
Women with endometriosis were more likely to report childhood and adulthood traumatic experiences, particularly contact trauma (OR: 1.28, 95% CI: 1.02-1.26). Latent-class analysis showed associations with emotional, physical, and sexual trauma. Genetic correlation analyses linked endometriosis with PTSD (rg = 0.31, P < 7.1 × 10⁻¹⁶) and childhood maltreatment (rg = 0.23, P = 1.3 × 10⁻⁶). However, no interaction between genetic predisposition and trauma type was observed, suggesting trauma’s independent role in endometriosis risk.
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