Questioning patients about their adolescent history can identify markers associated with deep infiltrating endometriosis

Chapron C, Charles Chapron, Lafay-Pillet MC, Marie-Christine Lafay-Pillet, Elise Monceau, Monceau E, É. Monceau, Borghese B, Bruno Borghese, Charlotte Ngô, Souza C, Carlos Augusto Bastos de Souza, Carlos Souza, Dominique de Ziegler, de Ziegler D
Fertility and sterility · 2010 · vol. 95(3) , pp. 877–881 · doi:10.1016/j.fertnstert.2010.10.027 · PMID:21071024 · W2087004655
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This study investigated whether questioning patients about their adolescent history could identify markers associated with deep infiltrating endometriosis.

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Abstract

OBJECTIVE: To investigate whether the clinical history, particularly of the adolescence period, contains markers of deeply infiltrating endometriosis (DIE). DESIGN: Cross-sectional study. SETTING: Universitary tertiary referral center. PATIENT(S): Two hundred twenty-nine patients operated on for endometriosis. Endometriotic lesions were histologically confirmed as non-DIE (superficial peritoneal endometriosis and/or ovarian endometriomas) (n = 131) or DIE (n = 98). INTERVENTION(S): Surgical excision of endometriotic lesions with pathological analysis of each specimens. MAIN OUTCOME MEASURE(S): Epidemiological data, pelvic pain scores, family history of endometriosis, absenteeism from school during menstruation, oral contraceptive (OC) pill use. RESULT(S): Patients with DIE had significantly more positive family history of endometriosis (odds ratio [OR] = 3.2; 95% confidence interval [CI]: 1.2-8.8) and more absenteeism from school during menstruation (OR = 1.7; 95% CI: 1-3). The OC pill use for treating severe primary dysmenorrhea was more frequent in patients with DIE (OR = 4.5; 95% CI: 1.9-10.4). Duration of OC pill use for severe primary dysmenorrhea was longer in patients with DIE (8.4 ± 4.7 years vs. 5.1 ± 3.8 years). There was a higher incidence of OC pill use for severe primary dysmenorrhea before 18 years of age in patients with DIE (OR = 4.2; 95% CI: 1.8-10.0). CONCLUSION(S): The knowledge of adolescent period history can identify markers that are associated with DIE in patients undergoing surgery for endometriosis.

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Condition tags

endometriosischronic_pelvic_paindie_deep_infiltrating

MeSH descriptors

Adolescent Health Services Adolescent Health Services Endometriosis Endometriosis Medical History Taking Absenteeism Absenteeism Adolescent Adolescent Adult Adult Contraceptives, Oral Contraceptives, Oral Contraceptives, Oral Cross-Sectional Studies Cross-Sectional Studies Endometriosis Endometriosis Endometriosis Family Health

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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