Features of pain syndrome in women with different forms of endometriosis

Abstract

The objective: to assess the type and intensity of pain in women with different endometriosis forms. Materials and methods. The research included 65 women with diagnosis of external genital endometriosis who formed I group. 38 patients with internal genital endometriosis consisted II group. Control group involved 30 persons of reproductive age without diagnosis of genital endometriosis. Visual Analogue Scale (VAS) was used to determine intensity of pain. Results. Chronic pelvic pain was more typical for patients in II group than in I (χ2=12.11; p<0.001). Also 69.23% women in I group and 86.84% in II suffered from dysmenorrhea, 43.08% and 42.11% respectively – from dyspaurenia, 10.77% and 15.79% – from dyschezia. 57.89% women in II group complained of pain which was not connected with menstrual cycle that was more often, than in I group (χ2=4.73; p=0.03). 10.77% patients with external genital endometriosis had no complaints against none women with internal endometriosis. According to VAS results mild (43.08%) and moderate (46.15%) pain was more often by external endometriosis. Only 10.77% of persons in I group indicated on severe pain. While, by internal endometriosis quantity of women with mild and moderate pain was less than by external one (28.95% and 36.84% respectively) and one third of individuals in this groups suffered from severe pain (34.21%; χ2=6.98; p=0.008). Conclusion. Pain syndrome is the typical clinical manifestation in women with endometriosis. Type of pain, its intensity is more severe by internal genital endometriosis than by external one. Key words: endometrios, pain, assessment.