Is Endometriosis Really Associated with Pain?

Momoeda M, Mikio Momoeda, Yuji Taketani, Taketani Y, Terakawa N, Naoki Terakawa, Noaki Terakawa, Hoshiai H, Hiroshi Hoshiai, Tanaka K, Kenichi Tanaka, Tsutsumi O, Osamu Tsutsumi, Yutaka Osuga, Osuga Y, Maruyama M, Masanori Maruyama, Tasuku Harada, Harada T, Obata K, Koushirou Obata, Kunihiko Hayashi
Gynecologic and obstetric investigation · 2002 · vol. 54(Suppl. 1) , pp. 18–23 · doi:10.1159/000066290 · PMID:12441656 · W2064684842
article OA: closed CC0 ⤵ 35 in-corpus citations
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This study analyzed pain symptoms in women with endometriosis, finding that chronic pelvic pain and dyspareunia increased with disease stage in both pain and infertility groups, while dysmenorrhea severity correlated with stage in the infertility group but not the pain group.

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Abstract

To address the contrasting findings regarding how pain is related to endometriosis, the relationship between pain and stage of endometriosis was dissected differently by the chief complaint to eliminate selection biases. A total of 1,092 women with endometriosis were classified into two groups depending on their chief complaint, i.e., infertility (infertility group; n = 476) or pain (pain group; n = 616). The correlations between disease stage and various types of pain were analyzed differently in each group. The frequencies of chronic pelvic pain and dyspareunia increased with disease stage either in the infertility group, in the pain group or in the aggregate. On the other hand, no significant relation between the severity of dysmenorrhea and disease stage was observed in the aggregate. Interestingly, a parallel increase in the severity of dysmenorrhea with disease stage was observed in the infertility group, but not in the pain group. In view of selection biases involved in analyzing endometriosis associated with pain, these results could be seen to support the contention that chronic pelvic pain, dyspareunia and dysmenorrhea are in fact related to the extent of endometriosis.

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_paininfertility

MeSH descriptors

Endometriosis Pain Adolescent Adult Chronic Disease Douglas' Pouch Douglas' Pouch Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Middle Aged Ovarian Cysts

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Cited by (35)

Source provenance

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