Is pelvic endometriosis always associated with chronic pain? A retrospective study of 618 cases diagnosed by laparoscopy
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This retrospective study examined 618 laparoscopically diagnosed cases to determine if pelvic endometriosis is always associated with chronic pain.
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Abstract
OBJECTIVE: To establish a relationship between pelvic pain and the stage and severity of pelvic endometriosis determined according to the revised American Fertility Society classification.
STUDY DESIGN: Retrospective study of 618 cases diagnosed by laparoscopy as endometriosis at the Tohoku University Hospital from 1984 to 1991.
RESULTS: Pelvic pain did not appropriately reflect the stage and severity of pelvic endometriosis in 40% of patients. Although the pain in some patients in stage IV showed some correlation with the stage and severity of the disease, others had either no symptoms or paradoxically complained of less pain than those patients with stage I or II endometriosis.
CONCLUSIONS: With the present revised American Fertility Society classification of endometriosis we cannot evaluate the severity of pelvic pain.
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- Pathophysiological Basis of Endometriosis-Linked Stress Associated with Pain and Infertility: A Conceptual Review 2020
- Transvaginal US of Endometriosis: Looking Beyond the Endometrioma with a Dedicated Protocol 2019
- Abdominal-pelvic pain in female patients with endometriosis - a review of the literature 2018
- Ultrastructural Investigation of Pelvic Peritoneum in Patients With Chronic Pelvic Pain and Subtle Endometriosis in Association With Chromoendoscopy 2016
- Surgical evaluation and treatment of the patient with chronic pelvic pain 2014
- Diagnosis of interstitial cystitis/bladder pain syndrome in women with chronic pelvic pain: a prospective observational study 2012
- The emerging role of epigenetics in the aetiology of endometriosis. 2011
- Could chronic pelvic pain be a functional somatic syndrome? 2011
- Practical guide to laparoscopic pain mapping 2010
- Endometriosis 2009
- Dolor pélvico crónico e infertilidad como factores diagnósticos de endometriosis 2008
- Psychological aspects of endometriosis: differences between patients with or without pain on four psychological variables 2007
- Doença tiroideana auto-imune e disfunção tiroideana em mulheres portadoras de endometriose 2007
- Chronic pelvic pain: a challenge 2007
- The role of laparoscopic surgery in current treatment of endometriosis 2006
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- Diagnosis, treatment and follow up of women undergoing conscious pain mapping for chronic pelvic pain: a prospective cohort study 2006
- Case report: Laparoscopic resection of the cervical adenomyoma alleviated severe chronic pelvic pain 2005
- Painful menstruation: endometriosis 2005
- Posterior cul-de-sac obliteration associated with endometriosis: MR imaging evaluation 2005
- Medical management of chronic pelvic pain 2005
- Painful menstruation 2005
- Sistema intra-uterino liberador de levonorgestrel no controle da dor pelvica em mulheres com endometriose 2005
- The impact of endometriosis upon quality of life: a qualitative analysis 2004
- Medical management of chronic pelvic pain: the evidence 2004
- Laparoscopic mobilization of the rectosigmoid and excision of the obliterated cul-de-sac 2003
- Putting Pain to Paper: Endometriosis and the Documentation of Suffering 2003
- Endometriosis 2003
- Avaliação do tempo decorrido entre o inicio dos sintomas e o diagnostico de endometriose 2002
- Aetiology and medical treatment of endometriosis 2000
- Causes of chronic pelvic pain 2000
- Pitfalls of the medical paradigm in chronic pelvic pain 2000
- Peritoneal fluid interleukin-6 in women with chronic pelvic pain 2000
- Current drug therapy recommendations for the treatment of endometriosis 1999
- Chronic pelvic pain as a somatoform disorder 1999
- [Not Available] 1999
- Changing trends in the diagnosis of endometriosis: a comparative study of women with pelvic endometriosis presenting with chronic pelvic pain or infertility 1997
- The relationship between laparoscopic disease, pelvic pain and infertility; an unbiased assessment 1997
- Chronic Pelvic Pain: An Enigma 1997
- Pain relief after combined medical and laparoscopic conservative treatment of stage III–IV endometriosis: A comparison with medical therapy 1996
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