Effect of surgical removal of endometriomas on cyclic and non-cyclic pelvic pain

Apı, Murat; Boza, Ayşen; Kayatas, Semra; Semiz, Serap

doi:10.1016/j.fertnstert.2013.07.764

Cited by 5 publications

(6 citation statements)

References 31 publications

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“…Authors suggest a complete evaluation of the pain considering location, duration, sensory and affective description, functional status in daily activities 50 ; and the hours or sleep disturbances derived from pain 23 . Besides, Api 51 highlights that other symptoms of endometriosis such as painful intercourse or dyspareunia can mediate the intensity of CPP; however, in this study no differences were found in other symptoms of endometriosis between patients with cyclical and non-cyclical pain.…”

Section: Discussioncontrasting

confidence: 60%

Emotional dysregulation in endometriosis women with cyclical and non-cyclical chronic pelvic pain

Rodríguez-Lozano

Meza-Rodríguez

Cruz-Orozco

et al. 2022

Preprint

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Background: Endometriosis is a pathophysiological condition characterized by glands and stroma outside the uterus in regions such as the bladder, ureter, fallopian tubes, peritoneum, ovaries, and even in extra pelvic sites. One of the main clinical problems of endometriosis is chronic pelvic pain (CPP), which considerably affects the patients’ quality of life. Patients with endometriosis may, cyclically or non-cyclically (80% of cases) experience CPP. High levels of anxiety and depression have been described in patients with endometriosis related to CPP; however, this has not been evaluated in endometriosis women with different types of CPP. Methods: This work aimed to determine if there are differences in emotional dysregulation in patients with cyclical and non-cyclical CPP. 49 women diagnosed with endometriosis presenting cyclical and non-cyclical CPP answered several batteries made up of Mini-Mental State Examination, Visual Analog Scale, Beck´s Depression Inventory, State Trait-Anxiety Inventory, and Generalized Anxiety Inventory. Results: We observed that patients with non-cyclical CPP exhibited higher levels of depression and anxiety (trait-state and generalized anxiety) than patients with cyclical pain. No differences were observed in pain intensity, but there was a higher probability of developing emotional dysregulation (anxiety or depression) in patients with non-cyclical CPP. No differences were observed in cognitive impairment. Conclusions:Our data suggest that patients with non-cyclical CPP present a higher emotional dysregulation than those with cyclical pain.

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Section: Discussioncontrasting

confidence: 60%

Emotional dysregulation in endometriosis women with cyclical and non-cyclical chronic pelvic pain

Rodríguez-Lozano

Meza-Rodríguez

Cruz-Orozco

et al. 2022

Preprint

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“…Authors concluded that the main complaint for patients with endometriosis was dysmenorrhea by 55% among adults [25]. [26] pointed that 78% out of 23 patient with endometriosis has non cyclic pelvic pain while in our study result indicated that non cyclic pelvic pain reflected on 26% of women with endometriosis. The present study showed that post education knowledge scores was significantly higher than preeducation (t = -21.664, P < 0.001).This might be related to the effect of health education sessions that were given to women and how The finding was in agreement with [27] who reported that education is imperative for patients with suspected endometriosis.…”

Section: Discussionsupporting

confidence: 42%

Impact of Changing Lifestyle on Endometriosis Related Pain

Ghonemy¹,

Sharkawy²

2017

IOSR JNHS

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“…From this data it is clear that endometrioma can damage the follicular reserve, even if many authors disagree [10,11]. But we also know that with surgery, dysmenorrhea and dyspareunia decrease and sometimes serious complications are avoided: • Risk of rapture of the endometrioma and/or the development of a pelvic abscess • Missing an occult early-stage malignancy • Difficulties during oocyte retrieval • Follicular fluid contamination with endometrioma content • Progression of endometriosis [12,13].…”

Section: First Question: Why Do I Perform the Surgery?mentioning

confidence: 99%

Ovarian Endometrioma Surgery - How to Safeguard the Follicular Reserve

2020

JCRC

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Ovarian endometrioma is a particular anatomopathological entity in the context of endometriotic pathology. The ovary is the organ most frequently affected by endometriosis and in 30% of cases, the pathology is bilateral. The effect of endometriosis on fertility is varied; however, women with severe endometriosis and the presence of endometriomas appear to have significantly lower pregnancy rates, also following IVF treatment, when compared with women with severe endometriosis but without endometriomas. Surgical treatment is indicated if the endometrioma becomes symptomatic and increases in size despite medical therapy, and in cases of related infertility. However, endometrioma surgery can reduce the follicular reserve either through stripping that does not take into account the correct cleavage plan and involves an exaggerated “traction-counter traction”, or with an indiscriminate electro-hemostasis or, with a too narrow suture that causes ischemia. In consideration of this important issues, we have organized a surgical-excision technique that tries to safeguard as much as possible the follicular reserve of the ovary affected by endometriosis.

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Effect of surgical removal of endometriomas on cyclic and non-cyclic pelvic pain

Cited by 5 publications

References 31 publications

Emotional dysregulation in endometriosis women with cyclical and non-cyclical chronic pelvic pain

Emotional dysregulation in endometriosis women with cyclical and non-cyclical chronic pelvic pain

Impact of Changing Lifestyle on Endometriosis Related Pain

Ovarian Endometrioma Surgery - How to Safeguard the Follicular Reserve

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