Risk Profiles Associated with Endometriosis among Infertile Women

In: Bangladesh Journal of Obstetrics & Gynaecology · 2020 · vol. 33(2) , pp. 131–139 · doi:10.3329/bjog.v33i2.43565 · W3047123983
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This case-control study found that infertile women with endometriosis were more likely to reside in urban areas, have less physical activity, and experience painful or heavy menstruation.

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This case-control study (Oct 2015–Mar 2016) recruited 50 infertile women from a Dhaka infertility unit, comparing 25 with endometriosis to 25 without endometriosis to identify associated risk profiles. The authors found that urban residents were more likely to have endometriosis than rural residents (3.21 times, p<0.05), and women with endometriosis reported less physical activity, with a statistically significant difference (p<0.05); BMI and OCP use did not differ significantly between groups. Caffeine, red meat, vegetables, and fruits showed no effect, while dysmenorrhea and heavy menstrual bleeding were strongly associated with endometriosis. The paper does not explicitly discuss limitations such as selection bias or recall bias. This paper is centrally about endometriosis — it evaluates risk profiles among infertile women, including urban residence, physical activity, and menstrual pain/bleeding.

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Abstract

Background: Endometriosis is a common gynaecological disorder which is found in about5% of women and in 30% of infertile women. Identification of risk factors and timely interventionis useful. Methods: A case control study was conducted in the Dept. of obs & gynae of BangabandhuSheikh Mujib Medical University, Shahbag, Dhaka, from October 2015 to March 2016 on50 infertile patients attending the Infertility unit of the institute with the objective to determinethe risk factors of endometriosis. Twenty five women with endometriosis was taken ascases (group-I) and twenty five women without endometriosis was taken as controls(group-II). Result: The mean age was 32.8±5.4 years in group I and 35.1±5.7 years in group II which issimilar. Urban residents were 3.21 times (with 95% CI 0.87-12.71%) more likely to developendometriosis than rural resident which was statistically significant (p0.05) . There was notstatistically significant difference (p>0.05) between two groups in OCP use (84%vs80%).Women with endometriosis had less physical activity than the women without endometriosis;the differences was statistically significant (p<0.05). Consumption of caffeine, red meat,vegetables and fruits has no effect on endometriosis. Women with pain during menstruationwere 29.33 times (with 95% CI 5.17-100%) and women with heavy amount of blood flow were5.09 times (with 95% CI 1.24-22.06%) more likely to be endometriosis, which was statisticallysignificant (p0.05) associated with endometriosis. Conclusion: Urban residence and all types of physical activities d”1 hour per day weresignificantly higher in infertile women with endometriosis. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 131-139
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Background

Endometriosis is a common gynaecological disorder which is found in about5% of women and in 30% of infertile women. Identification of risk factors and timely interventionis useful.

Methods

A case control study was conducted in the Dept. of obs & gynae of BangabandhuSheikh Mujib Medical University, Shahbag, Dhaka, from October 2015 to March 2016 on50 infertile patients attending the Infertility unit of the institute with the objective to determinethe risk factors of endometriosis. Twenty five women with endometriosis was taken ascases (group-I) and twenty five women without endometriosis was taken as controls(group-II).

Result

The mean age was 32.8±5.4 years in group I and 35.1±5.7 years in group II which issimilar. Urban residents were 3.21 times (with 95% CI 0.87-12.71%) more likely to developendometriosis than rural resident which was statistically significant (p0.05) . There was notstatistically significant difference (p>0.05) between two groups in OCP use (84%vs80%).Women with endometriosis had less physical activity than the women without endometriosis;the differences was statistically significant (p<0.05). Consumption of caffeine, red meat,vegetables and fruits has no effect on endometriosis. Women with pain during menstruationwere 29.33 times (with 95% CI 5.17-100%) and women with heavy amount of blood flow were5.09 times (with 95% CI 1.24-22.06%) more likely to be endometriosis, which was statisticallysignificant (p0.05) associated with endometriosis.

Conclusion

Urban residence and all types of physical activities d”1 hour per day weresignificantly higher in infertile women with endometriosis. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(2) : 131-139 Downloads 237 242

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Condition tags

endometriosisinfertility

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 (25)

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