Hormonal · Sub-beat · Market Map

Endometriosis

190M people affected globally, an average 7-year diagnostic delay, and the first non-hormonal therapeutic approvals in a quarter century. The category is rebuilding — non-invasive diagnostics, novel therapeutics, AI-assisted triage, and the digital infrastructure underneath all of it. This is The Index's working map.

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43
Companies
11
Funding stages
$155M
Disclosed funding
12
Clinical / preclinical
16
Commercial
1
Recent exits
Capital concentration

Where the category sits on the maturity curve

Stage distribution across the 43 indexed companies. The category remains weighted at seed and Series A — a clear sign of an early-formation market with a thin late-stage and few exits to date.

4
13
4
7
3
3
3
Unfunded2
Grant1
Pre-Seed4
Seed13
Early Stage4
Series A7
Series B2
Series C → ACQUIRED1
Privately Funded3
Public3
Mature3
The map

Endometriosis stack — by infrastructure layer

Companies grouped by primary lane, ordered by stage within each row. Screenshot-ready.

Diagnostics

6 companies

DotLab

Series A

DotEndo – miRNA-based blood test

USA$10M

endodiag

Series A

EndoDTect – blood test (anti-CD71 antibody biomarkers)

France

Afynia Laboratories

Seed

EndomiR – microRNA blood test

Canada$6.5M

hertility

Seed

At-home hormone test + personalised health reports

UK

Matricisai

Seed

AI diagnostic platform

Unknown

herabiotech

Seed

MetriDX – cell-based non-surgical diagnostic test

USA$5.08M

Therapeutics

18 companies

Sumitomo Pharma

Mature

Ryeqo (relugolix combo) – co-developed with Gedeon Richter

Japan

Gedeon Richter

Mature

Ryeqo; acquired Celmatix portfolio March 2026

Hungary

Organon

Public

Broad women's health portfolio; endometriosis drug OG-6219 DISCONTINUED July 2025

USA

AbbVie

Public

Orilissa – FDA-approved GnRH antagonist for endometriosis pain

USA

Endo International / Endo Inc.

Public

Specialty pharmaceutical products

Ireland / USA

ESSE

Privately Funded

Diagnostic platform

Unknown

Celmatix Therapeutics

Series C → ACQUIRED

JNK inhibitor (endo); oral FSH agonist (fertility); AMH antibodies – ALL acquired by Gedeon Richter

USA$88.3M

Gesynta Pharma

Series B

Vipoglanstat – mPGES-1 inhibitor

Sweden$31.5M

JaNe Therapeutics

Series B

Therapeutic candidate

Unknown

FREYA

Series A

Therapeutic candidate

Unknown

Nalu Bio

Series A

Biotech therapeutic

Unknown

NEXT Life Sciences

Series A

Biotech platform

Unknown

SUR180 Therapeutics

Early Stage

CRHR1 antagonist drug repurposing

USA

endogene.bio

Seed

Genomics-based platform

Unknown

Gynica

Seed

IntraVag drug delivery; S-301, S-302 non-hormonal candidates

Israel

VaRi Bioscience

Seed

Drug candidate VR103

Unknown

metribio

Pre-Seed

Endometriosis therapeutics platform (emerged from stealth Dec 2025)

USA$5M

Chiilima Therapeutics

Pre-Seed

Therapeutic candidate

Unknown

Digital Health

13 companies

frendo

Privately Funded

Frendo app + frendo@work B2B enterprise programme

UK / Ireland

Bloume Health

Series A

Clinically validated digital solution for pelvic pain

Unknown

Lyv

Early Stage

Digital health / app

Unknown

Umi

Early Stage

Platform

Unknown

ELANZA

Seed

Virtual chronic care platform – multimodal support, telehealth

USA

SERAC Healthcare

Seed

Digital health platform

Unknown

Ovum

Seed

Digital health platform

Unknown

Syrona Health

Seed

Tracking, telemedicine, diagnostics, self-management tools

UK

FemXX Health

Seed

Healthcare consultation platform with crowdsourced insights + expert consults

Germany

Vindicara

Pre-Seed

Digital health platform

Unknown

ENdi

Pre-Seed

App for medication, activity, appointment tracking with personalised insights

Unknown

Phendo

Grant

Free research app – symptom tracking; observational study

USA

Charli

Unfunded

First Australian menstruation/fertility/wellbeing app

Australia

AI / Data

2 companies

LasaHealth

Mature

AI screening platform for endometriosis management

USA

EndoMe

Early Stage

Unknown

Unknown

Wellness & Consumer

1 company

Unfabled

Seed

Wellness marketplace; endometriosis included

UK$1.6M

Other

3 companies

Arizona Complete Health

Privately Funded

Arizona Medicaid managed care plan

USA

Samphire Neuroscience

Series A

Nettle – brain stimulation headband + cycle tracking app

UK$7.3M

Butterfly

Unfunded

Unknown

Unknown
Directory

All companies — sortable & filterable

43 of 43
CompanyLaneStageHQFundingLatest roundStatus
Celmatix Therapeutics
celmatix.com
TherapeuticsSeries C → ACQUIREDUSA (New York, NY)$88.3M
$88.3M (PitchBook) / ~$43M (CB Insights)
ACQUIRED by Gedeon Richter (March 3, 2026)ACQUIRED – discovery portfolio sold to Gedeon Richter March 2026
Gesynta Pharma
gesynta.com
TherapeuticsSeries BSweden (Stockholm)$31.5M
$31.5M (Series B total)
Series B second close (July 2025)Phase 2 clinical trial prep (190 patients, Europe); Phase 2 starting 2025
DotLab
dotlab.com
DiagnosticsSeries AUSA (San Francisco, CA; lab in Branford, CT)$10M
$10M
Series A (July 2019)Commercial (US) – CAP-accredited lab
Samphire Neuroscience
samphireneuro.com
OtherSeries AUK (London)$7.3M
$7.3M total
Series ACommercial launch (Nettle)
Afynia Laboratories
afynia.com
DiagnosticsSeedCanada (Hamilton, ON)$6.5M
~$6.5M USD
Seed (Feb 2025)Commercial launch Canada 2025; US planned 2026
herabiotech
herabiotech.com
DiagnosticsSeedUSA (San Antonio, TX)$5.08M
~$5.08M total
Later Stage VC (Jan 2024)Pre-commercial; development stage
metribio
metribio.com
TherapeuticsPre-SeedUSA (Boston, MA)$5M
$5M
Pre-Seed (Dec 2025)Stealth to public Dec 2025; preclinical
Unfabled
unfabled.com
Wellness & ConsumerSeedUK$1.6M
~$1.6M USD
Seed (2024)Commercial
endogene.bio
endogene.bio
TherapeuticsSeedUnknown
Undisclosed
UnknownEarly Stage
hertility
hertilityhealth.com
DiagnosticsSeedUK (London)
Undisclosed (raised multiple rounds)
Seed+Commercial
Matricisai
Unknown
DiagnosticsSeedUnknown
Undisclosed
UnknownEarly Stage
ELANZA
elanzawellness.com
Digital HealthSeedUSA
Undisclosed
SeedCommercial – Femovate program participant
Gynica
gynica.com
TherapeuticsSeedIsrael
Undisclosed
SeedPhase 1 trial initiated May 2024 (Careggi University Hospital, Florence)
SERAC Healthcare
Unknown
Digital HealthSeedUnknown
Undisclosed
UnknownEarly Stage
Ovum
Unknown
Digital HealthSeedUnknown
Undisclosed
UnknownEarly Stage
Syrona Health
syrona.health
Digital HealthSeedUK
Undisclosed
SeedCommercial
VaRi Bioscience
Unknown
TherapeuticsSeedUnknown
Undisclosed
UnknownClinical pipeline (VR103)
FemXX Health
Unknown
Digital HealthSeedGermany (Berlin)
Undisclosed
SeedCommercial (app/platform)
EndoMe
Unknown
AI / DataEarly StageUnknown
Undisclosed
Early StageEarly Stage
Lyv
Unknown
Digital HealthEarly StageUnknown
Undisclosed
Early StageEarly Stage
Umi
Unknown
Digital HealthEarly StageUnknown
Undisclosed
Early StageEarly Stage
SUR180 Therapeutics
sur180therapeutics.com
TherapeuticsEarly StageUSA (Texas / Puerto Rico)
Grants + donations (pre-revenue)
Grant / Pre-seedPreclinical
FREYA
Unknown
TherapeuticsSeries AUnknown
Undisclosed
Series AClinical
endodiag
endodiag.fr
DiagnosticsSeries AFrance
Undisclosed
Series AValidation studies ongoing
Nalu Bio
Unknown
TherapeuticsSeries AUnknown
Undisclosed
Series AClinical / Preclinical
NEXT Life Sciences
Unknown
TherapeuticsSeries AUnknown
Undisclosed
Series AClinical / Preclinical
Bloume Health
Unknown
Digital HealthSeries AUnknown
Undisclosed
Series ACommercial – clinically validated
Organon
organon.com
TherapeuticsPublicUSA (Jersey City, NJ)
Public (NYSE: OGN)
PublicMarketed products; OG-6219 Phase II FAILED – discontinued July 2025
AbbVie
abbvie.com
TherapeuticsPublicUSA (North Chicago, IL)
Public (NYSE: ABBV)
PublicMarketed – Orilissa commercially available
Endo International / Endo Inc.
endo.com
TherapeuticsPublicIreland / USA
Restructured entity
Emerged from Chapter 11 (April 2024)Restructured company – Endo Inc.
JaNe Therapeutics
Unknown
TherapeuticsSeries BUnknown
Undisclosed
Series BClinical
Sumitomo Pharma
sumitomo-pharma.co.jp
TherapeuticsMatureJapan (Osaka)
Public (TYO: 4506)
PublicMarketed – Ryeqo EU approved Nov 2023
Gedeon Richter
gedeonrichter.com
TherapeuticsMatureHungary (Budapest)
Public (BPSE: RICHTER)
PublicMarketed – Ryeqo NHS England approved March 2025; consolidated sales HUF 928.96B (2025)
LasaHealth
lasahealth.com
AI / DataMatureUSA
Undisclosed
Mature / Grant-fundedCommercial / Research tool
Phendo
phendo.columbia.edu
Digital HealthGrantUSA (New York, NY – Columbia University)
Grant (Columbia / NIH research)
GrantResearch tool – 15,000+ users; HIPAA-certified
Chiilima Therapeutics
Unknown
TherapeuticsPre-SeedUnknown
Undisclosed
Pre-SeedPreclinical
Vindicara
Unknown
Digital HealthPre-SeedUnknown
Undisclosed
Pre-SeedEarly Stage
ENdi
Unknown
Digital HealthPre-SeedUnknown
Undisclosed
Pre-SeedCommercial (app)
Arizona Complete Health
azcompl.com
OtherPrivately FundedUSA (Arizona)
N/A (subsidiary)
N/ACommercial – active health plan
ESSE
Unknown
TherapeuticsPrivately FundedUnknown
Privately Funded
Privately FundedEarly Stage
frendo
frendo.app
Digital HealthPrivately FundedUK / Ireland
Privately Funded
Privately FundedCommercial – app + enterprise (Salesforce pilot confirmed)
Charli
charlihealth.com
Digital HealthUnfundedAustralia
Unfunded
UnfundedCommercial (app)
Butterfly
Unknown
OtherUnfundedUnknown
Unfunded
UnfundedUnknown

Funding figures reflect publicly disclosed totals where verified. "—" indicates undisclosed or unverified.

Analyst POV

Where the white space is

The category is still under-capitalized relative to its prevalence — total disclosed funding across the indexed cohort is ~$155M, a fraction of what oncology indications of comparable prevalence have absorbed. That is the opportunity.

Non-invasive diagnostics are the most contested lane — blood, saliva, and menstrual-effluent assays are racing to displace the laparoscopy gold standard. First-to-clinic with payer-validated data wins.

Novel therapeutics beyond hormonal suppression remain the largest prize and the thinnest pipeline. Expect Series A→B step-ups as preclinical assets mature.

Digital health and AI are crowded but mostly commercial. The winners will be the platforms that own the diagnostic on-ramp and route patients into specialist care — not standalone communities.

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