Relation between severity of dysmenorrhea and endometrioma
Open accessAbstract
Background. To evaluate the relationship between the severity of dysmenorrhea and endometrioma. Methods. Descriptive study with prospective design. Two hundred and thirty‐nine women with histologically proved endometriomas. The severity of dysmenorrhea was assessed prospectively with a 10‐cm visual analog scale. Various indicators concerning the endometrioma and the extent of deep infiltrating endometriosis were recorded during surgery in 239 patients. Correlations were sought with a multiple regression logistic model. Results. According to univariate analysis, the following variables were related to more severe dysmenorrhea: subperitoneal infiltration (uterosacral ligament and rectal infiltration) and R‐AFS score of implants. None of the specific characteristics of endometriomas were associated with severe dysmenorrhea. After multiple regression analysis, rectal infiltration and R‐AFS score of implants were the only factors that remained related to dysmenorrhea severity. Conclusions. When there is an endometrioma, severe dysmenorrhea is not directly related with the characteristics specific to these ovarian cysts. The associated deep infiltrating endometriotic lesions and in particular rectal infiltration could explain these symptoms.
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Endometriomas themselves are not associated with the severity of dysmenorrhea.
“Endometriomas, per se, are not associated with dysmenorrhea severity”
From Chronic pelvic pain and endometriosis: translational evidence of the relationship and implications (2011) · cites this paper as Chopin et al., 2006
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- Authors
- CHOPIN, N., BALLESTER, M., BORGHESE, B., FAUCONNIER, A., FOULOT, H., MALARTIC, C., & CHAPRON, C.
- Affiliations
- Hôpital Cochin (FR)
- Corresponding author
- CHAPRON, CHARLES
- Venue
- Acta Obstetricia et Gynecologica Scandinavica
- Publisher
- Wiley
- Published
- 2006-11
- Volume
- 85
- Issue
- 11
- Pages
- 1375-1380
- ISSN
- 0001-6349 (ISSN-L)
- 1600-0412
- OpenAlex
- W2027846141
- Cited by
- 28
- References
- 22
- Citations by year
- 2025: 3 · 2024: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 1 · 2015: 1 · 2014: 3 · 2013: 3 · 2012: 1
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Acta Obstetricia Et Gynecologica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- dysmenorrhea severity, endometrioma, deep infiltrating endometriosis, ovarian endometriotic cysts, visual analogue scale
- MeSH terms
- Adult, Dysmenorrhea, Endometriosis, Female, Humans, Middle Aged, Ovarian Cysts, Prospective Studies, Logistic Models
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