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

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

Abstract

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. 

DOI

10.21608/ijma.2020.22163.1080

Keywords

Chronic pelvic pain, Endometriosis, Laparoscopy, Unexplained infertility, CA125

Authors

First Name

Mohammed

Last Name

El-flahgy

MiddleName

Mahmoud Mahmoud

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

elflahgymohammed@yahoo.com

City

Damitta

Orcid

-

First Name

Walaa

Last Name

El-Bassioune

MiddleName

Mohammed

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

walaa_abuzaid@hotmail.com

City

-

Orcid

-

First Name

Waleed

Last Name

Ayad

MiddleName

Ahmed

Affiliation

Department of Obstetrics and Gynecology Faculty of Medicine, Al-Azhar University (Damietta) Egypt

Email

waled.ayad@domazhermedicine.edu.eg

City

Damietta

Orcid

-

Volume

2

Article Issue

3

Related Issue

16043

Issue Date

2020-07-01

Receive Date

2020-01-08

Publish Date

2020-07-01

Page Start

519

Page End

527

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 3_Pages 519-527.pdf

PDF . 359.6kB

Link

https://ijma.journals.ekb.eg/article_93427.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=93427

Order

5

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023