Predicting the presence of rectovaginal endometriosis from the clinical history: A retrospective observational study

A Griffiths, A N Griffiths, R N Koutsouridou, R J Penketh, R. Penketh
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2007 · vol. 27(5) , pp. 493–495 · doi:10.1080/01443610701405721 · PMID:17701798 · W1982261207
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This study assessed clinical history symptoms for rectovaginal endometriosis, finding that apareunia and nausea or abdominal bloating were strong predictors of the disease.

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Abstract

Rectovaginal endometriosis is a severe variant of endometriosis. Common presenting symptoms for endometriosis include dysmenorrhoea, pelvic pain and dyspareunia. It is now recognised that there are other less traditional symptoms of endometriosis that are also relatively common. The aim of this study is to assess the relative strength of each of the potential symptoms of rectovaginal endometriosis and compare these with the laparoscopic and histological findings. In this retrospective, observational study the overall prevalence of rectovaginal endometriosis in the group was 31.4%. The presence of dyschesia gave a likelihood ratio of 1.27 (95% CI: 0.56 - 2.89) with a predictive prevalence of rectovaginal endometriosis of 37%. Apareunia and nausea or abdominal bloating were particularly strong markers for rectovaginal disease with a predictive prevalence of 87% and 89%, respectively. The classical symptoms often attributed to irritable bowel syndrome are also common in women with rectovaginal disease.

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Condition tags

dyspareuniaendometriosisbowel_endometriosisdysmenorrheairritable_bowel_syndrome

MeSH descriptors

Endometriosis Medical Records Rectal Diseases Vaginal Diseases Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Female Flatulence Flatulence Humans Laparoscopy Nausea Nausea Predictive Value of Tests Prevalence Rectal Diseases Rectal Diseases

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 (18)

Cited by (18)

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