Relación entre índice de masa corporal y severidad de endometriosis

Introduction.Endometriosis is the third cause of gynecological morbidity. Its complications are associated with the implantation site of ectopic endometrial tissue and can produce sterility and functional disability. The pathology is related to the presence of immune reactions, autoimmune and inflammatory cell action in the peritoneal fluid, and the involvement of adipose tissue in the local production of estrogen. Some studies have observed a possible association between anthropometric measures and severity of endometriosis. Objective. To investigate the relationship between the endometriosis severities with body mass index (BMI). Material and meMaterial and meMaterial and meMaterial and meMaterial and methods. A retrospective, descriptive and observational study of patients diagnosed with endometriosis in the Infertility Clinic of the Woman’s Hospital, Ministry of Health. Results. The sample consisted of 115 women with a mean age of 32.8 ± 8.2 years, weight 63.1 ± 12.3 kg, height 1.56 ± 0.06 m. BMI 25.7 ± 4.8. Classified as: malnutrition 7.8% (n = 9), normal weight 43.5% (n = 59), mild obesity 31.3% (n = 36), moderate obesity 12.2% (n = 14), severe obesity 4.3 % (n = 1). Severity diagnosed by laparotomy 72.2% (n = 83) and laparoscopy 27.8% (n = 32). Stage I or mild severity 23.5% (n = 27), stage II or average 20.0% (n = 23), stage III or moderate 23.5% (n = 27), or severe stage IV 33.0% (n = 38). Conclusions. We observed an inverse (not significant) relationship between the BMI and the severity of endometriosis. Further studies are needed with methodological rigor and a larger population sample to clarify the role of BMI and the severity of endometriosis.