Comparison of clinical features of women diagnosed with polycystic ovary syndrome without endometriosis, with those who have co-existent PCOS and endometriosis, presenting to a teaching hospital in Sri Lanka

Jayoda Indumini Gamage, Arawwawala Dona Madhusha Dhanukshi Liyanage, M Sathiesha Nihari Padmasiri, H A Thamya Wathmi Gunathilaka, M K Sanduni Sandeepani, Madura Jayawardane, Surangi Jayakody
2019 · doi:10.5281/zenodo.19627188 · W7154731379
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This cross-sectional study analyzed clinical data from 83 women with polycystic ovary syndrome (PCOS) who underwent laparoscopy or ovarian drilling at a teaching hospital in Sri Lanka. The researchers found that 20.5% of these patients had concomitant endometriosis and compared their symptoms against PCOS-only patients to identify risk factors. Results indicated that women with both conditions faced significantly higher risks of dysmenorrhea, dyspareunia, chronic abdominal pain, and chronic back pain compared to those with PCOS alone. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

This abstract was presented at the International Medical Undergraduate Research Conference 2019 organized by the Department of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura and the Non-communicable Disease Research Center. The abstract was published in the official conference abstract book. Only the relevant pages (cover page and author’s abstract) are included here. This work contributes to public health evidence dissemination.
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Abstract

Background: Coexistence of polycystic ovary syndrome (PCOS) with endometriosis is not an infrequent finding in women investigated for subfertilitv. The necessity for laparoscopy delays the diagnosis of endometriosis in PCOS patients. The current study aimed to identify clinical features of such patients to promote early diagnosis and improve the fertility outcome.

Objectives

To determine the proportion of women having coexistent endometriosis among PCOS patients, to compare the clinical features of PCOS patients with those having coexistent endometriosis and to identify associated risk factors for developing endometriosis among PCOS patients.

Methods

A cross-sectional analytical study was conducted in the Gynaecology units of a teaching hospital in Colombo district. Data was collected from 83 patients diagnosed with PCOS who have undergone either laparoscopy and dye test or ovarian drilling, via an interviewer administered questionnaire.

Results

Among the study population, 20.5% had concomitant endometriosis, of whom 58.82% had irregular menstruation. Women with concomitant endometriosis had an increased risk of dvsmenorrhoea (OR=1.5; 95%Cl=1.1, 2.0), dyspareunia (OR=3.9; 95%Cl=1.8, 8.2), chronic abdominal pain OR=2.2; 95%CI=1.2, 3.8), chronic back pain OR=2.7; 95%Cl 1.4. 5.2). Nearly 6% of those with concomitant endometriosis had haematuria while 76.5% had increased urinary frequency.

Conclusions

Considerable proportion of PCOS patients had coexistent endometriosis. These women were at increased risk of dysmenorrhoea, dyspareunia, chronic abdominal and back pain. Other The conference paper was presented by Dr ADMD Liyanage as an Oral Presentation. It received the award for Second Place in Oral Presentation in the session on 'Maternal, Child, Adolescent Health and Nutrition' at the International Medical Undergraduate Research Conference 2019, Sri Lanka. Files IMURC_2019.pdf Files (3.6 MB) | Name | Size | Download all | |---|---|---| | md5:577db6608143251e7438a968fc29a786 | 3.6 MB | Preview Download |

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