{"paper_id":"44441432-af89-4748-ab19-ab0ba6c38dd8","body_text":"Epidemiology and risk factors associated with laparoscopically diagnosed typical and atypical endometriosis among Egyptian women\nLoading...\nFiles\nDate\nAuthors\nAdvisor\nJournal Title\nJournal ISSN\nVolume Title\nPublisher\nMiddle East Fertility Society\nAbstract\nDescription\nObjectives: To estimate the prevalence of typical and atypical (subtle)\npelvic endometriosis as diagnosed by laparoscopy, and to define risk\nfactors for this disease among Egyptian women. Design: A prospective\ncross-sectional observational study. Setting: Gynecologic Endoscopy\nUnits, Assiut and Al-Azhar University Hospitals, Egypt. Materials and\nmethods: A total of 2493 patients submitted to video-assisted\nlaparoscopy due to any indication. Diagnostic laparoscopy for evidence\nof typical or subtle endometriotic ovarian, tubal or peritoneal\nlesions. Biopsy from the lesion was frequently taken for\nhistopathological evaluation. Main outcome measures: Laparoscopic and\nhistopathologic diagnosis of pelvic endometriosis. Correlating the\ndifferent patient characteristics and the risk of endometriosis.\nResults: Laparoscopically, 469 patients (18.8%) were diagnosed to be\nendometriosis. Of those, typical and atypical endometriosis were\ndiagnosed in 220 patients (8.8%) and 249 patients (9.98%) respectively.\nLaparoscopy was indicated as a part of infertility work-up in 2017\npatients (80.9%), for chronic pelvic pain in 304 patients (12.2%), and\nother indications in 172 patients (6.9%). Endometriosis was diagnosed\nin 182 (38.8%), 219 (46.6%), and 68(14.5%) patients in the 3 groups\nrespectively. Biopsy was taken from 367 cases (78.2%) and significantly\ncorrelated with laparoscopy (P=0.001, OR=0.8, 95% CI (0.4 -1.5).\nConcerning risk factors, only decreased patient’s age (less than\n30 years), low parity, and urban residence were significantly\ncorrelated with endometriosis. ORs were 0.8, 0.8, and 0.9 with 95% CI\nof 0.7-3.4, 0.4 -1.6, and 0.4 -1.2 for the 3 risk factors respectively.\nConclusions: Pelvic endometriosis is a common frequently underestimated\nhealth problem in Egypt. It is correlated with patient’s age less\nthan 30 years, low parity and urban residence. It should be considered\nin infertile women and patients with pelvic pain specially those with\nprior pelvic surgery. Being more commonly diagnosed, subtle\nendometriosis deserves large sample-sized studies of its impact on\nwomen’s health and fertility.\nKeywords\nEndometriosis, Laparoscopy, Epidemiology, Egypt\nCitation\nISSN\nRelated Outputs\nCollections\nItems in TSpace are protected by copyright, with all rights reserved, unless otherwise indicated.","source_license":"CC0","license_restricted":false}