PECULIARITIES OF CLINICAL AND PARACLINICAL INVESTIGATIONS OF WOMEN WITH OVARIAN ENDOMETRIOMAS IN COMBINATION WITH PELVIC INFLAMMATORY DISEASE

Ruslana Bihun, Iryna Orishchak, N. I. Henyk, О.М. Ostrovska, V. D. Vorobiy, Oksana Zhukuliak
In: World of Medicine and Biology · 2022 · vol. 18(81) , pp. 021 · doi:10.26724/2079-8334-2022-3-81-21-25 · W4312235041
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This study analyzed 210 women with ovarian endometriomas, finding recurrent cysts are associated with older age, severe pain, and endometriosis, especially in older patients with impaired reproductive function.

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This 2022 clinical and paraclinical study evaluated 210 women with ovarian endometriomas, categorizing newly detected versus recurrent endometriomas and stratifying by cyst size (≤4 cm vs >4 cm). The authors report that 27.1% had newly detected endometriomas ≤4 cm, 21.9% newly detected cysts >4 cm, 33.8% recurrent cysts ≤4 cm, and 17.1% recurrent cysts >4 cm, with higher age, severe pelvic pain, and more pronounced external genital endometriosis features associated with recurrent endometriomas compared with newly detected cysts. They further describe an age-related pattern in young women, where unilateral endometriomas up to 4 cm more often coincide with milder genital endometriosis, whereas in older patients endometriomas recur more often regardless of size and are linked to severe disease and impaired reproductive function, while pelvic inflammatory disease is included in the study context. This paper is centrally about endometriosis—specifically ovarian endometriomas and how their clinical/paraclinical features relate to age, recurrence, pelvic pain, and coexisting pelvic inflammatory disease.

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Clinical medicine PECULIARITIES OF CLINICAL AND PARACLINICAL INVESTIGATIONS OF WOMEN WITH OVARIAN ENDOMETRIOMAS IN COMBINATION WITH PELVIC INFLAMMATORY DISEASE Published 2022-06-15 Authors: RB Bihun R.V. IO Orishchak I.K. NH Henyk N.I. OO Ostrovska O.M. VV Vorobiy V.D. OZ Zhukuliak O.M. - Abstract: - Endometriomas occupy a significant part in the structure of genital endometriosis. A clinical and paraclinical study of 210 patients with endometriomas was conducted. 57 patients (27.1 %) had newly detected endometrial cysts ≤ 4 cm, 46 women (21.9 %) had cysts > 4 cm. Recurrent endometriomas ≤ 4 cm were detected in 71 patients (33.8 %), while > 4 cm were in 36 women (17.1 %). A higher age, severe pelvic pain, and severe manifestations of external genital endometriosis were found in patients with recurrent endometriomas compared to those with newly detected endometrial cysts. In young women, unilateral endometriomas up to 4 cm in size are more often combined with a mild form of genital endometriosis, whereas in older patients endometrioid ovarian cysts, regardless of size, recur more often, are combined with severe manifestations of genital endometriosis, and are accompanied by impaired reproductive function. - Keywords: - endometrioma pelvic inflammatory disease pelvic pain tumor markers infertility - References: - - Lytvynenko OV, Hromova AM, Nesterenko LA, Martynenko VB, Liakhovska TIu. Osoblyvosti perebihu pislyaoperatsiynoho periodu u zhinok z leyomiomoyu matky pislya embolizatsiyi matkovykh arteriy. Svit Medytsyny ta Biolohiyi. 2019;3(69):105–8. doi: 10.26724/2079-8334-2019-3-69-105-108 [in Ukrainian] - Orlova YuA, Martynenko VB. Endometrioz yak hlobalna bahatorivneva problema, retrospektyvna kharakterystyka khvorykh. Aktualni problemy suchasnoi medytsyny: Visnyk Ukrainskoyi medychnoyi stomatolohichnoi akademii. 2020;20(2):63–69. doi:10.31718/2077-1096.20.2.63. [in Ukrainian] - Shemelko TL, Pedachenko NYu. Bezplidnist ta endometrioz. Retrospektyvnyy analiz. Odeskyi medychnyi zhurnal. 2018;2:35–39. [in Ukrainian] - Brink Laursen J, Schroll JB, Macklon KT, Rudnicki M. Surgery versus conservative management of endometriomas in subfertile women. A systematic review. Acta Obstet. Gynecol. Scand. 2017;96(6):727–735. doi:10.1111/aogs.13154. - Cohen A, Almog B, Tulandi T. Sclerotherapy in the management of ovarian endometrioma: systematic review and meta-analysis. Fertil Steril. 2017;108(1):117–124.e5. doi:10.1016/j.fertnstert.2017.05.015. - Eroğlu O, Yüksel S, Yüksel S. Statistical Method Selection In Medical Research. Social Sciences Studies Journal (SSSJournal). 2019;29:364–371. doi: 10.26449/sssj.1219. - Gogacz M, Gałczyński K, Wojtaś M, Winkler I, Adamiak A, Romanek-Piva K, et al. Fas-Related Apoptosis of Peritoneal Fluid Macrophages in Endometriosis Patients: Understanding the Disease. J Immunol Res. 2017;2017:3175394. doi: 10.1155/2017/3175394. - Gruber TM, Mechsner S. Pathogenesis of Endometriosis: The Origin of Pain and Subfertility. Cells. 2021;10(6):1381. doi:10.3390/cells10061381. - Jiang D, Zhang X, Shi J, Tao D, Nie X. Risk factors for ovarian endometrioma recurrence following surgical excision: a systematic review and meta‑analysis. Arch Gynecol Obstet. 2021;304(3):589–598. doi: 10.1007/s00404-021-06129-0. - Koninckx PR, Fernandes R, Ussia A, Schindler L, Wattiez A, Al-Suwaidi S, et al. Pathogenesis Based Diagnosis and Treatment of Endometriosis. Front Endocrinol (Lausanne). 2021 Nov 25;12:745548. doi: 10.3389/fendo.2021.745548. - Matalliotakis M, Goulielmos GN, Matalliotaki C, Trivli A, Matalliotakis I, Arici A. Endometriosis in Adolescent and Young Girls: Report on a Series of 55 Cases. J Pediatr Adolesc Gynecol. 2017 Oct;30(5):568–570. doi: 10.1016/j.jpag.2017.05.007. - Sanchez AM, Vanni VS, Bartiromo L, Papaleo E, Zilberberg E, Candiani M, et al. Is the oocyte quality affected by endometriosis? A review of the literature. J Ovarian Res. 2017 Jul 12;10(1):43. doi:10.1186/s13048-017-0341-4. - Seo JW, Lee DY, Yoon BK, Choi D. The age-related recurrence of endometrioma after conservative surgery. Eur J Obstet Gynecol Reprod Biol. 2017;208:81–85. doi:10.1016/j.ejogrb.2016.11.015. - Tanbo T, Fedorcsak P. Endometriosis-associated infertility: aspects of pathophysiological mechanisms and treatment options. Acta Obstet Gynecol Scand. 2017 Jun;96(6):659-667. doi: 10.1111/aogs.13082. - Vallvé-Juanico J, Houshdaran S, Giudice LC. The endometrial immune environment of women with endometriosis. Hum Reprod Update. 2019 Sep 11;25(5):564–591. doi: 10.1093/humupd/dmz018. - Publication: - «World of Medicine and Biology» Vol. 18 No. 81 (2022), pp. 21-25 UDC 618.1, 616-036.12:[616-006.88:: 618.11+ 616-002.2] How to Cite 1. Bihun R, Orishchak I, Henyk N, Ostrovska O, Vorobiy V, Zhukuliak O. PECULIARITIES OF CLINICAL AND PARACLINICAL INVESTIGATIONS OF WOMEN WITH OVARIAN ENDOMETRIOMAS IN COMBINATION WITH PELVIC INFLAMMATORY DISEASE. СМБ [Internet]. 2022 Jun. 15 [cited 2026 Jul. 9];18(81):21-5. Available from: https://womab.com.ua/article/view/1322 Share

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