The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging
(1) Despite its high prevalence, the diagnostic delay of endometriosis is still estimated to be about 7 years. The objective of the present study is to understand the symptomatology of endometriosis in patients across various countries and to assess whether the severity of symptoms correlates with t...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/7/2688 |
| _version_ | 1797607668372733952 |
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| author | Matilda Shaked Ashkenazi Ole Linvåg Huseby Gard Kroken Marcela Trocha Aurora Henriksson Hanna Jasiak Karen Cuartas Alessandra Loschiavo Isabella Kuhn Dina Støve Hanna Grindahl Emilia Latour Mathias Melbø Katrine Holstad Sebastian Kwiatkowski |
| author_facet | Matilda Shaked Ashkenazi Ole Linvåg Huseby Gard Kroken Marcela Trocha Aurora Henriksson Hanna Jasiak Karen Cuartas Alessandra Loschiavo Isabella Kuhn Dina Støve Hanna Grindahl Emilia Latour Mathias Melbø Katrine Holstad Sebastian Kwiatkowski |
| author_sort | Matilda Shaked Ashkenazi |
| collection | DOAJ |
| description | (1) Despite its high prevalence, the diagnostic delay of endometriosis is still estimated to be about 7 years. The objective of the present study is to understand the symptomatology of endometriosis in patients across various countries and to assess whether the severity of symptoms correlates with the diagnosed stage of disease. (2) An international online survey collected self-reported responses from 2964 participants from 59 countries. Finalization of the questionnaire and its distribution was achieved by cooperation with various organizations and centers around the globe. (3) Chronic pain presentation remarkably increased between Stage 1 and 2 (16.2% and 32.2%, respectively). The prevalence of pain only around and during menstruation was negatively correlated to the stage, presenting with 15.4% and 6.9% in Stages 1 and 4, respectively. Atypical presentation of pain was most commonly reported in stage 4 (11.4%). Pain related solely to triggering factors was the most uncommon presentation of pain (3.2%). (4) Characteristics of pain and quality of life tend to differ depending on the reported stage of the endometriosis. Further research may allow a better stage estimation and identification of patients with alarming symptomatic presentation indicative of a progressive stage, even those that are not yet laparoscopically diagnosed. |
| first_indexed | 2024-03-11T05:33:05Z |
| format | Article |
| id | doaj.art-ac0fd503bbc14bfc83d6fcde987f4ed6 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T05:33:05Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ac0fd503bbc14bfc83d6fcde987f4ed62023-11-17T17:00:34ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01127268810.3390/jcm12072688The Clinical Presentation of Endometriosis and Its Association to Current Surgical StagingMatilda Shaked Ashkenazi0Ole Linvåg Huseby1Gard Kroken2Marcela Trocha3Aurora Henriksson4Hanna Jasiak5Karen Cuartas6Alessandra Loschiavo7Isabella Kuhn8Dina Støve9Hanna Grindahl10Emilia Latour11Mathias Melbø12Katrine Holstad13Sebastian Kwiatkowski14Department of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandFiskeridirektoratet, Strandgaten, 5004 Bergen, NorwayDepartment of Obstetrics and Gynaecology, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, University of Texas Southwestern Medical Center, Dallas, TX 75390, USAThe Department of Woman, Child, and General and Specialized Surgery, Università della Campania Luigi Vanvitelli, 81100 Caserta, ItalyMusculoskeletal University Center Munich, Department of Orthopaedics and Trauma Surgery, University Hospital, LMU Munich, 80336 Munich, GermanyDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, PolandDepartment of Obstetrics and Gynaecology, Pomeranian Medical University in Szcezcin, 70-204 Szczecin, Poland(1) Despite its high prevalence, the diagnostic delay of endometriosis is still estimated to be about 7 years. The objective of the present study is to understand the symptomatology of endometriosis in patients across various countries and to assess whether the severity of symptoms correlates with the diagnosed stage of disease. (2) An international online survey collected self-reported responses from 2964 participants from 59 countries. Finalization of the questionnaire and its distribution was achieved by cooperation with various organizations and centers around the globe. (3) Chronic pain presentation remarkably increased between Stage 1 and 2 (16.2% and 32.2%, respectively). The prevalence of pain only around and during menstruation was negatively correlated to the stage, presenting with 15.4% and 6.9% in Stages 1 and 4, respectively. Atypical presentation of pain was most commonly reported in stage 4 (11.4%). Pain related solely to triggering factors was the most uncommon presentation of pain (3.2%). (4) Characteristics of pain and quality of life tend to differ depending on the reported stage of the endometriosis. Further research may allow a better stage estimation and identification of patients with alarming symptomatic presentation indicative of a progressive stage, even those that are not yet laparoscopically diagnosed.https://www.mdpi.com/2077-0383/12/7/2688endometriosispelvic painfertilityquality of life |
| spellingShingle | Matilda Shaked Ashkenazi Ole Linvåg Huseby Gard Kroken Marcela Trocha Aurora Henriksson Hanna Jasiak Karen Cuartas Alessandra Loschiavo Isabella Kuhn Dina Støve Hanna Grindahl Emilia Latour Mathias Melbø Katrine Holstad Sebastian Kwiatkowski The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging Journal of Clinical Medicine endometriosis pelvic pain fertility quality of life |
| title | The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging |
| title_full | The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging |
| title_fullStr | The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging |
| title_full_unstemmed | The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging |
| title_short | The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging |
| title_sort | clinical presentation of endometriosis and its association to current surgical staging |
| topic | endometriosis pelvic pain fertility quality of life |
| url | https://www.mdpi.com/2077-0383/12/7/2688 |
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