{"paper_id":"e4fbb228-d875-4853-af25-6aad03c807c1","body_text":"Prevalence and Severity of Endometriosis at Laparoscopic Treatment of Tubal Ectopic Pregnancy\nFunding: The authors received no specific funding for this work.\nABSTRACT\nBackground\nEndometriosis may have a causal role in ectopic pregnancies.\nAims\nTo observe the prevalence and staging of endometriosis in women at the time of laparoscopic treatment of tubal ectopic pregnancy.\nMethods\nProspective observational cohort study carried out in a tertiary obstetrics and gynaecology hospital. Seventy participants with ectopic pregnancy requiring laparoscopic treatment were recruited. A pre-operative questionnaire was completed by patients regarding symptoms of endometriosis and gynaecological history. A post operative questionnaire was completed by the surgical team regarding site of ectopic pregnancy, presence or absence of endometriosis and severity of endometriosis.\nResults\nAfter the exclusion of patients with non-tubal ectopic pregnancies, results were examined for 65 patients. Of the 65 histologically confirmed ectopic pregnancies, 36 had laparoscopically confirmed endometriosis, demonstrating a prevalence rate of 55% in our cohort. r-ARSM stage I or II (minimal or mild) disease made up 92% (33/36) of cases. There was little correlation between severity of patient symptoms and severity of endometriosis on laparoscopic evaluation.\nConclusion\nThis study demonstrates endometriosis is significantly more common in women with surgically managed tubal EP compared to the general population.\nConflicts of Interest\nThe authors declare no conflicts of interest.","source_license":"public-domain-us","license_restricted":false}