Association between chronic pelvic pain symptoms and the presence of endometriosis

Purpose 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. Methods P...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2016-02, Vol.293 (2), p.439-445
Main Authors: Apostolopoulos, Nikolaos V., Alexandraki, Krystallenia I., Gorry, Anwen, Coker, Adeyemi
Format: Article
Language:English
Subjects:
Adult
Case-Control Studies
Chronic Pain - epidemiology
Chronic Pain - etiology
Dysmenorrhea - complications
Dysmenorrhea - diagnosis
Dysmenorrhea - etiology
Dyspareunia - diagnosis
Dyspareunia - etiology
Endocrinology
Endometriosis
Endometriosis - complications
Endometriosis - diagnosis
Endometriosis - pathology
Endometriosis - surgery
Female
Follow-Up Studies
Gynecologic Endocrinology and Reproductive Medicine
Gynecology
Health Services
Human Genetics
Humans
Hysterectomy
Laparoscopy
Medicine
Medicine & Public Health
Middle Aged
Obstetrics/Perinatology/Midwifery
Pain
Pain Measurement
Pelvic Pain - epidemiology
Pelvic Pain - etiology
Prospective Studies
Treatment Outcome
Visual Analog Scale
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Summary:Purpose 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. Methods 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. Results 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. Conclusions 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.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-015-3855-2