Fertility and sterility · 2002
A long-term follow-up study of women with asymptomatic endometriosis diagnosed incidentally at sterilization.
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Moen Mette Haase, Stokstad Trine
Аннотация
OBJECTIVE: To evaluate whether asymptomatic endometriosis diagnosed in connection with tubal sterilization is likely to cause symptoms later in the woman's life.
DESIGN: Controlled, clinical follow-up study of women who were examined for endometriosis in connection with tubal sterilization performed between 1986 and 1989.
SETTING: University hospital.
PATIENT(S): Thirty-nine women with mostly minimal endometriosis discovered at sterilization and 157 control women with no endometriosis discovered at sterilization.
INTERVENTION(S): Interview in 2001 by a posted questionnaire.
MAIN OUTCOME MEASURE(S): Report on pain, pelvic operations, menopausal status, and use of hormone replacement therapy.
RESULT(S): Pelvic pain was more frequently reported by controls than by women with endometriosis (28% vs. 6%). There was no significant difference between the groups concerning dysmenorrhea, premenstrual pain, or dyspareunia, nor was there any significant difference in the hysterectomy rate.
CONCLUSION(S): There is little risk that asymptomatic, minimal endometriosis found incidentally will become symptomatic.
DESIGN: Controlled, clinical follow-up study of women who were examined for endometriosis in connection with tubal sterilization performed between 1986 and 1989.
SETTING: University hospital.
PATIENT(S): Thirty-nine women with mostly minimal endometriosis discovered at sterilization and 157 control women with no endometriosis discovered at sterilization.
INTERVENTION(S): Interview in 2001 by a posted questionnaire.
MAIN OUTCOME MEASURE(S): Report on pain, pelvic operations, menopausal status, and use of hormone replacement therapy.
RESULT(S): Pelvic pain was more frequently reported by controls than by women with endometriosis (28% vs. 6%). There was no significant difference between the groups concerning dysmenorrhea, premenstrual pain, or dyspareunia, nor was there any significant difference in the hysterectomy rate.
CONCLUSION(S): There is little risk that asymptomatic, minimal endometriosis found incidentally will become symptomatic.