Current practice in the management of symptoms of endometriosis: a survey of Brazilian gynecologists

Carlos A Petta, Carlos Alberto Petta, Alessandra Machado de Matos, Alessandra M Matos, Luís Bahamondes, Luis Bahamondes, Daniel Faúndes
Revista da Associacao Medica Brasileira (1992) · 2007 · vol. 53(6) , pp. 525–529 · doi:10.1590/s0104-42302007000600021 · PMID:18157368 · W1967271647
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Abstract

OBJECTIVE: The purpose is to assess current medical practice in the diagnosis of endometriosis by Brazilian gynecologists. METHODS: A Cross-sectional study using questionnaires was sent to all gynecologists of the São Paulo State Ob/Gyn Association. RESULTS: A total of 1,660 (31.8%) replies was received. Multiple logistic regression showed that physicians who stated that endometriosis can affect women of all ages was the variable significantly associated with suspicion of endometriosis. Diagnosis was delayed less than 12 months after the first consultation when patients complained of: infertility (OR = 1.81, 95% CI 1.01-3.22), dysmenorrhea (OR = 2.16, 95% CI 1.18-3.93) or chronic pelvic pain (CPP) (OR = 2.17, 95% CI 1.17-4.00). Time until diagnosis was shorter when the complaint was dysmenorrhea (OR = 1.33, 95% CI 1.05-1.69) or CPP (OR = 1.51, 95% CI 1.19-1.91) and when physicians had participated in congresses and lectures on gynecological endoscopy and endometriosis. CONCLUSION: Gynaecologists who are better informed suspect and diagnose endometriosis at an early stage.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_paininfertility

MeSH descriptors

Clinical Competence Endometriosis Gynecology Gynecology Practice Patterns, Physicians' Adult Aged Brazil Chronic Disease Clinical Competence Cross-Sectional Studies Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Humans Logistic Models Male Middle Aged

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