A long-term follow-up study of women with asymptomatic endometriosis diagnosed incidentally at sterilization

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This long-term follow-up study investigated the clinical progression and outcomes for women who were incidentally diagnosed with asymptomatic endometriosis during sterilization procedures.

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Abstract

OBJECTIVE: To evaluate whether asymptomatic endometriosis diagnosed in connection with tubal sterilization is likely to cause symptoms later in the woman's life. DESIGN: Controlled, clinical follow-up study of women who were examined for endometriosis in connection with tubal sterilization performed between 1986 and 1989. SETTING: University hospital. PATIENT(S): Thirty-nine women with mostly minimal endometriosis discovered at sterilization and 157 control women with no endometriosis discovered at sterilization. INTERVENTION(S): Interview in 2001 by a posted questionnaire. MAIN OUTCOME MEASURE(S): Report on pain, pelvic operations, menopausal status, and use of hormone replacement therapy. RESULT(S): Pelvic pain was more frequently reported by controls than by women with endometriosis (28% vs. 6%). There was no significant difference between the groups concerning dysmenorrhea, premenstrual pain, or dyspareunia, nor was there any significant difference in the hysterectomy rate. CONCLUSION(S): There is little risk that asymptomatic, minimal endometriosis found incidentally will become symptomatic.

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Sterilization, Tubal Sterilization, Tubal Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometrial Hyperplasia Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Endometriosis Estrogen Replacement Therapy Estrogen Replacement Therapy Female Female Follow-Up Studies Follow-Up Studies Humans

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References (21)

Cited by (48)

Source provenance

europepmc
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openalex
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pubmed
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License: CC0 · commercial use OK