TITLE:
A Multivariate Analysis of Correlation between Severity and Duration of Symptoms, Patient Profile and Stage of Endometriosis
AUTHORS:
Ayalur Gopalakrishnan Radhika, Sonia Chawla, Priyadrshini Nanda, Garima Yadav, Gita Radhakrishnan
KEYWORDS:
Endometriosis, Infertility, Dysmenorrhoea, Endometrioma
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.10,
September
19,
2016
ABSTRACT: Background: Endometriosis is an important cause of infertility and chronic pelvic pain. Our
study aims to understand the cause and effect relationship of endometriosis
with these two clinical presentations. Objectives: 1) To
study the correlation between stage of endometriosis with pain and infertility; 2) To evaluate role of transvaginal ultrasound for
diagnosis of endometriosis using laparoscopic diagnosis as gold standard. Methodology: Total of 89 women presenting with infertility and or pain
and with laparoscopic findings of endometriosis were included in the study. The
results were analysed by logistic regression. Results: The mean age of women
was 29.67 years. Seventy three percent of patients had moderate to severe
disease while 31.46% of patients with endometriosis were infertile. Symptom of
pain could be categorised as dysmenorrhea (71.47%), dyspareunia (41.5%) and
dyschezia (15.7%). There was no association of endometriosis stage with the
pain type, duration of symptoms. Transvaginal ultrasound seems a reliable test
for diagnosis of ovarian endometriosis and advanced stage disease. 87.5% of
patients with ovarian endometrioma had advanced disease (higher than Stage II
rAFS). Conclusion: No correlation was found
between the stage of endometriosis and severity of symptoms.
Presence of endometrioma on USG was
associated with advanced stage of endometriosis.