External Endometriosis in 801 Operated Patients

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AI-generated summary by claude@2026-06, 2026-06-08

This study analyzed 801 operated patients with external endometriosis, finding its incidence at 19% of gynecological laparotomies, common symptoms of dysmenorrhea and infertility, and a 15% recurrence rate post-surgery.

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Abstract

Details of medical history, symptomatology, operative findings and certain other special features are reported for patients with external endometriosis treated operatively during the period 1969-76. The incidence of endometriosis in this survey was 19% of all gynecological laparotomies. The mean age of the patients at the time of the operation was 36.7 years. The most common sites of endometriosis were the retrocervix and the ovaries. Of the patients, 559 (70%) had complained of dysmenorrhea; the pain generally began before the bleeding. Also typical was the exacerbation of the pain with increasing age. Twenty-seven per cent of the patients also complained of infertility. Surgery was performed because of acute abdominal symptoms in 6% of cases. The incidence of endometriosis in postmenopausal women was 2.5% and that in young women, 1%. Endometriosis recurred in 15% of the cases during the follow-up period. Gestagen therapy after the operation had no effect on the recurrence rate.

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Condition tags

endometriosisdysmenorrheainfertility

MeSH descriptors

Endometriosis Adult Age Factors Castration Endometriosis Endometriosis Female Humans Hysterectomy Infertility, Female Infertility, Female Menstruation Disturbances Menstruation Disturbances Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Uterine Cervical Neoplasms Uterine Cervical Neoplasms Uterine Cervical Neoplasms

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Cited by (16)

Source provenance

europepmc
last seen: 2026-06-19T06:14:56.452680+00:00
openalex
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License: CC0 · commercial use OK