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de Freitas Fonseca M, Aragao LC, Sessa FV, et al. Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study. Obstet Gynecol Sci. 2018;61(5):605-614doi: 10.5468/ogs.2018.61.5.605.
de Freitas Fonseca, M., Aragao, L. C., Sessa, F. V., Dutra de Resende, J. A., & Crispi, C. P. (2018). Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study. Obstetrics & gynecology science, 61(5), 605-614. https://doi.org/10.5468/ogs.2018.61.5.605
de Freitas Fonseca, Marlon, et al. "Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study." Obstetrics & gynecology science vol. 61,5 (2018): 605-614. doi: https://doi.org/10.5468/ogs.2018.61.5.605
de Freitas Fonseca M, Aragao LC, Sessa FV, Dutra de Resende JA, Crispi CP. Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study. Obstet Gynecol Sci. 2018 Sep;61(5):605-614. doi: 10.5468/ogs.2018.61.5.605. Epub 2018 Aug 28. PMID: 30254997; PMCID: PMC6137011.
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Obstet Gynecol Sci. 2018 Sep;61(5):605-614. doi: 10.5468/ogs.2018.61.5.605. Epub 2018 Aug 28.

Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study.

Obstetrics & gynecology science

Marlon de Freitas Fonseca, Lilian Carvalho Aragao, Felipe Ventura Sessa, Jose Anacleto Dutra de Resende, Claudio Peixoto Crispi

Affiliations

  1. Departments of Gynecology and Anesthesia, Fernandes Figueira National Institute for Women, Children and Youth Health (IFF), Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
  2. Crispi Institute of Minimally Invasive Surgery, Rio de Janeiro, Brazil.
  3. Department of Urology, Lagoa Federal Hospital, Rio de Janeiro, Brazil.
  4. Department of Urology, Pedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil.

PMID: 30254997 PMCID: PMC6137011 DOI: 10.5468/ogs.2018.61.5.605

Abstract

OBJECTIVE: To assess the correlation between different pain symptoms and different domains of women's health-related quality of life (HRQoL).

METHODS: Seventy-seven women with deep infiltrating endometriosis were successively enrolled between June 2011 and August 2013 while being prepared to undergo laparoscopy due to pain and/or infertility. We quantified the intensities of dysmenorrhea, deep dyspareunia, chronic pelvic pain, and dyschezia (menstrual and non-menstrual) using a 11-point visual analog scale (VAS: 0-10) and the validated full versions of the Short Form 36 (SF36) and Endometriosis Health Profile (EHP30) questionnaires to assess HRQoL. The pain symptoms were considered simultaneously in a hierarchical agglomerative clustering method (exploratory multivariate approach) and the associations among scores were tested by bivariate correlation.

RESULTS: Dysmenorrhea showed the lowest similarity on to the multivariate cluster analysis and no statistically significant correlation with the other pain symptoms: deep dyspareunia (

CONCLUSION: Dysmenorrhea and chronic pelvic pain were independent factors associated with HRQoL.

Keywords: Dyschezia; Dysmenorrhea; Dyspareunia; Pelvic pain; Woman's health

Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

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