Preciado RR, Zúñiga MJA, Salas QMN, García LGRAM, Torres CJA

Language: Spanish
References: 9
Page: 112-117
PDF size: 77.13 Kb.

ABSTRACT

Background: The incidence and symptoms of endometriosis varies according the different populations.
Objectives: To determine the incidence of endometriosis as well as the clinical and laparoscopic characteristics in infertile women with endometriosis.
Material and method: This study included 68 infertile patients with endometriosis diagnosed by laparoscopy, in all of them the demographic and clinical characteristics were analyzed.
Results: In 68 out of 197 medical files that were analyzed, endometriosis was reported (34.5%). The age average was 30.3 ± 3.9 years. 40 patients had primary infertility (58.8%) and 28 (41.2%) secondary infertility. According to endometriosis severity in 34 patients (50%) was mild, moderate in 16 (23.5%) and severe in 18 (26.5%). Only one endometriosic foci was found in 25% of patients and multiple in 75%. The most common sites in which it was found were the uterosacral ligaments, Douglas pouch and the ovaries. In those patients with primary infertility it predominates the medium-high socioeconomic level and in those with secondary infertility the low one. In severe endometriosis the predominant symptom was the moderate or severe dysmenorrhea, while in mild and moderate endometriosis was mild dysmenorrhea (p ‹ 0.007). Out of 16 with severe endometriosis six han endometrioma.
Conclusions: The endometriosis incidence in infertile women was similar to that reported in literature, as well as age of presentation. In the same manner it was observed a direct relation between endometriosis severity and dysmenorrhea intensity.

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