Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study.
10.5468/ogs.2018.61.5.605
- Author:
Marlon DE FREITAS FONSECA
1
;
Lilian Carvalho ARAGAO
;
Felipe Ventura SESSA
;
Jose Anacleto DUTRA DE RESENDE
;
Claudio Peixoto CRISPI
Author Information
1. Departments of Gynecology and Anesthesia, Fernandes Figueira National Institute for Women, Children and Youth Health (IFF), Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. marlon@iff.fiocruz.br, marlon.iff@gmail.com
- Publication Type:Original Article
- Keywords:
Dysmenorrhea;
Dyspareunia;
Dyschezia;
Pelvic pain;
Woman's health
- MeSH:
Constipation;
Dysmenorrhea;
Dyspareunia;
Endometriosis;
Female;
Humans;
Infertility;
Laparoscopy;
Methods;
Observational Study*;
Pelvic Pain;
Quality of Life*;
Visual Analog Scale;
Women's Health
- From:Obstetrics & Gynecology Science
2018;61(5):605-614
- CountryRepublic of Korea
- Language:English
-
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 (P=0.244), chronic pelvic pain (P=0.108), menstrual dyschezia (P=0.238), and non-menstrual dyschezia (P=0.380). Dysmenorrhea and chronic pelvic pain were the main symptoms correlated with all domains of the SF36 and the EHP30 (core instrument) questionnaires (P < 0.05). CONCLUSION: Dysmenorrhea and chronic pelvic pain were independent factors associated with HRQoL.
