Symptom distribution among infertile and fertile endometriosis cases with different stages and localisations

Hikmet Hassa, Hassa H, Huseyin Mete Tanir, H. Mete Tanir, Tanir Hm, Uray M, Meryem Uray
European journal of obstetrics, gynecology, and reproductive biology · 2004 · vol. 119(1) , pp. 82–86 · doi:10.1016/j.ejogrb.2004.07.025 · PMID:15734090 · W1981327641
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This study investigated the differences in symptom distribution between infertile and fertile women diagnosed with endometriosis across various stages and locations.

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Abstract

ObjectiveTo evaluate endometriosis patients' symptoms and relate them to different stages and locations of endometriosis and also to fertility/infertility of the patients.Study designSixty-eight patients diagnosed with endometriosis constituted the population investigated in this cross-sectional observational study, 55 and 13 of whom were diagnosed from the visual findings recorded during laparoscopy and laparotomy, respectively. All cases were categorised as early- (stages I and II) or late (stages III and IV)-stage endometriosis and as fertile or infertile endometriosis. The extent of endometriosis was further divided into peritoneal, ovarian, and ovarian and peritoneal. Symptoms of dysmenorrhoea, deep dyspareunia, dyschesia and dysuria and also depressive mood state were analysed and compared among those different groups.ResultsCyclic chronic pelvic pain was more relevant in late-stage endometriosis (P = 0.04). Deep dyspareunia, painful defecation, dysuria, infertility, and depressive state did not differ with stages of endometriosis or fertility status. Admission for pelvic pain of any duration was more prevalent among fertile patients with endometriosis (P = 0.008). Chronic noncyclic pelvic pain was more frequently observed in patients with fertile than in those with infertile endometriosis (P = 0.01). More cases in the fertile group experienced noncyclic pelvic pain (P = 0.04). More patients admitted with cyclic pelvic pain had ovarian or ovarian and peritoneal endometriosis than peritoneal endometriosis only (P = 0.03). Infertility was more prevalent among peritoneal endometriosis cases than among those with ovarian or peritoneal and ovarian involvement (P = 0.008).ConclusionSymptoms of endometriosis may predict the stage and localisation of the disease to some extent.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Infertility, Female Pelvic Pain Adolescent Adult Cross-Sectional Studies Endometriosis Female Fertility Humans Infertility, Female Middle Aged Pelvic Pain Severity of Illness Index

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Cited by (17)

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