The effect of endometrioma cystectomy on dysmenorrhea and noncyclic pelvic pain

Aim: In this study, we aimed to evaluate the effect of endometrioma cystectomy on dysmenorrhea and noncyclic pelvic pain with a linear visual analog scale (VAS).Material and Methods: Sixteen patients who were admitted with the diagnosis of symptomatic endometrioma and planned for endometrioma cystectomy were included in the study.Ten patients for whom cystectomy was decided due to non-endometriotic benign ovarian cysts were included in the control group.Pre-and postoperative VAS scores were recorded in the control group.Before the operation and in the first and third months of the postoperative period, patients with dysmenorrhea and noncyclic pelvic pain were asked to mark the perceived pain intensity on a 100 mm horizontal line.The area they marked was measured from the left edge with a ruler divided into 1 mm units and VAS scores were recorded.Results: VAS values recorded to determine the severity of dysmenorrhea before endometrioma cystectomy decreased significantly in the first and third-month scorings after cystectomy.Similarly, VAS values recorded to evaluate noncyclic pelvic pain intensity before cystectomy decreased significantly in the first and third postoperative months.A more significant decrease was found in the VAS values recorded in the third month for both dysmenorrhea and noncyclic pelvic pain compared to the first month.Uni-or bilateral endometrioma did not significantly affect the decrease in VAS values.There were non-significant decreases in preoperative and postoperative VAS scores of the patients in the control group.There was no significant difference between the mean pain reductions for dysmenorrhea and noncyclic pelvic pain.Discussion: Endometrioma cystectomy leads to a significant decrease in dysmenorrhea and noncyclic pelvic pain VAS scores.The decrease in VAS values becomes more evident as the postoperative period is prolonged.