Peritoneal Endometriosis

In: Peritoneal Surgery · 2000 · pp. 253–263 · doi:10.1007/978-1-4612-1194-5_22 · W4211197661
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The prevalence of peritoneal endometriosis varies widely depending on the study population, ranging from 2% in asymptomatic women to over 50% in symptomatic teenagers.

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This paper reviews epidemiologic estimates and mechanistic findings regarding peritoneal endometriosis, drawing on studies that compared prevalence across different groups of women undergoing laparoscopy or having pelvic pain/infertility, alongside laboratory and clinical observations of peritoneal fluid biology (e.g., immune cell activation, cytokines, and angiogenic factors). It reports that prevalence estimates vary widely (from 0.7% to 82%), attributing this mainly to selection bias, and also summarizes that endometriosis is found in about a quarter of women undergoing laparoscopy for pelvic pain and about one fifth for infertility. A major limitation explicitly noted is that many prevalence data come from mostly uncontrolled clinical studies and are therefore highly dependent on which populations were studied. This paper is centrally about endometriosis — specifically peritoneal endometriosis prevalence, pathology, and the peritoneal microenvironment.

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Abstract

Peritoneal endometriosis is a relatively common disease, but its prevalence in the general population is not entirely certain. From mostly uncontrolled clinical studies, an extraordinarily wide range of prevalence (0.7%–82%) is noted.1 This wide range of prevalence is the result of inherent differences in the particular groups of women studied (“selection biases”). Therefore, women with the least risk of having endometriosis (asymptomatic parous women undergoing tubal sterilization) have been reported to have a low incidence (2%), whereas women with a high risk of having endometriosis (teenagers with pelvic pain severe enough to warrant laparoscopic investigation) have been reported to have a much higher prevalence (>50%).2,3 Endometriosis appears to be present in approximately 25% (range, 4.5%–82.0%) and 20% (range, 2.1%–70%) of women undergoing laparoscopy for pelvic pain and infertility, respectively.1 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Editor information Editors and Affiliations Rights and permissions Copyright information © 2000 Springer Science+Business Media New York About this chapter Cite this chapter Damario, M.A., Rock, J.A. (2000). Peritoneal Endometriosis. In: diZerega, G.S. (eds) Peritoneal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1194-5_22 Download citation DOI: https://doi.org/10.1007/978-1-4612-1194-5_22 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-7040-9 Online ISBN: 978-1-4612-1194-5 eBook Packages: Springer Book Archive

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