Association between chronic pelvic pain symptoms and the presence of endometriosis
Autor: | Nikolaos V. Apostolopoulos, Krystallenia I Alexandraki, Anwen Gorry, Adeyemi Coker |
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Rok vydání: | 2015 |
Předmět: |
Adult
medicine.medical_specialty Visual Analog Scale Visual analogue scale Endometriosis Disease Pelvic Pain 03 medical and health sciences 0302 clinical medicine Dysmenorrhea medicine Humans Prospective Studies Stage (cooking) Laparoscopy Pain Measurement Gynecology 030219 obstetrics & reproductive medicine medicine.diagnostic_test Obstetrics business.industry musculoskeletal neural and ocular physiology Pelvic pain Outcome measures Obstetrics and Gynecology General Medicine Health Services Middle Aged medicine.disease Dyspareunia Treatment Outcome nervous system Case-Control Studies 030220 oncology & carcinogenesis Female Chronic Pain medicine.symptom business Laparoscopic treatment Follow-Up Studies |
Zdroj: | Archives of Gynecology and Obstetrics. 293:439-445 |
ISSN: | 1432-0711 0932-0067 |
Popis: | The link between endometriosis and the presence or intensity of pain is controversial. The aim of the present study was to assess the relationship between chronic pelvic pain (CPP) and severity of endometriosis and the effectiveness of laparoscopic treatment in a 6-month follow-up. Prospective observational study in a referral unit. 144 women had laparoscopy to investigate CPP. Symptoms were assessed by a 10-point visual analog scale. The main outcome measure was the frequency and intensity of CPP. No difference in pain was found between women with and without endometriosis. Advanced endometriosis was associated with dysmenorrhea, deep endometriosis with dyspareunia and rectovaginal disease with dyschezia. Laparoscopic treatment improves symptoms. Women with severe endometriosis are more likely to report severe dysmenorrhoea. Furthermore location of endometriosis in the rectovaginal space is associated with dyschezia and deep endometriosis with dyspareunia. However, the association between presence and stage of endometriosis and severity of symptoms is marginal. |
Databáze: | OpenAIRE |
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