Association of endometriosis and pelvic pain disorders: A single centre experiences

Background: Endometriosis involves estrogen-dependent, progesterone-resistant tissue growth outside the uterus. The condition significantly decreases the quality of life due to chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility, affecting 35-50% of those with endometriosis. Management includes hormonal treatments and surgery, yet chronic pelvic pain remains prevalent, impacting daily activities and well-being.Aim of the study: This study aims to explore the association between endometriosis and various pelvic pain disorders.Methods: This prospective observational study was conducted at the Department of Obstetrics and Gynecology in BSMMU, Dhaka, from June 2022 to July 2023. During the study period, 180 women who were diagnosed with endometriosis were enrolled and analyzed after obtaining institutional ethical approval.Results: The study's mean age was 31.8 years. Most were married (70%), and 46.67% were unemployed. Education levels varied: 12.78% were illiterate, 20% completed school, 38.33% attended college, and 28.89% held a university degree. Endometriosis stages were 42.78% Stage 4, 30.56% Stage 3, 20.56% Stage 2, and 6.11% Stage 1. Common symptoms included severe dysmenorrhea (89.44%), pelvic pain (78.33%), and ovulation pain (46.67%). Pelvic pain during periods and intercourse was prevalent, with 86.11% reporting it during periods. Pain management included prescription painkillers (62.22%), and daily living was affected by 64.89%.Conclusion: The study reveals a significant link between endometriosis and severe pelvic pain, with advanced stages prevalent among participants. The findings underscore the importance of timely diagnosis and effective management to alleviate pain and improve quality of life.