Endometriosis-associated pelvic pain: evidence for an association between the stage of disease and a history of chronic pelvic pain

D W Stovall, Stovall DW, Dale W. Stovall, L M Bowser, Lisa M. Bowser, Bowser LM, Archer DF, David F. Archer, D F Archer, Guzick DS, D S Guzick, David S. Guzick
Fertility and sterility · 1997 · vol. 68(1) , pp. 13–18 · doi:10.1016/s0015-0282(97)81468-9 · PMID:9207577 · W2069535435
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This paper investigates the association between the severity of endometriosis and a prior history of chronic pelvic pain, suggesting a potential link between disease stage and previous pain experiences.

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Abstract

OBJECTIVE: To track the severity and location of pelvic pain associated with endometriosis throughout the reproductive-age years and to evaluate the association between these pain parameters and the stage of disease. DESIGN: Historical prospective study. SETTING: Tertiary care center. PATIENT(S): Forty-eight women with endoscopically staged endometriosis and chronic pelvic pain who had undergone medical and/or conservative surgical therapy. INTERVENTION(S): Each participant was administered a questionnaire that included a determination of the severity and location of her pain. MAIN OUTCOME MEASURE(S): The stage of disease, the area of the pelvis that contained the bulk of disease, the severity of pain, and the location of the most severe pain were recorded. RESULT(S): The mean duration from the initial diagnosis until follow-up was 15.7 +/- 3.1 years, Twenty-one (43.8%) subjects denied any symptoms of pain on follow-up evaluation. Of the 27 patients with persistent pain, 21 (78%) identified the location of their most severe pain as being the same as at initial diagnosis. The stage of disease at initial diagnosis was significantly associated with a higher degree of pain at follow-up. CONCLUSION(S): These data suggest that endometriosis-associated chronic pelvic pain commonly persists throughout the reproductive years and that endometriosis stage is directly related to the persistence of pelvic pain.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Pelvic Pain Adult Adult Chronic Disease Chronic Disease Danazol Danazol Danazol Endometriosis Endometriosis Endometriosis Endometriosis Estrogen Antagonists Estrogen Antagonists Estrogen Antagonists Female Female Follow-Up Studies Follow-Up Studies

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (31)

Cited by (50)

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License: CC0 · commercial use OK