Summary:
Objective: To assess the prevalence and severity of pain in
patients with endometriosis and to evaluate the relationship
between the severity of pelvic pain with different stages of
endometriosis.
Methods: A prospective observational study conducted among
65 patients diagnosed with endometriosis during surgery in
Infertility Management Center Dhaka, a specialized center
for treatment of infertility and assisted reproductive
technologies from January 2008 to January 2009.
Result: Majority of the patients were between 26-30 years.
Pelvic pain was the predominant symptom in 78.5% patients
and the rest were asymptomatic. Among the symptomatic
patients, most common symptom was dysmenorrhoea (n=47,
92.1%).When severity of pain was graded; it was observed
that most (37%) presented with moderate pain. Infertility
was present in 85% patients, mostly (n- 47 =74%) in primary
sub fertility group. The commonest site of endometriosis was
uterosacral ligament (n-58=89%) and ovarian endometriosis
is noted in (63%) cases. Most of the lesions (35%) were
black, haemosiderin deposits. When r-ASRM staging system
was applied, majority (58.4%) of the patients was in stage IV
disease and most of the patients (31%) with endometrioma
were in stage IV disease. The study revealed a strong positive
correlation between severe pain and stage IV disease
(Correlation co efficient 0.711). Moderate forms of pain and
severity of disease did not show any positive correlation in
this study (Correlation co efficient 0.390). There was negative
correlation between milder forms of pain with severity of
disease.
Conclusion: There was no relationship between frequency
and severity of pain symptoms and disease stage of
endometriosis.
Key words: Endometriosis, r-ASRM score, visual analogue
scale.
(J Bangladesh Coll Phys Surg 2016; 34: 135-139)