Prevalence of Pain Syndromes, Mood Conditions, and Asthma in Adolescents and Young Women with Endometriosis

Noam Smorgick, Courtney Marsh, Courtney A Marsh, Marsh CA, Sawsan As-Sanie, Sawsan As‐Sanie, Yolanda R. Smith, Smith YR, Elisabeth H. Quint, Quint EH
Journal of Pediatric and Adolescent Gynecology · 2013 · vol. 26(3) , pp. 171–175 · doi:10.1016/j.jpag.2012.12.006 · PMID:23507008 · W2042442708
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This study investigated the co-occurrence of pain syndromes, mood conditions, and asthma among adolescents and young women diagnosed with endometriosis.

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Abstract

Study objectiveAdult women with endometriosis are often diagnosed with comorbid pain, mood, and autoimmune conditions. This study aims to describe the occurrence of pain syndromes, mood conditions, and asthma in adolescents and young women with endometriosis evaluated at our medical center.DesignRetrospective review of medical records.SettingDepartment of Obstetrics and Gynecology at a tertiary referral center.Participants138 adolescents/young women who were less than age 24 years at the time of their initial visit at our medical center, and whose surgical diagnosis of endometriosis was made at our institution or by outside institutions by the age of 21.InterventionsNone.Main outcome measuresPrevalence of comorbid pain syndromes (defined as interstitial cystitis, irritable bowel syndrome, chronic headaches, chronic low back pain, vulvodynia, fibromyalgia, temporomandibular joint disease, and chronic fatigue syndrome), mood conditions (defined as depression and anxiety), and asthma.ResultsComorbid pain syndromes were found in 77 (56%) women, mood conditions in 66 (48%) women, and asthma in 31 (26%) women. Comparing endometriosis patients with and without comorbid pain syndromes, no differences were found in age at time of diagnosis, endometriosis symptoms, and endometriosis stage. Patients with comorbid pain syndromes were more likely to report mood conditions (62% vs 30% respectively, P < .001) and smoking (31% vs 10% respectively, P = .003), underwent more surgeries for endometriosis (median of 2 [range, 1-7] vs 1 [range, 1-5], P < .005), and were more likely to undergo appendectomy or cholecystectomy (30% vs 13%, P = .02).ConclusionsComorbid pain syndromes, mood conditions and asthma are common in adolescents and young women with endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Anxiety Asthma Depression Endometriosis Pain Adolescent Adult Anxiety Asthma Comorbidity Cystitis, Interstitial Cystitis, Interstitial Depression Endometriosis Endometriosis Endometriosis Fatigue Syndrome, Chronic Fatigue Syndrome, Chronic Female Fibromyalgia

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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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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