Sociodemographic and menstrual profile of infertile women with endometriosis: a comparative cross-sectional analysis from a tertiary centre in Rajasthan

Shivangi Yadav, Nupur Lauria, Anchal, Manisha Kumari
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2026 · vol. 15(10) , pp. 3989–3993 · doi:10.18203/2320-1770.ijrcog20263436 · W7214583931
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This study found that infertile women with endometriosis in Rajasthan had higher socioeconomic status, lower BMI, and shorter menstrual cycles compared to controls.

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This cross-sectional study compared sociodemographic and menstrual profiles of 60 infertile women, dividing them into groups with laparoscopically confirmed endometriosis and controls at a tertiary care center in Rajasthan. The results indicated that women with endometriosis had significantly higher socioeconomic status, lower body mass index, and shorter menstrual cycle lengths compared to the control group. No significant differences were observed regarding age, religion, literacy, or parity between the two cohorts. This paper is centrally about endometriosis — specifically examining its association with specific sociodemographic and menstrual characteristics in an infertile population.

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Abstract

Background: Endometriosis disproportionately affects women during their reproductive years and has been associated with various sociodemographic and menstrual factors. Understanding these associations is critical for early identification and improved public health strategies, particularly in resource-constrained settings. Data on the sociodemographic profile of endometriosis from North India remain sparse. Methods: A hospital-based cross-sectional comparative observational study of 60 infertile women (30 with laparoscopically confirmed endometriosis and 30 controls) was conducted at a tertiary care centre in Jaipur, between July 2023 and July 2025. Demographic, anthropometric, and menstrual data were collected. Chi-square, Fisher exact test, and unpaired t-test were used for analysis. Results: No significant age difference was found between cases (mean 28.01±4.78 yrs) and controls (28.73±5.13 yrs; p=0.604). Women with endometriosis were significantly more likely to belong to higher socioeconomic status (53.33% upper class vs. 26.66% in controls; p=0.043) and had significantly lower BMI (21.26±2.91 vs. 23.26±3.26 kg/m²; p=0.0147). Shorter menstrual cycle length was significantly associated with endometriosis (mean 26.97±3.91 vs. 30.13±4.66 days; p=0.0013). No significant differences in religion, literacy, or parity were observed. Conclusions: Higher socioeconomic status, lower BMI, and shorter menstrual cycle length are significantly associated with endometriosis in infertile women. These factors may serve as clinical flags to prompt earlier investigation in appropriate patient populations.
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Background

Endometriosis disproportionately affects women during their reproductive years and has been associated with various sociodemographic and menstrual factors. Understanding these associations is critical for early identification and improved public health strategies, particularly in resource-constrained settings. Data on the sociodemographic profile of endometriosis from North India remain sparse.

Methods

A hospital-based cross-sectional comparative observational study of 60 infertile women (30 with laparoscopically confirmed endometriosis and 30 controls) was conducted at a tertiary care centre in Jaipur, between July 2023 and July 2025. Demographic, anthropometric, and menstrual data were collected. Chi-square, Fisher exact test, and unpaired t-test were used for analysis.

Results

No significant age difference was found between cases (mean 28.01±4.78 yrs) and controls (28.73±5.13 yrs; p=0.604). Women with endometriosis were significantly more likely to belong to higher socioeconomic status (53.33% upper class vs. 26.66% in controls; p=0.043) and had significantly lower BMI (21.26±2.91 vs. 23.26±3.26 kg/m²; p=0.0147). Shorter menstrual cycle length was significantly associated with endometriosis (mean 26.97±3.91 vs. 30.13±4.66 days; p=0.0013). No significant differences in religion, literacy, or parity were observed.

Conclusions

Higher socioeconomic status, lower BMI, and shorter menstrual cycle length are significantly associated with endometriosis in infertile women. These factors may serve as clinical flags to prompt earlier investigation in appropriate patient populations. Metrics

References

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