Awareness of Endometriosis Symptoms—A Cross Sectional Survey among Polish Women

Kotowska, Maja; Urbaniak, Justyna; Falęcki, Wojciech J.; Łazarewicz, Piotr; Masiak, Mateusz; Szymusik, Iwona

doi:10.3390/ijerph18189919

Cited by 18 publications

(15 citation statements)

References 19 publications

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“…In this study, we found that 23.1% of OMA patients manifested no dysmenorrhea, which was in agreement with previous findings that 17–39% of OMA patients could be non-dysmenorrhea ( 10 – 12 ). According to our results, baseline characteristics such as age, BMI, parity, and gravidity showed no difference between the two groups.…”

Section: Discussionsupporting

confidence: 93%

“…Dysmenorrhea, together with infertility, constitutes the major clinical complication in OMA patients ( 8 , 9 ). However, about 17–39% of OMA patients do not present any complaint of dysmenorrhea ( 10 – 12 ). Hence, whether dysmenorrhea symptoms would correlate with clinical characteristics and postoperative outcomes in this subset of OMA patients remain unclear.…”

Section: Introductionmentioning

confidence: 99%

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Does Dysmenorrhea Affect Clinical Features and Long-Term Surgical Outcomes of Patients With Ovarian Endometriosis? A 12-Year Retrospective Observational Cohort Study

Dai

et al. 2022

Front. Med.

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BackgroundTo examine and compare the differences in clinical characteristics and long-term postoperative outcomes of ovarian endometriomas (OMA) patients with and without dysmenorrhea, including data from at least 8 years of postoperative follow-up examinations.MethodsRetrospective analysis of 334 OMA patients, including their demographic and clinical data. Long-term follow-up record was also collected. All laparoscopic cystectomy procedures were performed by the same surgeon at Peking Union Medical College Hospital between January 2009 and April 2013. Patients were divided into the dysmenorrhea and non-dysmenorrhea groups to perform the analysis of their preoperative characteristics, relevant surgical findings, and postoperative outcomes at the follow-up.ResultsOut of 334 OMA patients, 257 (76.9%) patients were allocated to the dysmenorrhea group, while the rest 77 (23.1%) patients were included in the non-dysmenorrhea group. Compared with the dysmenorrhea group, the non-dysmenorrhea group exhibited a reduced proportion of chronic pelvic pain (CPP) (P = 0.003), dyspareunia (P < 0.001), tenesmus (P < 0.001), concurrency of deep infiltrating endometriosis (DIE) (P < 0.001), and adenomyosis (P = 0.032). Preoperative infertility was significantly higher in the dysmenorrhea group (P = 0.001). The mean operating time in the dysmenorrhea vs. the non-dysmenorrhea group was 68.0 vs. 56.0 min (P < 0.001). According to the revised American Fertility Society (rAFS) scoring system, the mean scores of the two groups were 52.1 vs. 44.6 (P = 0.033). During follow-up, the dysmenorrhea group showed a higher rate of disease relapse (P < 0.001). A minimum postoperative follow-up period of 8 years was required to evaluate the pregnancy outcomes. Successful pregnancies were identified in 97/257 (37.7%) cases in the dysmenorrhea group and 36/77(46.8%) cases in the non-dysmenorrhea group (P = 0.157), respectively. Though the dysmenorrhea group had a higher rate of postoperative infertility, differences were not significant between the two groups.ConclusionsCompared with the dysmenorrhea group, OMA patients without dysmenorrhea exhibited lower proportions of CPP, dyspareunia, tenesmus, lower concurrency of DIE and adenomyosis, shorter mean operating time, lower mean rAFS scores, and lower infertility rates. During the long-term follow-up, a lower recurrence rate was observed in the non-dysmenorrhea group. Regarding fertility outcomes, non-dysmenorrhea patients had a higher likelihood of successful pregnancy after surgery. Postoperative management needs to be evaluated separately according to dysmenorrhea pathology.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Does Dysmenorrhea Affect Clinical Features and Long-Term Surgical Outcomes of Patients With Ovarian Endometriosis? A 12-Year Retrospective Observational Cohort Study

Dai

et al. 2022

Front. Med.

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“…This study agree with many previous study as (Kotowska et al, 2021), (Adewunmi & Sasah, 2022. ), (Arab et al, 2022), (Henry et al, 2022), (Kotowska et al, 2021), (Le Busque & Mellish, 2023), (S. L. Mohamed El Sayed et al, 2022), (Ramani Devi et al, 2021), (Roullier et al, 2021), (Szymańska & Dąbrowska-Galas, 2021), (Wróbel et al, 2022), (Khan et al, 2022), (Sodeinde & Konu, 2022), (Randhawa et al, 2021), (Henry et al, 2022), (Navarria-Forney et al, 2020), (Mohamed & Hassan, 2020. ), (Mecha et al, 2022), (Eldardery et al, 2022), (Abd Elrahim et al, 2022), (Adewunmi & Sasah, 2022.…”

Section: Theoretical Reviewsupporting

confidence: 94%

“…Since the search for a non-invasive diagnostic endometriosis marker has been conducted for many years without success so far, it seems that awareness of the clinical presentation and reported symptoms may help to provide earlier diagnoses. (Kotowska et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Awareness and Knowledge of Libyan Women about Endometriosis

Eljamay¹,

Elhassadi²,

Asrafel³

2023

EAJMR

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Endometriosis is a long-lasting state in which endometrial-like tissue is found outside the uterus often on the reproductive organs, bowel, and bladder. Aimed to: To find out the extent to which Libyan women know about endometriosis. Martial & Methods: During the one-year study period [2021 to 2022], answer the questions of questionnaire and interview. Result: Most of the ages were between (16 - 25 Years) 1353(73.5 %), most Education Levels (University) 1357(73.8 %), and Marital Situation the most were (Single) 1467(79.7 %). frequency and percent of Knowledge Questions Most of the answers were “I don’t know” and the answer was “No.” This indicates a lack of information about endometriosis, who suffer from endometrioses were the highest percent 75.5 %, I Don`t know 21.2 %. Percent of education the answer I don`t know 19.4 %, and by no 26.1 %. The Correlations between Knowledge and Education Levels, the p-value > 0.05 means there is no relationship between education level and knowledge of endometriosis. Conclusion: that the educational level has nothing to do with the extent of awareness among women about endometriosis, and therefore we find that the percentage of those suffering from endometriosis is very high, and that women need a lot of awareness and knowledge about the endometriosis disease.

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“…There is scarce evidence that iatrogenic endometriosis behaves or develops differently from non-iatrogenic endometriosis, since the general clinical presentation and patient complaints with endometriosis mostly include dysmenorrhea, dysuria, dyschezia, chronic pelvic pain, and infertility [ 11 ]. These factors serve as indicators for treatment [ 12 ]; thus, the care of iatrogenic endometriosis can significantly differ from that of non-iatrogenic endometriosis by the main medical or surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Challenges in Diagnosis and Prevention of Iatrogenic Endometriosis as a Long-Term Surgical Complication after C-Section

Neamtu

Dahma

Mocanu

et al. 2022

IJERPH

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Endometriosis is a gynecological condition caused by the development of endometrial tissue outside the uterine cavity. Naturally, it commonly occurs at locations such as the ovaries and pelvic peritoneum. However, ectopic endometrial tissue may be discovered outside of the typical sites, suggesting the possibility of iatrogenic seeding after gynecological operations. Based on this hypothesis, we developed a study aiming to establish the root cause of atypical implantation of endometrial foci, as the main end point, and to determine diagnostic features and risk factors for this condition, as a secondary target. The research followed a retrospective design, including a total of 126 patients with endometriosis who met the inclusion criteria. A group of 71 patients with a history of c-section was compared with a control group of patients with endometriosis and no history of c-section. Endometriosis that developed inside or in close proximity to surgical incisions of asymptomatic patients before surgical intervention was defined as iatrogenic endometriosis. Compared with patients who did not have a c-section, the c-section group had significantly more minimally invasive pelvic procedures and multiple adhesions and endometriosis foci at intraoperative look (52.1% vs. 34.5%, respectively 52.1% vs. 29.1%). The most common location for endometriosis lesions in patients with prior c-section was the abdominal wall (42.2% vs. 5.4%), although the size of foci was significantly smaller by size and weight (32.2 mm vs. 34.8 mm, respectively 48.6 g vs. 53.1 g). The abdominal wall endometriosis was significantly associated with minimally invasive pelvic procedures (correlation coefficient = 0.469, p-value = 0.001) and c-section (correlation coefficient = 0.523, p-value = 0.001). A multivariate regression analysis identified prior c-section as an independent risk factor for abdominal wall endometriosis (OR = 1.85, p-value < 0.001). We advocate for strict protocols to be implemented and followed during c-section and minimally invasive procedures involving the pelvic region to ensure minimum spillage of endometrial cells. Further research should be developed to determine the method of abdominal and surgical site irrigation that can significantly reduce the risk of implantation of viable endometrial cells. Understanding all details of iatrogenic endometriosis will lead to the development of non-invasive disease diagnosis and minimally invasive procedures that have the potential to reduce postoperative complications.

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Awareness of Endometriosis Symptoms—A Cross Sectional Survey among Polish Women

Cited by 18 publications

References 19 publications

Does Dysmenorrhea Affect Clinical Features and Long-Term Surgical Outcomes of Patients With Ovarian Endometriosis? A 12-Year Retrospective Observational Cohort Study

Does Dysmenorrhea Affect Clinical Features and Long-Term Surgical Outcomes of Patients With Ovarian Endometriosis? A 12-Year Retrospective Observational Cohort Study

Awareness and Knowledge of Libyan Women about Endometriosis

Challenges in Diagnosis and Prevention of Iatrogenic Endometriosis as a Long-Term Surgical Complication after C-Section

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