Pain recurrence: A quality of life issue in endometriosis

M A Damario, Mark A. Damario, J A Rock, John A. Rock
International Journal of Gynecology & Obstetrics · 1995 · vol. 50(S1) , pp. S27–42 · doi:10.1016/0020-7292(95)02512-b · PMID:8529772 · W1966167878
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This paper discusses the prevalence of endometriosis in chronic pelvic pain, its associated symptoms, treatment efficacy, and recurrence, emphasizing long-term pain relief for improved quality of life.

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Abstract

Studies reveal endometriosis to be present in 38-51% of women undergoing laparoscopy for chronic pelvic pain. Symptoms attributable to endometriosis include dysmenorrhea, dyspareunia, generalized pelvic pain, dyschezia, and radiation of pain to the back or leg. Psychological factors may also contribute to a more intense pain experience. Medical therapy provides symptom relief in 72-93% of patients, although recurrence is common following treatment discontinuation. Surgical therapy has had varying results for long-term pain relief; adequacy of the initial surgical treatment appears to be a critical factor. Important adjunctive measures include presacral neurectomy and excisional techniques to remove deep, fibrotic, retroperitoneal lesions. The quality of life of women with endometriosis will improve with greater focus on achieving the long-term relief of pelvic pain. Limitation of pain recurrence would benefit the patient greatly, by providing symptom relief and preventing the cycle of its probably adverse effects on physical activity, work productivity, sexual fulfilment, and mood.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareunia

MeSH descriptors

Endometriosis Pelvic Pain Quality of Life Endometriosis Female Humans Pelvic Pain Pelvic Pain Pelvic Pain Recurrence

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 (100)

Cited by (23)

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