Soluble adhesion molecules in serum and peritoneal fluid are associated with pelvic pain in endometriosis

• Published in: International journal of gynecology and obstetrics 2024-11
• Main Authors: Ahsan, Fadhil, Santoso, Budi, Rahmawati, Nanda Yuli, Alditia, Fidyah Nanda, Mufid, Alfin Firasy, Sa'adi, Ashon, Dwiningsih, Sri Ratna, Tunjungseto, Arif, Widyanugraha, M Y Ardianta
• Format: Article
• Language: English
• ISSN: 0020-7292; 1879-3479; 1879-3479
• DOI: 10.1002/ijgo.16004

To investigate the association between soluble adhesion molecules (sE-cadherin, sE-selectin, sICAM-1, sVCAM-1) in serum and peritoneal fluid and pelvic pain in infertile women with endometriosis. This observational study included 86 infertile women undergoing diagnostic laparoscopy, 43 of whom were diagnosed with endometriosis. Pain intensity was evaluated using the visual analog scale (VAS). Levels of soluble adhesion molecules in serum and peritoneal fluid were quantified using ELISA. Statistical analysis included the Mann-Whitney U test for group comparisons, Spearman's rank correlation for associations with VAS scores, and receiver operating characteristic (ROC) curve analysis for diagnostic performance. Serum sE-selectin levels were significantly higher in women with pelvic pain (P = 0.022) and correlated with VAS scores (r = 0.271, P = 0.012). Peritoneal sE-selectin and sICAM-1 levels were elevated in women with pelvic pain (P = 0.044 and P = 0.029, respectively) and showed positive correlations with VAS scores (r = 0.246, P = 0.022 and r = 0.310, P = 0.004, respectively). Comparing endometriosis and control groups, peritoneal sE-selectin and sICAM-1 levels were significantly higher in endometriosis cases with pelvic pain (P = 0.003 and P