Dysmenorrhea: Risk Factors in Women with Endometriosis

Xishi Liu, Sun Guo, Sun-Wei Guo
Women's health (London, England) · 2008 · vol. 4(4) , pp. 399–411 · doi:10.2217/17455057.4.4.399 · PMID:19072504 · W2090002101
review OA: gold CC0 ⤵ 17 in-corpus citations
📄 Open PDF View on OpenAlex View on PubMed View at publisher

Abstract

Although it is generally accepted that endometriosis is responsible for dysmenorrhea, as well as other symptoms such as infertility, the precise relationship between the severity of dysmenorrhea and various characteristics of disease, such as stage and the type or site of endometriotic lesions, has been elusive and often a matter of heated debate, owing largely to conflicting reports. Here we review factors that are reported to be associated with dysmenorrhea in endometriosis. We also demonstrate, through a real example, that different statistical models employed in data analyses may yield somewhat different sets of risk factors, and the difference may not be always resolved within the same data set. In addition, we make the point that despite the best-fitting models, there may still be a sizable portion of variation in the severity of dysmenorrhea that can not be explained completely by the identified risk factors, suggesting that factors other than those of surgical findings or patient characteristics may also be responsible for dysmenorrhea severity. We review some possible factors that may also be responsible for the risk and severity of dysmenorrhea. Finally, we expose areas in need of further research.

My notes (saved in your browser only)

Condition tags

dysmenorrheaendometriosischronic_pelvic_paininfertility

MeSH descriptors

Dysmenorrhea Endometriosis Ovarian Diseases Severity of Illness Index Women's Health Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Evidence-Based Medicine Female Humans Logistic Models Ovarian Diseases Ovarian Diseases Pain Measurement Pain Measurement Pelvic Pain Pelvic Pain Quality of Life

Citation neighborhood

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.

References (73)

Cited by (17)

Source provenance

europepmc
last seen: 2026-06-11T06:19:48.454388+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:14:18.065553+00:00
License: CC0 · commercial use OK