Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain

Background: Unexplained infertility continues to be a health challenge irrespective of revolution in medical care. Endometriosis could be associated with infertility. However, its prevalence is underestimated, as it need laparoscopy for definite diagnosis.  Aim of the work: To estimate the incidenc...

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Autores principales: Mohammed El-flahgy, Walaa El-Bassioune, Waleed Ayad
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Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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spelling oai:doaj.org-article:fd5bfd7b0d3c4f8d9f0c5601d84bfbd12021-12-02T10:38:27ZIncidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain2636-41742682-378010.21608/ijma.2020.22163.1080https://doaj.org/article/fd5bfd7b0d3c4f8d9f0c5601d84bfbd12020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_93427_48d040ca006fe95f072295174b995434.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Unexplained infertility continues to be a health challenge irrespective of revolution in medical care. Endometriosis could be associated with infertility. However, its prevalence is underestimated, as it need laparoscopy for definite diagnosis.  Aim of the work: To estimate the incidence of typical and atypical (subtle) pelvic endometriosis among women with unexplained infertility and chronic pelvic pain. Patients and Methods:A total of 100 patients with unexplained infertility [50 patients] and chronic pelvic pain [50 patients] who underwent diagnostic laparoscopy had been included in the current study. All were assessed clinically after full history taking and underwent ultrasound, then prepared for laparoscopy. The main outcome was laparoscopic and histopathologic diagnosis of pelvic endometriosis, and the association between endometriosis and different patient characteristics and other risk factors had been analyzed. Results: Endometriosis was diagnosed by laparoscopy in nearly 33 of patients included in this study of which 29 cases [12 with unexplained infertility and 17 with chronic pelvic pain] were confirmed by histopathologic examination. Thus, the final incidence of endometriosis was 29%. Development of endometriosis was significantly associated with positive family history, dysmenorrhea and higher CA125. Conclusion: Pelvic endometriosis is a frequent association with unexplained infertility and chronic pelvic pain. It should be considered in those women particularly when there was positive family history, dysmenorrhea or higher CA125.Mohammed El-flahgyWalaa El-BassiouneWaleed AyadAl-Azhar University, Faculty of Medicine (Damietta)articlechronic pelvic painendometriosislaparoscopyunexplained infertilityca125Medicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 519-527 (2020)
institution DOAJ
collection DOAJ
language EN
topic chronic pelvic pain
endometriosis
laparoscopy
unexplained infertility
ca125
Medicine (General)
R5-920
spellingShingle chronic pelvic pain
endometriosis
laparoscopy
unexplained infertility
ca125
Medicine (General)
R5-920
Mohammed El-flahgy
Walaa El-Bassioune
Waleed Ayad
Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain
description Background: Unexplained infertility continues to be a health challenge irrespective of revolution in medical care. Endometriosis could be associated with infertility. However, its prevalence is underestimated, as it need laparoscopy for definite diagnosis.  Aim of the work: To estimate the incidence of typical and atypical (subtle) pelvic endometriosis among women with unexplained infertility and chronic pelvic pain. Patients and Methods:A total of 100 patients with unexplained infertility [50 patients] and chronic pelvic pain [50 patients] who underwent diagnostic laparoscopy had been included in the current study. All were assessed clinically after full history taking and underwent ultrasound, then prepared for laparoscopy. The main outcome was laparoscopic and histopathologic diagnosis of pelvic endometriosis, and the association between endometriosis and different patient characteristics and other risk factors had been analyzed. Results: Endometriosis was diagnosed by laparoscopy in nearly 33 of patients included in this study of which 29 cases [12 with unexplained infertility and 17 with chronic pelvic pain] were confirmed by histopathologic examination. Thus, the final incidence of endometriosis was 29%. Development of endometriosis was significantly associated with positive family history, dysmenorrhea and higher CA125. Conclusion: Pelvic endometriosis is a frequent association with unexplained infertility and chronic pelvic pain. It should be considered in those women particularly when there was positive family history, dysmenorrhea or higher CA125.
format article
author Mohammed El-flahgy
Walaa El-Bassioune
Waleed Ayad
author_facet Mohammed El-flahgy
Walaa El-Bassioune
Waleed Ayad
author_sort Mohammed El-flahgy
title Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain
title_short Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain
title_full Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain
title_fullStr Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain
title_full_unstemmed Incidence of Endometriosis among Women Prepared for Laparoscopy in Unexplained Infertility and Chronic Pelvic Pain
title_sort incidence of endometriosis among women prepared for laparoscopy in unexplained infertility and chronic pelvic pain
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2020
url https://doaj.org/article/fd5bfd7b0d3c4f8d9f0c5601d84bfbd1
work_keys_str_mv AT mohammedelflahgy incidenceofendometriosisamongwomenpreparedforlaparoscopyinunexplainedinfertilityandchronicpelvicpain
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