 30 or higher. Sunscreen use can help prevent the risk of cutaneous melanoma and reduce inflammation associated with acne.
6. Hydrocolloid Patches for Spot Treatment
For isolated breakouts, hydrocolloid patches (e.g., acne dot hydrocolloid) can be a helpful spot treatment. These patches draw out impurities and protect the pimple from external irritants, helping to speed up the healing process. You can opt for vegan ones, by the way.
7. Seek Professional Help When Necessary
If your acne is persistent or severe, don’t hesitate to consult a dermatologist. They can help identify underlying causes and recommend personalized treatment plans, including options for individuals with endometriosis.
By implementing these expert tips and tricks, you can better manage acne-prone skin and minimize the impact of acne on your daily life. Remember, patience and consistency are key when it comes to skincare, and it’s essential to find a routine that works best for your individual needs.
Conclusion
In the whirlwind of endometriosis and its potential ties to acne, we’ve journeyed through the intricate connections, unravelling the role of hormonal imbalances and their impact on skin health. Acknowledging the risks posed by severe teenage acne, we’ve delved into the unique challenges faced by those grappling with both conditions. Endometriosis, a complex and multifaceted disorder, can indeed contribute to acne struggles.
As we embrace the importance of professional guidance, let’s not forget the power of tailored skincare solutions. A personalized approach, taking into account our own history, such as a personal history of endometriosis, can make a world of difference. Remember, teenage acne had a 20% increased risk of endometriosis in one study, shedding light on the significance of addressing acne early on.
So, whether you’re facing the pain associated with endometriosis or navigating the various types of acne, don’t lose heart. There’s a world of expert advice, natural remedies, and support to help you conquer your skincare journey. Embrace your unique needs, and remember, you’re not alone in this battle.
With patience, persistence, and a touch of self-compassion, you’ll find the path to clearer, healthier skin.
Frequenty Asked Questions
Q: Should I consult a dermatologist for my cystic acne if I have endometriosis?
A: Yes, consulting a dermatologist is highly recommended, especially if you have cystic acne and are dealing with endometriosis. A dermatologist can help identify the root causes of your acne and provide tailored treatment options to effectively address your skin condition.
Q: Is there a higher risk of endometriosis in people with cystic acne?
A: Although there is no direct link between cystic acne and an increased risk of endometriosis, one study found that teenage acne had a 20% increased risk of developing endometriosis later in life. It’s essential to address acne early on to minimize potential risks and improve overall skin health.
Q: Can endometriosis cause acne or trigger breakouts?
A: Endometriosis can contribute to hormonal imbalances, which in turn may cause acne or exacerbate existing breakouts. While endometriosis acne is not a direct symptom of endometriosis, the hormonal fluctuations associated with the condition can impact skin health and lead to breakouts.
Q: What skincare routine should I follow if I have endometriosis and acne?
A: Adopt a tailored skincare routine that addresses your unique skin needs and concerns. Opt for gentle, non-comedogenic products, and incorporate natural ingredients to soothe inflammation and promote skin healing. Consult a dermatologist for personalized guidance on the best skincare routine for your skin type and condition.
Q: Are there any home remedies to treat acne associated with endometriosis?
A: Yes, some home remedies can help manage acne related to endometriosis. Examples include tea tree oil, green tea extract, witch hazel, and aloe vera gel. However, it’s important to remember that home remedies may not work for everyone, and seeking professional advice is always recommended for the most effective treatment.
Q: How can I manage endometriosis and its impact on my acne?
A: To manage endometriosis and its potential influence on your acne, consider the following steps:
- Consult a healthcare professional to develop a treatment plan for your endometriosis.
- Address hormonal imbalances through medication, lifestyle changes, or alternative therapies as recommended by your healthcare provider.
- Adopt a personalized skincare routine that caters to your specific skin needs and concerns.
- Seek support from dermatologists, therapists, or support groups to navigate the challenges of living with both conditions.
Q: Does endometriosis cause skin issues?
A: Endometriosis itself does not directly cause skin issues; however, the hormonal imbalances associated with the condition can potentially lead to acne or other skin concerns. It’s important to remember that each individual’s experience with endometriosis can vary, and skin issues might not be present for everyone.
Q: How do you get rid of endometriosis acne?
A: To effectively manage acne related to endometriosis, consider the following steps:
- Consult a dermatologist or healthcare professional for a personalized treatment plan.
- Address the hormonal imbalances associated with endometriosis through medication, lifestyle changes, or alternative therapies as recommended by your healthcare provider.
- Adopt a tailored skincare routine that includes gentle, non-comedogenic products and natural ingredients to soothe inflammation and promote skin healing.
- Maintain a healthy lifestyle and reduce stress, as stress can exacerbate both acne and endometriosis symptoms.
Q: What gynecological problems cause acne?
A: Gynecological problems, such as polycystic ovary syndrome (PCOS) and endometriosis, can cause hormonal imbalances that may lead to acne. In the case of endometriosis, one study found a 20% increased risk of the condition in individuals with severe teenage acne. It’s essential to consult a healthcare professional to identify the underlying cause of acne and receive appropriate treatment.
Q: What are the uncommon symptoms of endometriosis?
A: Uncommon symptoms of endometriosis can vary among individuals but may include:
- Fatigue
- Bloating and digestive issues
- Painful urination or bowel movements
- Lower back pain
- Pain during sexual intercourse
- Infertility
It’s essential to consult a healthcare professional if you suspect you have endometriosis or are experiencing any unusual symptoms. Early diagnosis and proper management can help reduce the impact of the condition on your overall health and well-being.
Q: Can endo (endometriosis) lead to other skin conditions besides acne?
A: While endometriosis is primarily associated with hormonal imbalances that can contribute to acne, it is not a direct cause of other skin conditions. However, the hormonal fluctuations related to endo might exacerbate pre-existing skin conditions or sensitivities in some individuals. If you are concerned about skin issues, it’s best to consult a dermatologist or healthcare professional for personalized guidance.
Q: Is acne a common symptom of endometriosis?
A: Acne is not a direct symptom of endometriosis, but the hormonal imbalances associated with the condition can contribute to acne development or exacerbate existing breakouts. The severity and frequency of acne may vary among individuals with endometriosis. If you have endometriosis and struggle with acne, it’s important to consult a dermatologist or healthcare professional for appropriate treatment options.
Q: Can certain hormonal imbalances give you acne?
A: Yes, hormonal imbalances can give you acne. Fluctuations in hormone levels, particularly androgens, can lead to an increase in sebum production, which in turn can clog pores and cause acne. Conditions such as polycystic ovary syndrome (PCOS) and endometriosis can cause hormonal imbalances that contribute to acne development.
Q: What are some common causes of hormonal acne?
A: Some common causes of hormonal acne include:
- Puberty
- Menstrual cycles
- Polycystic ovary syndrome (PCOS)
- Endometriosis
- Pregnancy
- Menopause
- Hormone therapy or medications
These factors can lead to hormonal fluctuations that increase sebum production and contribute to the development of acne. If you suspect hormonal acne, consult a dermatologist or healthcare professional to receive appropriate treatment and guidance.
References
- “Endometriosis.” Nhs.Uk, 20 Oct. 2017, https://www.nhs.uk/conditions/endometriosis/
- “Endometriosis – Symptoms and Causes.” Mayo Clinic, https://www.mayoclinic.org/diseases-conditions/endometriosis/symptoms-causes/syc-20354656.
- Elsaie, Mohamed L. “Hormonal Treatment of Acne Vulgaris: An Update.” Clinical, Cosmetic and Investigational Dermatology, vol. 9, Sept. 2016, pp. 241–48. PubMed Central, https://doi.org/10.2147/CCID.S114830.
- Smolarz, Beata, et al. “Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature).” International Journal of Molecular Sciences, vol. 22, no. 19, Sept. 2021, p. 10554. PubMed Central, https://doi.org/10.3390/ijms221910554.
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191450/#:~:text=Compared%20with%20women%20without%20a,use%20of%20tetracycline%20or%20isotretinoin.
- Parasar, Parveen, et al. “Endometriosis: Epidemiology, Diagnosis and Clinical Management.” Current Obstetrics and Gynecology Reports, vol. 6, no. 1, Mar. 2017, pp. 34–41. PubMed Central, https://doi.org/10.1007/s13669-017-0187-1.
