Epidemiology of endometriosis in Ukraine: results a multicenter study (2019-2021).

Autor:	Salmanov AG; SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE., Yuzko OM; BUKOVINIAN STATE MEDICAL UNIVERSITY, CHERNIVTSI, UKRAINE., Tofan BY; BUKOVINIAN STATE MEDICAL UNIVERSITY, CHERNIVTSI, UKRAINE., Korniyenko SM; ODESA NATIONAL MEDICAL UNIVERSITY, ODESA, UKRAINE., Lysenko BM; STATE SCIENTIFIC INSTITUTION 'SCIENTIFIC AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE' OF THE AGENCY OF STATE AFFAIRS, KYIV, UKRAINE., Padchenko AS; KYIV PERINATAL CENTER, KYIV, UKRAINE., Strakhovetskyi VS; MEDICAL CENTRE 'ASHERA', KHARKIV, UKRAINE., Paliga I; ANDREI KRUPYNSKYI LVIV MEDICAL ACADEMY, LVIV, UKRAINE., Voloshyn OA; SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; KYIV REGIONAL MATERNITY HOSPITAL, KYIV, UKRAINE., Zarichanska KV; SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE.
Jazyk:	angličtina
Zdroj:	Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego [Pol Merkur Lekarski] 2024; Vol. 52 (3), pp. 277-285.
DOI:	10.36740/Merkur202403103
Abstrakt:	Objective: Aim: To estimate the prevalence and incidence of endometriosis, and to evaluate risk factors associated with endometriosis in Ukraine. Patients and Methods: Materials and Methods: The multicenter cohort study was performed partly as a cross-sectional study to estimate occurrence of endometriosis, partly as a case-control study to look for factors associated with endometriosis. The study was carried out during the period from January 1st, 2019 to December 31st, 2021.This study included adolescent girls and adult women from 15 Ukrainian regions. Results: Results: Among 15,458 patients, 4,397 (28.4%) endometriosis were observed. Of all endometriosis cases, 48.5% were peritoneal/superf i cial endometriosis (SPE), 34.6% were ovarian endometriotic cyst/endometrioma (OMA), and 16.9% were deep inf i ltrating endometriosis (DIE). The prevalence of the three types of endometriosis was: SPE, 13.8%; OMA, 9.8%; and DIE, 4.8%. The factors associated with an increased risk for endometriosis include age 23-32 years, parity (small number of births), age of fi rst sexual intercourse <20 years, history of healthcare-associated infection after gynecological surgery (pelvic abscess or cellulitis, salpingitis and oophoritis), history of infertility, early menarche (before the age of 11), dysmenorrhea, dyspareunia, pelvic pain, intermenstrual bleeding, heavy uterine bleeding and dysmenorrhea, and heavy uterine bleeding. Conclusion: Conclusions: Endometriosis is a common gynecological disease in Ukraine and the relative frequency of dif f erent types of endometriosis: the most common were ovarian and peritoneal endometriosis. Healthcare services and public health strategies need to be strengthened to ensure timely endometriosis diagnosis in adolescent girls and adult women and treatment.
Databáze:	MEDLINE
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