The endometrium is one of the few tissues in the adult where physiological
angiogenesis occurs. Studies of endometrial angiogenesis are complicated by
the continual changes in tissue growth and regression during the menstrual
cycle, and differences between the two different zones of the endometrium
- the functionalis and basalis. The mechanisms of angiogenesis in the endom
etrium may be different to those in solid tumours, requiring a re-evaluatio
n of the relative importance of various angiogenesis promoters and inhibito
rs. None of the angiogenesis promoters or inhibitors have yet been demonstr
ated beyond doubt to have a biological role in endometrial angiogenesis in
vivo. Thus, the mechanisms, timing and control of angiogenesis in the endom
etrium are far from being fully understood.