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Green Tea and Endometriosis

Endometriosis is a painful condition that occurs when fragments of the tissue that lines the uterus (the endometrium) find their way outside of the organ and begin to grow on the ovaries, fallopian tubes, bladder, bowel or other structures in the pelvic cavity. Then, even though these endometrial implants have found new “homes,” they continue to behave the way they would inside the uterus, meaning they build up, break down and bleed on a monthly basis. This monthly bleeding can irritate a woman’s body and cause symptoms like chronic pelvic pain, pain during premenstrual and menstrual phases, infertility, and pain with intercourse.

In order for the endometrial implants to survive once they’re outside the uterus, they must develop new blood vessels (a process is called angiogenesis) so they can tap into the blood supply of nearby tissues. Since it’s been well established that green tea’s EGCg has powerful anti-angiogenic properties, researchers wanted to find out if it could also help fight endometriosis.

They took endometrial implants from human patients and transplanted them into mice, then randomly treated the mice with EGCg, vitamin E or saline for two weeks. In the saline group, the endometrial implants did develop new blood vessels and the implants were firmly attached to adjacent tissues. But in the EGCg group, there was much less angiogenesis, and the blood vessels that developed were smaller and less dense. No differences were seen with the vitamin E treatment.

The researchers concluded that EGCg significantly inhibits the development of experimental endometriosis through its anti-angiogenic effects.

Xu H, Lui WT, Chu CY, et al. Anti-angiogenic effects of green tea catechin on an experimental endometriosis mouse model. Human Reprod 2009;24(3):608-18.


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