Do symptomatic endometriosis and uterine fibroids appear together?

Objectives : Endometriosis and uterine fibroids are common gynecological disorders in fertile women. It has been suggested that these two disorders may be associated with each other. In this study, we tested whether this connection exists. In addition, we wanted to evaluate whether they both affect...

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Main Authors: Outi Uimari, Ilkka Järvelä, Markku Ryynänen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Journal of Human Reproductive Sciences
Subjects:
Online Access:http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2011;volume=4;issue=1;spage=34;epage=38;aulast=Uimari
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author Outi Uimari
Ilkka Järvelä
Markku Ryynänen
author_facet Outi Uimari
Ilkka Järvelä
Markku Ryynänen
author_sort Outi Uimari
collection DOAJ
description Objectives : Endometriosis and uterine fibroids are common gynecological disorders in fertile women. It has been suggested that these two disorders may be associated with each other. In this study, we tested whether this connection exists. In addition, we wanted to evaluate whether they both affect fertility independently of each other. Materials and Methods : The prevalence of endometriosis and uterine fibroids was investigated in three groups of patients: Symptomatic patients requiring surgery either for endometriosis (n=182), or for uterine fibroids (n=240) and asymptomatic patients undergoing laparoscopic sterilization (n=183). The prevalences were examined in three age groups: 35-39 yrs, 40-44 yrs and ≥ 45 yrs. The significance of both diagnoses on fertility was assessed using logistic regression analysis. Results :Uterine fibroids were detected in 25.8% (47/182) of patients with endometriosis. Endometriosis was detected in 19.6% (47/240) of patients with uterine fibroids. 5.5% (10/183) women undergoing sterilization had endometriosis and 19.3% (17/183) had uterine fibroids. Both uterine fibroids and endometriosis were, independently of each other, related to subfertility (OR, 95% CI: 3.8, 2.3-6.5; 6.8, 4.0-11.6, respectively). Conclusions : The results suggest that symptomatic endometriosis appears together with symptomatic uterine fibroids. Both diseases seem to decrease female fertility independently of each other.
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spelling doaj.art-20ea2fedc1c74cbf967357fe5282bbcb2022-12-22T01:16:22ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662011-01-0141343810.4103/0974-1208.82358Do symptomatic endometriosis and uterine fibroids appear together?Outi UimariIlkka JärveläMarkku RyynänenObjectives : Endometriosis and uterine fibroids are common gynecological disorders in fertile women. It has been suggested that these two disorders may be associated with each other. In this study, we tested whether this connection exists. In addition, we wanted to evaluate whether they both affect fertility independently of each other. Materials and Methods : The prevalence of endometriosis and uterine fibroids was investigated in three groups of patients: Symptomatic patients requiring surgery either for endometriosis (n=182), or for uterine fibroids (n=240) and asymptomatic patients undergoing laparoscopic sterilization (n=183). The prevalences were examined in three age groups: 35-39 yrs, 40-44 yrs and ≥ 45 yrs. The significance of both diagnoses on fertility was assessed using logistic regression analysis. Results :Uterine fibroids were detected in 25.8% (47/182) of patients with endometriosis. Endometriosis was detected in 19.6% (47/240) of patients with uterine fibroids. 5.5% (10/183) women undergoing sterilization had endometriosis and 19.3% (17/183) had uterine fibroids. Both uterine fibroids and endometriosis were, independently of each other, related to subfertility (OR, 95% CI: 3.8, 2.3-6.5; 6.8, 4.0-11.6, respectively). Conclusions : The results suggest that symptomatic endometriosis appears together with symptomatic uterine fibroids. Both diseases seem to decrease female fertility independently of each other.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2011;volume=4;issue=1;spage=34;epage=38;aulast=UimariEndometriosissubfertilityuterine fibroids
spellingShingle Outi Uimari
Ilkka Järvelä
Markku Ryynänen
Do symptomatic endometriosis and uterine fibroids appear together?
Journal of Human Reproductive Sciences
Endometriosis
subfertility
uterine fibroids
title Do symptomatic endometriosis and uterine fibroids appear together?
title_full Do symptomatic endometriosis and uterine fibroids appear together?
title_fullStr Do symptomatic endometriosis and uterine fibroids appear together?
title_full_unstemmed Do symptomatic endometriosis and uterine fibroids appear together?
title_short Do symptomatic endometriosis and uterine fibroids appear together?
title_sort do symptomatic endometriosis and uterine fibroids appear together
topic Endometriosis
subfertility
uterine fibroids
url http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2011;volume=4;issue=1;spage=34;epage=38;aulast=Uimari
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AT ilkkajarvela dosymptomaticendometriosisanduterinefibroidsappeartogether
AT markkuryynanen dosymptomaticendometriosisanduterinefibroidsappeartogether