Aromatase is an enzyme that catalyzes the final step in estrogen biosynthesis. The regulation of aromatase activity and levels of estrogens determines the levels of estrogens, which subsequently have endocrine, paracrine, and autocrine effects on tissues (
11). Estrogen is a steroid hormone that maintains female characteristics in the body. In addition to the reproductive system, estrogen plays an important role in the cardiovascular system and musculoskeletal system (
12), regulating reproduction, metabolism, behavior, and brain function (
11,
12). In the brain, cell survival and neuronal activity are influenced by estrogens and, as a result, aromatase (
11). However, estrogen production itself affects female diseases. Therefore, its inhibition is effective in treating diseases (
12). The aromatase reaction is the final step in the estrogen biosynthetic pathway, and inhibition of this final step inactivates the biosynthesis of other steroid classes (
12). The aromatase enzyme plays a key role in the pathogenesis of polycystic ovary syndrome (PCOS) (
13), breast cancer (
12), and endometriosis (
14). For example, aromatase converts precursor steroids to estradiol and estrogen and promotes the proliferation of endometrial tissue. Therefore, aromatase contributes to disease progression by stimulating an inflammatory response (
15). As a result, inhibition of the aromatase enzyme may provide an effective way to treat and control endometrial tissue proliferation by reducing estrogen production (
15). Silymarin, which is extracted directly from the dried seeds of S. marianum and has anti-inflammatory (
4,
13), antioxidant (
6,
16), and anti-fibrotic properties, acts as the main ingredient (
13). Silymarin is effective in treating endometrial lesions with antioxidant and anti-inflammatory effects (
15) and plays its antioxidant role by eliminating free radicals as well as increasing the levels of glutathione peroxidase and superoxide dismutase (SOD) (
6,
10,
16).