{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T15:25:00Z","timestamp":1790954700492,"version":"4.1.0"},"reference-count":70,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>This review presents current opinions on an uncommon condition called catamenial pneumothorax (CP), which is usually associated with thoracic endometriosis syndrome (TES). TES is characterized by the presence of endometriotic lesions in pleura and lung parenchyma and presents with various clinical signs and symptoms, including catamenial pneumothorax. Their diagnosis is often delayed. Pulmonary endometric lesions, however, often detected in patients with hemothorax and hemoptysis, may be absent in a proportion of cases of pneumothorax. The typical presentation of CP includes signs and symptoms of pneumothorax, which occur along with menstruation, most commonly around 24 h before and 48\u201372 h after its onset. However, they may not occur during every menstrual cycle. Suggestive CP lesions on conventional radiography (RTG) include pneumoperitoneum accompanying right-sided pneumothorax, lung opacities, pleural effusion, and nodular infiltrates. Chest and abdomen computed tomography (CT), particularly contrast-enhanced, may additionally show pneumoperitoneum and diaphragmatic lesions. The management of CP includes supportive treatment of acute symptoms and causal treatment to prevent recurrent disease. This article presents the pathophysiology of CP, an overview of the diagnostic methods, and the current therapeutic approaches. The necessity for a multidisciplinary approach to the diagnosis of CP and to the choice of the best treatment modality is underlined (promising new therapeutic options are also mentioned); however, international guidelines are still missing.<\/jats:p>","DOI":"10.3390\/medicina60122029","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T06:16:14Z","timestamp":1733724974000},"page":"2029","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Catamenial Pneumothorax\u2014Still an Unveiled Disease"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5622-3439","authenticated-orcid":false,"given":"Iwona","family":"Damps-Konsta\u0144ska","sequence":"first","affiliation":[{"name":"Department of Pneumonology, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Szukalska","sequence":"additional","affiliation":[{"name":"Department of Hematology, University Hospital No. 2 Dr. Jan Biziel in Bydgoszcz, 85-168 Bydgoszcz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Janowiak","sequence":"additional","affiliation":[{"name":"Department of Pneumonology, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewa","family":"Jassem","sequence":"additional","affiliation":[{"name":"Department of Pneumonology, Medical University of Gda\u0144sk, 80-210 Gda\u0144sk, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/S0002-9343(97)89454-5","article-title":"Thoracic endometriosis syndrome: New observations from an analysis of 110 cases","volume":"100","author":"Joseph","year":"1996","journal-title":"Am. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.athoracsur.2005.07.044","article-title":"Thoracic endometriosis: Current knowledge","volume":"81","author":"Alifano","year":"2006","journal-title":"Ann. Thorac. Surg."},{"key":"ref_3","first-page":"e42193","article-title":"Catamenial Pneumothorax in a Patient with Endometriosis: A Case Report","volume":"15","author":"Rometti","year":"2023","journal-title":"Cureus"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2013","DOI":"10.1001\/jama.1958.63000150008012c","article-title":"Chronic recurring spontaneous pneumothorax due to endometriosis of the diaphragm","volume":"168","author":"Maurer","year":"1958","journal-title":"JAMA"},{"key":"ref_5","first-page":"448","article-title":"Catamenial pneumothorax","volume":"6","author":"Visouli","year":"2014","journal-title":"J. Thorac. Dis."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.jtcvs.2004.04.039","article-title":"Catamenial pneumothorax revisited: Clinical approach and systematic review of the literature","volume":"128","author":"Korom","year":"2004","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_7","first-page":"366","article-title":"Minimally Invasive Thoracoscopic Mesh Repair of Diaphragmatic Fenestrations for Catamenial Pneumothorax Due to Likely Thoracic Endometriosis: A Case Report","volume":"68","author":"Cieslik","year":"2013","journal-title":"Med. J. Malays."},{"key":"ref_8","first-page":"144","article-title":"Catamenial Pneumothorax","volume":"13","author":"Kolos","year":"2015","journal-title":"Exp. Clin. Transplant."},{"key":"ref_9","first-page":"1033","article-title":"Angiogenesis, lymphangiogenesis and neurogenesis in endometriosis","volume":"5","author":"Peters","year":"2013","journal-title":"Front. Biosci."},{"key":"ref_10","first-page":"262","article-title":"Endometriosis parenquimatosa pulmonar multifocal","volume":"49","author":"Molinar","year":"2011","journal-title":"Patol. Rev. Latinoam."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1093\/humupd\/dmr023","article-title":"Vasculogenesis: A new piece of the endometriosis puzzle","volume":"17","author":"Laschke","year":"2011","journal-title":"Hum. Reprod. Update"},{"key":"ref_12","first-page":"99","article-title":"Pathogenesis of endometriosis: The role of genetics, inflammation and oxidative stress Arch","volume":"286","author":"Augoulea","year":"2012","journal-title":"Gynecol. Obstet."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e179515","DOI":"10.1155\/2014\/179515","article-title":"Theories on the Pathogenesis of Endometriosis","volume":"2014","author":"Sourial","year":"2014","journal-title":"Int. J. Reprod. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"200","DOI":"10.2174\/092986711794088416","article-title":"Role of natural killer cell activity in the pathogenesis of endometriosis","volume":"18","author":"Sikora","year":"2011","journal-title":"Curr. Med. Chem."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e13342","DOI":"10.1111\/aji.13342","article-title":"Pelvic endometriosis and natural killer cell immunity","volume":"85","author":"Fukui","year":"2021","journal-title":"AM J. Reprod. Immunol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/MD.0b013e3181df67d5","article-title":"Thoracic endometriosis: Revisiting the association between clinical presentation and thoracic pathology based on thoracoscopic findings in 110 patients","volume":"89","author":"Channabasavaiah","year":"2010","journal-title":"Medicine"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.jmig.2019.08.005","article-title":"Diagnosis and treatment of catamenial pneumothorax: A systematic review","volume":"27","author":"Gil","year":"2020","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"22","DOI":"10.36129\/jog.2023.92","article-title":"Catamenial Pneumothorax in Peri-Menopausal Women: A Report of Two Cases","volume":"36","author":"Oh","year":"2024","journal-title":"Ital. J. Gynaecol. Obstet."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4274\/jtgga.2018.0035","article-title":"Thoracic and diaphragmatic endometriosis: Single-institution experience using novel, broadened diagnostic criteria","volume":"19","author":"Braun","year":"2018","journal-title":"J. Turk.-Ger. Gynecol. Assoc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1007\/s11748-024-02016-y","article-title":"A surgical series on endometriosis-related diaphragmatic hernia","volume":"72","author":"Bobbio","year":"2014","journal-title":"Gen. Thorac. Cardiovasc. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e235965","DOI":"10.1136\/bcr-2020-235965","article-title":"Refractory thoracic endometriosis","volume":"13","author":"Sharma","year":"2020","journal-title":"BMJ Case Rep."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1695.e1","DOI":"10.1016\/j.ajem.2019.158474","article-title":"A rare massive presentation of catamenial hemothorax","volume":"38","author":"Somani","year":"2020","journal-title":"Am. J. Emerg. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1159\/000093019","article-title":"The prevalence of endometriosis in women with chronic pelvic pain","volume":"62","author":"Guo","year":"2006","journal-title":"Gynecol. Obstet. Investig."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1136\/pgmj.64.757.865","article-title":"Pulmonary endometriosis mimicking an acute abdomen","volume":"64","author":"Grunewald","year":"1988","journal-title":"Postgrad. Med. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1183\/09031936.00094206","article-title":"Value of cancer antigen 125 for diagnosis of pleural endometriosis in females with recurrent pneumothorax","volume":"31","author":"Bagan","year":"2008","journal-title":"Eur. Respir. J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"61","DOI":"10.7812\/TPP\/13-154","article-title":"Thoracic endometriosis syndrome: Case report and review of the literature","volume":"18","author":"Clarke","year":"2014","journal-title":"Perm. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1093\/humupd\/dmr013","article-title":"Endometrial alterations in endometriosis: A systematic review of putative biomarkers","volume":"17","author":"May","year":"2011","journal-title":"Hum. Reprod. Update"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0033-8338(07)73768-2","article-title":"Imaging findings in catamenial pneumothorax","volume":"49","author":"Ciudad","year":"2007","journal-title":"Radiologia"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/S0003-4975(02)03702-5","article-title":"Catamenial pneumothorax: Chest X-ray sign and thoracoscopic treatment","volume":"74","author":"Roth","year":"2002","journal-title":"Ann. Thorac. Surg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e120","DOI":"10.11622\/smedj.2015115","article-title":"Thoracic endometriosis with catamenial haemoptysis and pneumothorax: Computed tomography findings and long-term follow-up after danazol treatment","volume":"56","author":"Suwatanapongched","year":"2015","journal-title":"Singap. Med. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1016\/j.jfma.2011.04.006","article-title":"Catamenial pneumothorax assocated with multiple diaphragmatic perforations and pneumoperitoneum in a reproductive woman","volume":"113","author":"Lin","year":"2014","journal-title":"J. Formos. Med. Assoc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.fertnstert.2008.09.071","article-title":"Pneumopeeritoneum associated with catamenial pneumothorax in women with thoracic endometriosis","volume":"91","author":"Jablonski","year":"2009","journal-title":"Fertil. Steril."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/S0002-9629(15)40717-7","article-title":"Spiral computerised tomography and video thoracoscopy in catamenial pneumothorax","volume":"319","author":"Kalapura","year":"2000","journal-title":"Am. J. Med. Sci."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.crad.2013.10.014","article-title":"Thoracic endometriosis syndrome: CT and MRI features","volume":"69","author":"Rousset","year":"2014","journal-title":"Clin. Radiol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3968","DOI":"10.1007\/s00330-016-4226-5","article-title":"MR diagnosis of diaphragmatic endometrisosis","volume":"26","author":"Rousset","year":"2016","journal-title":"Eur. Radiol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1055\/s-0038-1646780","article-title":"Hemoptysis and Endometriosis: An Unusual Association\u2014Case Report and Review of the Literature","volume":"40","author":"Quagliato","year":"2018","journal-title":"Rev. Bras. Ginecol. Obstet."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1378\/chest.118.4.1205","article-title":"Catamenial hemoptysis from tracheobronchial endometriosis: Reappraisal of diagnostic value of bronchoscopy and bronchial brush cytology","volume":"118","author":"Wang","year":"2000","journal-title":"Chest"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1016\/j.hlc.2019.01.012","article-title":"Catamenial pneumothorax, a commonly misdiagnosed thoracic condition: Mutlticentre experience and usit of a small case series with review of the literature","volume":"28","author":"Shrestha","year":"2019","journal-title":"Heart Lung Circ."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1016\/j.athoracsur.2014.05.056","article-title":"Catamenial Pneumothorax with Bullae","volume":"99","author":"Kawaguchi","year":"2015","journal-title":"Ann. Thorac. Surg."},{"key":"ref_40","first-page":"e16164","article-title":"Catamenial pneumothorax: Estrogen receptor staining may prompt a diagnosis","volume":"132","author":"Janowiak","year":"2022","journal-title":"Pol. Arch. Intern. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.chest.2019.09.008","article-title":"Circulating endometrial cells in women with spontaneous pneumothorax","volume":"157","author":"Kiss","year":"2020","journal-title":"Chest"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.chest.2019.10.036","article-title":"Circulating endometrial cells: A diagnostic test for distinguishing catamenial from spontaneous pneumothorax","volume":"157","author":"Manker","year":"2020","journal-title":"Chest"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e2014.00312","DOI":"10.4293\/JSLS.2014.00312","article-title":"Multidisciplinary Treatment for Thoracic and Abdominopelvic Endometriosis","volume":"18","author":"Nezhat","year":"2014","journal-title":"JSLS"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1186\/1746-1596-8-194","article-title":"Extrapelvic endometriosis: A rare entity or an under diagnosed condition?","volume":"8","author":"Machairiotis","year":"2013","journal-title":"Diagn. Pathol."},{"key":"ref_45","first-page":"291","article-title":"The management of women with thoracic endometriosis: A national syrvey of Brithish gynecological endoscopists","volume":"12","author":"Hirsch","year":"2021","journal-title":"Facts Views Vis. Obgyn"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"ii18","DOI":"10.1136\/thx.2010.136986","article-title":"Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010","volume":"65","author":"MacDuff","year":"2010","journal-title":"Thorax"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Lee, J.H., Kim, R., and Park, C.M. (2020). Chest Tube Drainage Versus Conservative Management as the Initial Treatment of Primary Spontaneous Pneumothorax: A Systematic Review and Meta-Analysis. J. Clin. Med., 27.","DOI":"10.3390\/jcm9113456"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1055\/s-2006-924707","article-title":"Catamenial Pneumothorax","volume":"56","author":"Mikroulis","year":"2008","journal-title":"Thorac. Cardiovasc. Surg."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Quercia, R., De Palma, A., De Blasi, F., Carleo, G., De Iaco, G., Panza, T., Garofalo, G., Simone, V., Costantino, M., and Marulli, G. (2023). Catamenial pneumothorax: Not only VATS diagnosis. Front. Surg., 10.","DOI":"10.3389\/fsurg.2023.1156465"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"484","DOI":"10.5090\/jcs.24.021","article-title":"Recurrence-free survival after postoperative hormone therapy for catamenial pneumothorax","volume":"57","author":"Kim","year":"2024","journal-title":"J. Chest Surg."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1308\/003588406X130732","article-title":"Catamenial Pneumothorax: Surgical Repair of the Diaphragm and Hormone Treatment","volume":"88","author":"Leong","year":"2006","journal-title":"Ann. R. Coll. Surg. Engl."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1378\/chest.12-1558","article-title":"Videothoracoscopic repair of diaphragm and pleurectomy\/abrasion in patients with catamenial pneumothorax: A 9-year experience","volume":"143","author":"Attaran","year":"2013","journal-title":"Chest"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/S0003-4975(02)04320-5","article-title":"Catamenial pneumothorax: Retrospective study of surgical treatment","volume":"75","author":"Bagan","year":"2003","journal-title":"Ann. Thorac. Surg."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejogrb.2024.02.030","article-title":"In endometriosis-related pneumothorax surgery, presence of endometriotic nodules increases postoperative air leaks and long-term relapse","volume":"296","author":"Issard","year":"2024","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1183\/09031936.00189710","article-title":"Short-term safety of thoracoscopic talc pleurodesis for recurrent primary spontaneous pneumothorax: A prospective European multicentre study","volume":"38","author":"Bridevaux","year":"2011","journal-title":"Eur. Respir. J."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1510\/icvts.2006.147546","article-title":"Is talc pelurodesis safe for young patients following primaty spontaneous pneumothorax?","volume":"6","author":"Hunt","year":"2007","journal-title":"Interacr. Caardiovasc. Thorac. Surg."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1097\/MCP.0b013e32833a9fc2","article-title":"Catamenial pneumothorax","volume":"16","author":"Alifano","year":"2010","journal-title":"Curr. Opin. Pulm. Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1093\/jscr\/rjad421","article-title":"Positive outcome of diaphragm covering and total pleural covering techniques for catamenial pneumothorax","volume":"2023","author":"Koike","year":"2023","journal-title":"J. Surg. Case Rep."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/j.ejcts.2004.12.047","article-title":"Catamenial pneumothorax: Optimal hormonal and surgical management","volume":"27","author":"Marshall","year":"2005","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1164\/rccm.200704-587OC","article-title":"Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumothorax referred for surgery","volume":"176","author":"Alifano","year":"2007","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1093\/icvts\/ivx319","article-title":"Hormonal manipulation after surgery for catamenial pneumothorax","volume":"26","author":"Garner","year":"2018","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_62","first-page":"17","article-title":"Catamenial pneumothorax: A rare entity? Report of 5 cases and review of the literature","volume":"4","author":"Visouli","year":"2012","journal-title":"J. Thorac. Dis."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.1007\/s43032-020-00213-7","article-title":"Impact of Bevacizumab on Experimentally Induced Endometriotic Lesions: Angiogenesis, Invasion, Apoptosis, and Cell Proliferation","volume":"27","author":"Zani","year":"2020","journal-title":"Reprod. Sci."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s00404-021-06104-9","article-title":"Effects of ranibizumab and zoledronic acid on endometriosis in a rat model","volume":"305","author":"Ozdemir","year":"2022","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1177\/1933719115584448","article-title":"Effects of Pazopanib, Sunitinib, and Sorafenib, Anti-VEGF Agents, on the Growth of Experimental Endometriosis in Rats","volume":"22","author":"Yildiz","year":"2015","journal-title":"Reprod. Sci."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"He, Y., Hung, S.W., Liang, B., Zhang, R., Gao, Y., Chu, C.Y., Zhang, T., Xu, H., Chung, J.P.W., and Wang, C.C. (2021). Receptor Tyrosine Kinase Inhibitor Sunitinib as Novel Immunotherapy to Inhibit Myeloid-Derived Suppressor Cells for Treatment of Endometriosis. Front. Immunol., 12.","DOI":"10.3389\/fimmu.2021.641206"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1016\/j.fertnstert.2011.05.063","article-title":"The inhibitory effect of celecoxib and rosiglitazone on experimental endometriosis","volume":"96","author":"Olivares","year":"2011","journal-title":"Fertil. Steril."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"2623","DOI":"10.1111\/bph.13874","article-title":"Combination therapy with telmisartan and parecoxib induces regression of endometriotic lesions","volume":"174","author":"Nenicu","year":"2017","journal-title":"Br. J. Pharmacol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s00404-014-3242-4","article-title":"Does cabergoline help in decreasing endometrioma size compared to LHRH agonist? A prospective randomized study","volume":"290","author":"Hamid","year":"2014","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1093\/humrep\/deu035","article-title":"Combined blockade of angiotensin II type 1 receptor and activation of peroxisome proliferator-activated receptor-\u03b3 by telmisartan effectively inhibits vascularization and growth of murine endometriosis-like lesions","volume":"29","author":"Nenicu","year":"2014","journal-title":"Hum. Reprod."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/12\/2029\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:50:12Z","timestamp":1760115012000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/12\/2029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":70,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["medicina60122029"],"URL":"https:\/\/doi.org\/10.3390\/medicina60122029","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,9]]}}}