Pain symptoms associated with endometriosis
Observational
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⤵ 122 in-corpus citations
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Endometriosis patients reported more frequent and severe pelvic pain, especially with advanced disease, and ovarian endometriomas were linked to severe dysmenorrhea and pelvic pain.
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Abstract
We evaluated the prevalence and severity of dysmenorrhea, pelvic pain, and deep dyspareunia and their relation to disease stage and site in 124 infertile women with endometriosis and 67 infertile women with normal findings. Seventy-eight endometriosis patients had stages I-II disease and 46 had stages III-IV. The frequency of dysmenorrhea was similar in patients and controls; pelvic pain was more frequent only in patients with stages III-IV, whereas deep dyspareunia was more prevalent regardless of disease stage. Dysmenorrhea was significantly more severe in stages III-IV patients than in either stages I-II patients or controls. Pelvic pain was more severe in stages III-IV, but we observed a statistically significant difference only in comparison with stages I-II. An association of two or more pain symptoms was more frequent in women with endometriosis than in those with normal pelves (relative risk = 3.1, 95% confidence interval 1.52-6.46). Ovarian endometriomas were the only lesions significantly associated with severe dysmenorrhea and pelvic pain. We conclude that endometriosis in infertile women causes pelvic pain, the severity of which is related to the extent of the disease.
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Cited by (50)
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- Systematic review of patient-specific pre-operative predictors of pain improvement to endometriosis surgery 2021
- Brief Review of Endometriosis and the Role of Trace Elements 2021
- Relationship between the severity of endometriosis symptoms (dyspareunia, dysmenorrhea and chronic pelvic pain) and the spread of the disease on ultrasound 2020
- Relationship between the Severity of Endometriosis Symptoms (Dyspareunia, Dysmenorrhea and Chronic pelvic pain) with the Spread of the Disease on Ultrasound 2020
- Ultrasound-Based Endometriosis Scoring System 2020
- Endometriosis-related pelvic pain following laparoscopic surgical treatment 2020
- Relationship between the Severity of Endometriosis Symptoms (Dyspareunia, Dysmenorrhea and Chronic pelvic pain) with the Spread of the Disease on Ultrasound 2020
- Relationship between the Severity of Endometriosis Symptoms (Dyspareunia, Dysmenorrhea and Chronic pelvic pain) with the Spread of the Disease on Ultrasound 2020
- A detailed profile of pain in severe endometriosis 2019
- [Specific clinical signs suggestive of endometriosis (excluding adenomyosis) and questionnaires of symptoms, pain and quality of life: CNGOF-HAS Endometriosis Guidelines] 2018
- Unusual presentation of a case of ovarian endometrioma 2018
- Prostaglandin E2 receptor EP1 in healthy and diseased human endometrium 2017
- How to Understand the Complexity of Endometriosis-Related Pain 2017
- Endometriosis in Adolescents: A Systematic Review 2017
- Which factors are associated with the recurrence of endometrioma after cystectomy? 2017
- Avaliação antropométrica em mulheres com dor pélvica crônica 2017
- Nerve fibers and endometriotic lesions: partners in crime in inflicting pains in women with endometriosis 2016
- A Multivariate Analysis of Correlation between Severity and Duration of Symptoms, Patient Profile and Stage of Endometriosis 2016
- [Quality of life after deep pelvic endometriosis surgery: Evaluation of a French version of the EHP-30] 2015
- Endometriose: Pathogenese, Symptome und Diagnostik 2015
- Aspectos clínicos de la endometriosis 2015
- Endometrioma ovárico 2015
- Pain typology and incident endometriosis 2015
- Effect of Surgical Removal of Endometriomas on Cyclic and Non-cyclic Pelvic Pain 2015
- Laparoscopic management of moderate: Severe endometriosis 2014
- Clinical and endocrine features of Brazilian infertile women with or without endometriosis: A comparative cross-sectional study 2014
- Systematic review of endometriosis pain assessment: how to choose a scale? 2014
- The peritoneum--an important factor for pathogenesis and pain generation in endometriosis 2014
- Comparison of patient- and physician-based descriptions of symptoms of endometriosis: a qualitative study 2013
- Effect of surgical removal of endometriomas on cyclic and non-cyclic pelvic pain 2013
- Association between Endometriosis and Heavy Metals in a Group of Sri Lankan Women of Reproductive Age 2012
- Clinical predictors of endometriosis in the infertility population: is there a better way to determine who needs a laparoscopy? 2012
- Pelvic pain in women with ovarian endometrioma is mostly associated with coexisting peritoneal lesions 2012
- Endometriosis 2012
- Ovarian endometrioma: severe pelvic pain is associated with deeply infiltrating endometriosis 2012
- Endometriosis: Disease Classification and Behavior 2011
- Endometriosis-associated nerve fibers, peritoneal fluid cytokine concentrations, and pain in endometriotic lesions from different locations 2011
- [Surgery for the management of ovarian endometriomas: from the physiopathology to the pre-, peri- and postoperative treatment] 2011
- Optimal management of chronic cyclical pelvic pain: an evidence-based and pragmatic approach 2010
- Surgical Management Options for Patients with Infertility and Endometriosis 2010
- Trichostatin A, a histone deacetylase inhibitor, reduces lesion growth and hyperalgesia in experimentally induced endometriosis in mice 2010
- Huge ovarian endometrioma—a case report 2009
- Accuracy of laparoscopy for assessing patients with 2008
- Risk factors for dysmenorrhea and its severity in women with ovarian endometriomas 2008
- Análise da associação entre o quadro clínico referido pelas pacientes portadoras de endometriose e o local de acometimento da doença 2008
- Accuracy of laparoscopy for assessing patients with endometriosis 2008
- Dysmenorrhea: risk factors in women with endometriosis 2008
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