Laparoscopic finding in Thai women with chronic pelvic pain.

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This study reviewed laparoscopic findings in 110 Thai women with chronic pelvic pain, finding endometriosis in 60.9% of cases and pelvic adhesions in 12.7%.

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Abstract

OBJECTIVE: To study the laparoscopic findings in Thai women with chronic pelvic pain. SETTING: The Gynecology Endoscopy unit, Department of Obstetrics and Gynecology, Faculty of Medicine, King Chulalongkorn Memorial hospital. DESIGN: Descriptive study. MATERIAL AND METHOD: The medical records of Thai women with chronic pelvic pain undergoing laparoscopic diagnosis from January 1996 to December 2001 at King Chulalongkorn Hospital were reviewed. Patients' characteristics and laparoscopic findings were reviewed and analyzed. RESULTS: One hundred and ten eligible women were enrolled in this study. The mean age was 33.9 +/- 7.2 years old (16-54 years old). Sixty-seven (60.90%) women had endometriosis, 14 (12.73%) women had pelvic adhesion, 4 (3.64%) women had myoma uteri, 4 (3.64%) women had tubal occlusion and 13 (11.81%) women had normal findings. The majority (38.15%) of endometriosis findings were in minimal stage of American Fertility Society (AFS) scores. CONCLUSIONS: The vast majority of causes of chronic pelvic pain in women in this study was pelvic endometriosis. Laparoscopic diagnosis was an important tool for identifying the causes in Thai patients.

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Condition tags

chronic_pelvic_painendometriosis

MeSH descriptors

Laparoscopy Pelvic Pain Adolescent Adult Chronic Disease Female Hospitals, Public Hospitals, Public Humans Laparoscopy Middle Aged Pelvic Pain Pelvic Pain Retrospective Studies Risk Factors Thailand Thailand

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