Relation between severity of dysmenorrhea and endometrioma

Chopin N, Nicolás Chopin, Nicolas Chopin, ChopinNicolas, Marcos Ballester, Ballester M, Borghese B, Bruno Borghese, Arnaud Fauconnier, Fauconnier A, H. Foulot, Foulot H, Hervé Foulot, C. Malartic, Malartic C, Cécile Malartic, Chapron C, Charles Chapron
Acta obstetricia et gynecologica Scandinavica · 2006 · vol. 85(11) , pp. 1375–1380 · doi:10.1080/00016340600935490 · PMID:17091420 · W2027846141
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This study found that rectal infiltration and R-AFS score of implants, not endometrioma characteristics, were significantly associated with the severity of dysmenorrhea in women with endometriomas.

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Abstract

BACKGROUND: To evaluate the relationship between the severity of dysmenorrhea and endometrioma. METHODS: Descriptive study with prospective design. Two hundred and thirty-nine women with histologically proved endometriomas. The severity of dysmenorrhea was assessed prospectively with a 10-cm visual analog scale. Various indicators concerning the endometrioma and the extent of deep infiltrating endometriosis were recorded during surgery in 239 patients. Correlations were sought with a multiple regression logistic model. RESULTS: According to univariate analysis, the following variables were related to more severe dysmenorrhea: subperitoneal infiltration (uterosacral ligament and rectal infiltration) and R-AFS score of implants. None of the specific characteristics of endometriomas were associated with severe dysmenorrhea. After multiple regression analysis, rectal infiltration and R-AFS score of implants were the only factors that remained related to dysmenorrhea severity. CONCLUSIONS: When there is an endometrioma, severe dysmenorrhea is not directly related with the characteristics specific to these ovarian cysts. The associated deep infiltrating endometriotic lesions and in particular rectal infiltration could explain these symptoms.

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Condition tags

dysmenorrheaendometriosisdie_deep_infiltratingendometrioma

MeSH descriptors

Dysmenorrhea Endometriosis Adult Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Female Humans Humans Logistic Models Logistic Models Middle Aged Middle Aged Ovarian Cysts Ovarian Cysts Ovarian Cysts

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 (23)

Cited by (26)

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