Polyphenol-Rich Wild Fruits of the Indian Himalayas as a Potential Nutraceutical Candidate for the Management of Endometriosis: A Review.

India, home to 4 biodiversity hotspots, hosts 675 wild species used for nutritional and therapeutic purposes. Wild edible fruits are highly valuable for their rich content of health-beneficial compounds, such as polyphenols, carotenoids, and vitamins. The shift in modern lifestyles has increasingly impacted human health. Several factors contribute to heightened oxidative stress, which underpins the development of non-communicable diseases (NCDs). Endometriosis, one of these conditions influenced by oxidative stress, currently lacks a definitive cure, leaving patients reliant on hormonal and surgical treatments. According to the WHO, 10% of girls and women worldwide are affected by endometriosis, often experiencing severe symptoms. This review explores the role of oxidative stress in the progression of endometriosis, its pathophysiology, and the effects of polyphenols found in wild Himalayan fruits, including various phenolic acids, flavonoids, stilbenes, and lignans. It also examines their synergistic effects with other non-polyphenolic compounds in reducing these biomarkers, such as inflammatory enzymes, pro-inflammatory cytokines, and estrogen receptors, and in modulating pathways like NF-κB, PI3K/AKT, among others, based on preclinical and clinical studies. Additionally, the review highlights key wild fruit species native to the Indian Himalayas, details their nutritional and phytochemical profiles, and assesses their potential, individually and synergistically, as functional foods or nutraceuticals for non-invasive treatment options for endometriosis.