Serum Vitamin D Levels, Visual Analog Scale Dysmenorrhea Score, and Endometriosis ASRM Classification: a Relationship Study

Selly Rizany, Adnan Abadi, Patiyus Agustiansyah, Awan Nurtjahyo, Irfanuddin, Fatimah Usman, Hartati Hartati, Putri Mirani, Ratih Krisna, Rizani Amran, Muhammad Ath Thaariq Prasetiyo
In: Indonesian Journal of Obstetrics and Gynecology · 2024 · pp. 46–54 · doi:10.32771/inajog.v12i1.1947 · W4391590206
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This study found significant positive correlations between serum vitamin D levels, dysmenorrhea intensity as measured by the VAS score, and the severity of endometriosis based on ASRM classification.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This cross-sectional study assessed whether serum vitamin D levels correlate with dysmenorrhea intensity (measured by visual analogue scale, VAS) and with endometriosis severity graded by the American Society of Reproductive Medicine (ASRM) score in 37 women with suspected endometriosis recruited from RSUP Dr. Mohammad Hoesin Palembang between November 2021 and April 2022. Using bivariate analyses (Pearson and Spearman correlation), the authors found a significant positive correlation between vitamin D levels and dysmenorrhea VAS scores (r = 0.678, p = 0.000) and a very strong positive correlation between vitamin D levels and ASRM stage (r = 0.774, p = 0.000). The paper does not report additional limitations in the provided text beyond the cross-sectional design and small sample. This paper is centrally about endometriosis — it examines correlations between vitamin D, dysmenorrhea severity, and ASRM-classified endometriosis stage.

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Abstract

Objective: To assess the correlation between vitamin D levels, dysmenorrhea intensity measured by the visual analogue scale (VAS), and the stage of endometriosis determined by the American Society of Reproductive Medicine (ASRM) grading score. Methods: A cross-sectional study was conducted involving 37 women diagnosed with suspected endometriosis who met the inclusion and exclusion criteria. The aim was to determine the correlation between vitamin D levels, dysmenorrhea VAS scores, and the ASRM endometriosis stage at RSUP Dr. Mohammad Hoesin Palembang from November 2021 to April 2022. Bivariate analysis was employed to assess correlation, utilizing Pearson's correlation test and the Spearman Rank correlation test as an alternative method. Results: There was a significant positive correlation between vitamin D levels and the VAS score for dysmenorrhea (r = 0.678; p = 0.000) and a very strong positive correlation between vitamin D levels and the degree of endometriosis (r = 0.774; p = 0.000) based on Spearman Rho's correlation test. Conclusion: There is a significant relationship between vitamin D levels with the VAS score of dysmenorrhea and the degree of endometriosis ASRM. Keywords: american society of reproductive medicine, endometriosis, visual analogue scale, vitamin D
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Objective

To assess the correlation between vitamin D levels, dysmenorrhea intensity measured by the visual analogue scale (VAS), and the stage of endometriosis determined by the American Society of Reproductive Medicine (ASRM) grading score.

Methods

A cross-sectional study was conducted involving 37 women diagnosed with suspected endometriosis who met the inclusion and exclusion criteria. The aim was to determine the correlation between vitamin D levels, dysmenorrhea VAS scores, and the ASRM endometriosis stage at RSUP Dr. Mohammad Hoesin Palembang from November 2021 to April 2022. Bivariate analysis was employed to assess correlation, utilizing Pearson's correlation test and the Spearman Rank correlation test as an alternative method.

Results

There was a significant positive correlation between vitamin D levels and the VAS score for dysmenorrhea (r = 0.678; p = 0.000) and a very strong positive correlation between vitamin D levels and the degree of endometriosis (r = 0.774; p = 0.000) based on Spearman Rho's correlation test.

Conclusion

There is a significant relationship between vitamin D levels with the VAS score of dysmenorrhea and the degree of endometriosis ASRM.

Keywords

american society of reproductive medicine, endometriosis, visual analogue scale, vitamin D

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Outcome instruments

VAS-pain

Condition tags

endometriosisdysmenorrhea

Citation neighborhood

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References (33)

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