Coitus during menses. Its effect on endometriosis and pelvic inflammatory disease.
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Coitus during menses was associated with a higher frequency of endometriosis but not pelvic inflammatory disease, while both conditions increased the rate of tubal infertility factors.
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Abstract
Four hundred ninety-eight consecutive new female patients in a private obstetrics-gynecology practice were asked about their coital habits during menses (SxMs/F = frequent, SxMs/O = occasional, SxMs/N = never) and history of pelvic inflammatory disease (PID). Endometriosis and tubal infertility factor were diagnosed on laparoscopy or laparotomy. The frequency of endometriosis was higher (P less than .05) in patients with coitus during menses (SxMs/F + O) (17.5%) than in the SxMs/N group (10.9%). The frequency of PID was not different between the SxMs/F + O (10.8%) and SxMs/N (9.7%) groups. Thirty-five percent of the infertility patients had a tubal infertility factor. The frequency of tubal infertility factors was higher in the PID group (78.4%) than in the non-PID group (30.4%) (P less than .001). Endometriosis was associated with an increase in tubal infertility factors (47.9% vs. 33.3% in the nonendometriosis group) but to a lesser degree than PID. The frequency of PID in the group with a tubal infertility factor was higher (22.7% vs. no tubal factor, 3.4%) (P less than .001), and the frequency of endometriosis was higher in the group with a tubal infertility factor (19.3% vs. no tubal factor, 11.5%) (P less than .05). Coitus during menses appeared to increase the chances of endometriosis but not of PID. The rate of tubal infertility factors increased in both PID and endometriosis.
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Cited by (17)
- A new look at the theoretical causes of endometriosis: Narrative review 2024
- Sexual Activity during Menstruation as A Risk Factor for Endometriosis: A Systematic Review and Meta-Analysis 2023
- Association between Sexual Activity during Menstruation and Endometriosis: A Case-Control Study. 2019
- Is Vaginal Sexual Intercourse Permitted during Menstruation? A Biblical (Christian) and Medical Approach. 2018
- Trauma and endometriosis. A review. May we explain surgical phenotypes and natural history of the disease? 2017
- Seminal Plasma Promotes Lesion Development in a Xenograft Model of Endometriosis 2015
- Prevention of Endometriosis 2014
- Risk factors associated with endometriosis: importance of study population for characterizing disease in the ENDO Study 2013
- Prise en charge diagnostique et thérapeutique de l'endométriose par les médecins généralistes de Seine-Maritime 2012
- Clinical Aspects of Endometriosis 2010
- Semi-invasive Diagnosis of Endometriosis Doctoral Thesis 2010
- Traitements des localisations urologiques de l'endométriose 2009
- Early menstrual characteristics associated with subsequent diagnosis of endometriosis 2009
- Sources of heterogeneities in estimating the prevalence of endometriosis in infertile and previously fertile women 2006
- Sexual Activity, Orgasm and Tampon Use Are Associated with a Decreased Risk for Endometriosis 2002
- Endometriosis 2000
- EPIDEMIOLOGY OF ENDOMETRIOSIS 1997
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