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Recent evidence also supports a systemic inflammatory component that underlies associated co\u2010morbidities, e.g., migraines and cardiovascular and autoimmune diseases. Genetics and environment contribute significantly to disease risk, and with the explosion of omics technologies, underlying mechanisms of symptoms are increasingly being elucidated, although novel and effective therapeutics for pain and infertility have lagged behind these advances. Moreover, there are stark disparities in diagnosis, access to care, and treatment among persons of color and transgender\/nonbinary identity, socioeconomically disadvantaged populations, and adolescents, and a disturbing low awareness among health care providers, policymakers, and the lay public about endometriosis, which, if left undiagnosed and under\u2010treated can lead to significant fibrosis, infertility, depression, and markedly diminished quality of life. This review summarizes endometriosis epidemiology, compelling evidence for its pathogenesis, mechanisms underlying its pathophysiology in the age of precision medicine, recent biomarker discovery, novel therapeutic approaches, and issues around reproductive justice for marginalized populations with this disorder spanning the past 100\u2009years. As we enter the next revolution in health care and biomedical research, with rich molecular and clinical datasets, single\u2010cell omics, and population\u2010level data, endometriosis is well positioned to benefit from data\u2010driven research leveraging computational and artificial intelligence approaches integrating data and predicting disease risk, diagnosis, response to medical and surgical therapies, and prognosis for recurrence.<\/jats:p>","DOI":"10.1096\/fj.202300907","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T03:27:05Z","timestamp":1693279625000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":94,"title":["Endometriosis in the era of precision medicine and impact on sexual and reproductive health across the lifespan and in diverse 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