Effectiveness of hysterectomy in endometriosis treatment

Anshu Jaiswal, Anil K. Jaiswal, Anuradha Dube, Anushka S. Dube, Jatin Kaushik, Kalpana Upadhayay, Aman Kushwaha
In: International Journal of Scientific Reports · 2024 · vol. 11(1) , pp. 45–52 · doi:10.18203/issn.2454-2156.intjscirep20243807 · W4405714670
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This paper reviews endometriosis risk factors, noting that early menarche and short menstrual cycles are associated with increased risk and suggesting further research into the underlying physiology.

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The paper discusses endometriosis risk factors and symptom context, focusing on reproductive-aged women and summarizing epidemiologic evidence linking menstrual characteristics—particularly early menarche (≤11 years) and shorter cycle duration (≤27 days)—with increased likelihood of endometriosis, while noting that data are less conclusive for variables such as period length and heavy flow. It frames persistent pelvic pain as potentially arising from ovarian cysts and non-gynecologic causes, emphasizing the need to understand underlying physiologic reasons for these menstrual patterns. A major limitation is that the article is presented as a preliminary investigation and synthesis of existing epidemiologic findings rather than reporting new hysterectomy outcomes, despite the title’s emphasis on hysterectomy. Relevance to endometriosis: the corpus entry explicitly centers on endometriosis risk factors and menstrual associations (e.g., citing studies of menstrual characteristics and endometriosis), though it does not provide a study-specific evaluation of hysterectomy effectiveness.

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Abstract

A preliminary investigation into endometriosis risk factors, the majority of cases of endometriosis occur in reproductive-aged women. Subfertility, dysmenorrhea, and pelvic discomfort are the main symptoms. Ovarian cysts and other non-gynecologic causes can cause persistent pelvic pains. Age at menarche and cycle duration are two additional menstrual risk variables associated with endometriosis. The likelihood of endometriosis is greater in the majority of epidemiologic investigations that have examined the subject, which typically defines early menarche as occurring before or at the age of 11. A shorter cycle duration, commonly defined as 27 days or less, most of these research, along with others, have found that is linked to an increased risk. Period length and heavy flow are areas where there is less conclusive data. Given that endometriosis risk factors include early menarche and short cycles; endometriosis's pathophysiology can be better understood by delving into the underlying physiological reasons for these problems.
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Effectiveness of hysterectomy in endometriosis treatment DOI: https://doi.org/10.18203/issn.2454-2156.IntJSciRep20243807Keywords: Dysmenorrhea, Endometriosis, MenarcheAbstract A preliminary investigation into endometriosis risk factors, the majority of cases of endometriosis occur in reproductive-aged women. Subfertility, dysmenorrhea, and pelvic discomfort are the main symptoms. Ovarian cysts and other non-gynecologic causes can cause persistent pelvic pains. Age at menarche and cycle duration are two additional menstrual risk variables associated with endometriosis. The likelihood of endometriosis is greater in the majority of epidemiologic investigations that have examined the subject, which typically defines early menarche as occurring before or at the age of 11. A shorter cycle duration, commonly defined as 27 days or less, most of these research, along with others, have found that is linked to an increased risk. Period length and heavy flow are areas where there is less conclusive data. Given that endometriosis risk factors include early menarche and short cycles; endometriosis's pathophysiology can be better understood by delving into the underlying physiological reasons for these problems. Metrics References Farquhar CM. Extracts from the ‘clinical evidence. Endometriosis. 2000;320:1449-52. DOI: https://doi.org/10.1136/bmj.320.7247.1449 Busacca M, Olive D. Treatment of endometriosis associated with infertility. In: Reconstructive and Reproductive Surgery in Gynecology. CRC Press. 2010;84-95. DOI: https://doi.org/10.3109/9781841847573-10 Giudice LC, Kao LC. Endometriosis. Lancet. 2004;364:1789-99. DOI: https://doi.org/10.1016/S0140-6736(04)17403-5 Howard FM. The role of laparoscopy in chronic pelvic pain: promise and pitfalls. Obstet Gynecol Surv. 1993;48(6):357-87. DOI: https://doi.org/10.1097/00006254-199306000-00001 ACOG: Practice Bulletin No. 51. Chronic pelvic pain. 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