Impact of Endometriosis-Related Adhesions on Quality of Life among Infertile Women.

Abd El-Kader AI, Azza Ibrahim Abd El-Kader, Amina Gonied, Amina Saad Gonied, Gonied AS, Lotfy Mohamed M, Mohamed Lotfy Mohamed, Sabah Mohamed, Sabah Lotfy Mohamed, Lotfy Mohamed S
International journal of fertility & sterility · 2019 · vol. 13(1) , pp. 72–76 · doi:10.22074/ijfs.2019.5572 · PMID:30644248 · PMC6334013 · W2982371334
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This study found that endometriosis-related pelvic adhesions, particularly adnexal, negatively impacted the quality of life in infertile women undergoing laparoscopy.

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This descriptive study evaluated how endometriosis-related adhesions affect quality of life in 109 infertile women diagnosed with endometriosis who were candidates for laparoscopy, using an adhesion scoring method from the American Fertility Society and a Global Quality of Life Scale. Women were divided into those with endometriosis and adhesions (n=41) versus those with endometriosis without adhesions (n=68), and the prevalence of endometriosis-related adhesions was 37.6%, with adnexal adhesions reported as the most common location. The authors found that quality of life was significantly impacted by the presence of endometriosis-related adhesions (P=0.002), while demographic characteristics did not significantly differ between groups. The paper is centrally about endometriosis — specifically, the impact of endometriosis-related adhesions on quality of life among infertile women.

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Abstract

BACKGROUND: Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosisassociated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women. MATERIALS AND METHODS: This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I (n=41) who had endometriosis with adhesions and group II (n=68) who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information. RESULTS: The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endometriosis- related adhesions. The most common location for endometriotic adhesions was adnexal adhesion (51.2%) followed by adhesion of anterior abdominal wall (24.4%). Quality of life was significantly impacted by endometriosisrelated adhesions (P=0.002). CONCLUSION: A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endometriosis had an impact on quality of life of the studied women.
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International Journal of Fertility and Sterility (Apr 2019) Impact of Endometriosis-Related Adhesions on Quality of Life among Infertile Women Abstract Background Endometriosis is considered the most common cause of pelvic adhesions in women. Endometriosis- associated adhesions could result in the formation of fibrous bands, which contain endometriotic glands, stroma and scarring. The aim of this study was to identify the impact of endometriosis-related adhesions on quality of life among infertile women. Materials and Methods This descriptive study was conducted at Endoscopic Unit, in Zagazig University Hospitals, Egypt. Oral consent for participation in this study was taken from 109 women who were candidates for laparoscopy as infertile cases and were diagnosed with endometriosis. They were classified into two groups namely, group I (n=41) who had endometriosis with adhesions and group II (n=68) who had endometriosis without adhesions. A structured interviewing form, adhesion scoring method of the American Fertility Society, and Global Quality of Life Scale were used to collect required information. Results The prevalence of adhesions resulted from endometriosis was 37.6%. Demographic characteristics of the women with endometriosis-related adhesions were not significantly different from those of women without endome- triosis-related adhesions. The most common location for endometriotic adhesions was adnexal adhesion (51.2%) fol- lowed by adhesion of anterior abdominal wall (24.4%). Quality of life was significantly impacted by endometriosis- related adhesions (P=0.002). Conclusion A high percentage of studied patients had a moderate degree of adhesions. Adhesions caused by endo- metriosis had an impact on quality of life of the studied women. Keywords

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