Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases

Abstract In this study, we assessed if women with endometriosis have greater odds than matched controls of receiving an autoimmune diagnosis within two-years of their endometriosis diagnosis. We conducted a retrospective cohort study using two large-scale administrative claims databases (2010–2017),...

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Main Authors: M. Aziz, M. A. Beaton, M. A. Aziz, J. Opoku-Anane, N. Elhadad
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:npj Women's Health
Online Access:https://doi.org/10.1038/s44294-025-00086-8
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author M. Aziz
M. A. Beaton
M. A. Aziz
J. Opoku-Anane
N. Elhadad
author_facet M. Aziz
M. A. Beaton
M. A. Aziz
J. Opoku-Anane
N. Elhadad
author_sort M. Aziz
collection DOAJ
description Abstract In this study, we assessed if women with endometriosis have greater odds than matched controls of receiving an autoimmune diagnosis within two-years of their endometriosis diagnosis. We conducted a retrospective cohort study using two large-scale administrative claims databases (2010–2017), identifying 332,409 patients with endometriosis and 1,220,932 matched controls. Compared to matched controls, patients with endometriosis had an increased risk of being diagnosed with rheumatoid arthritis, Hashimoto’s disease, systemic lupus erythematosus, multiple sclerosis, pernicious anemia, Sjogren’s syndrome or myositis within two-years of their endometriosis diagnosis. The odds of receiving a diagnosis of at least one of the autoimmune conditions among patients with endometriosis were approximately two times greater than matched controls. Our study is the first to show a significant association between endometriosis and autoimmune conditions within a two-year diagnosis window, adding to growing evidence suggesting a potential link between endometriosis and autoimmunity, warranting investigation into shared mechanisms.
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spelling doaj-art-286c6651f4d648a9a7ec52aab52cd3cd2025-08-20T02:10:32ZengNature Portfolionpj Women's Health2948-17162025-06-01311710.1038/s44294-025-00086-8Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseasesM. Aziz0M. A. Beaton1M. A. Aziz2J. Opoku-Anane3N. Elhadad4Computer Science, Columbia University, New YorkBiomedical Informatics, Columbia UniversityBiomedical Sciences, New York Institute of Technology College of Osteopathic MedicineObstetrics and Gynecology, Rutgers Robert Wood Johnson Medical SchoolComputer Science, Columbia University, New YorkAbstract In this study, we assessed if women with endometriosis have greater odds than matched controls of receiving an autoimmune diagnosis within two-years of their endometriosis diagnosis. We conducted a retrospective cohort study using two large-scale administrative claims databases (2010–2017), identifying 332,409 patients with endometriosis and 1,220,932 matched controls. Compared to matched controls, patients with endometriosis had an increased risk of being diagnosed with rheumatoid arthritis, Hashimoto’s disease, systemic lupus erythematosus, multiple sclerosis, pernicious anemia, Sjogren’s syndrome or myositis within two-years of their endometriosis diagnosis. The odds of receiving a diagnosis of at least one of the autoimmune conditions among patients with endometriosis were approximately two times greater than matched controls. Our study is the first to show a significant association between endometriosis and autoimmune conditions within a two-year diagnosis window, adding to growing evidence suggesting a potential link between endometriosis and autoimmunity, warranting investigation into shared mechanisms.https://doi.org/10.1038/s44294-025-00086-8
spellingShingle M. Aziz
M. A. Beaton
M. A. Aziz
J. Opoku-Anane
N. Elhadad
Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases
npj Women's Health
title Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases
title_full Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases
title_fullStr Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases
title_full_unstemmed Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases
title_short Endometriosis and autoimmunity: a large-scale case-control study of endometriosis and 10 distinct autoimmune diseases
title_sort endometriosis and autoimmunity a large scale case control study of endometriosis and 10 distinct autoimmune diseases
url https://doi.org/10.1038/s44294-025-00086-8
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