Analysis of the Psychological Impact of Adenomyosis and Endometriosis Complex

Background: Adenomyosis and endometriosis are chronic gynecological conditions commonly associated with pelvic pain, menstrual disturbances, and infertility. This study aimed to assess the prevalence of anxiety and depression among women with adenomyosis and endometriosis complex and to compare their psychosomatic profile with that of healthy controls. Methods: An analytical cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at a tertiary care hospital in Chennai. A total of 100 women were included, comprising 50 cases diagnosed with adenomyosis or endometriosis and 50 healthy controls. Sociodemographic and clinical data were collected using a pre-structured questionnaire. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). Socioeconomic status was classified using the Modified B.G. Prasad Scale (2024). Results: Anxiety was present in 8 women (16.0%) in the study group compared with 1 woman (2.0%) in the control group, while depression was observed in 10 women (20.0%) versus 1 woman (2.0%) in controls. Both anxiety and depression were significantly associated with the presence of adenomyosis or endometriosis. Lower educational status and lower socioeconomic class were significantly associated with higher rates of anxiety and depression (p<0.05). Other variables such as age, parity, BMI, and history of pelvic surgery did not show significant associations. Conclusion: Women with adenomyosis and endometriosis have a markedly higher prevalence of anxiety and depression compared to healthy individuals. Incorporating routine mental health screening and adopting a multidisciplinary management approach may improve quality of life and overall outcomes in this population.