Abstract:
:Introduction The clinical presentation of endometriosis is extremely varied. Because endometriosis symptoms may overlap with symptoms caused by gastroenterological disorders, this can lead to misdiagnosis and a considerable delay in arriving at the correct diagnosis. The aim was to evaluate the type and duration of endometriosis-related symptoms and to identify predictors for patterns of involvement depending on symptoms. Material and Method The data of 266 consecutive patients who were operated on in the Endometriosis Center between 1/2016 and 12/2017 after receiving a histologically verified diagnosis of endometriosis were recorded. In addition to recording the clinical parameters, a questionnaire was distributed to the patients, who were asked about their medical history. Infertile patients were grouped together as Group 1 and compared to non-infertile patients (Group 2). Results The response rate for returned questionnaires was 79.47% (182/229). 41.8% of patients reported that they were infertile and 91.8% reported pelvic pain. In more than ⅓ of cases in both groups, more than 10 years passed between the initial symptoms and the final diagnosis (39.4 vs. 37.5%). On average, patients consulted 2.72 (± 1.58) resp. 3.08 (± 1.72) doctors before they presented to a hospital or were referred for laparoscopic diagnostic workup (p = 0.162). Cycle-related diarrhea (odds ratio 2.707; 95% CI: 1.063 - 6.895, p = 0.037) and dysmenorrhea (odds ratio 2.278; 95% CI: 1.193 - 4.348, p = 0.013) were associated with involvement of the pelvic peritoneum, cycle-related dyschezia was associated with rectal involvement by a factor of 4.6 in binary regression analysis (odds ratio 4.659; 95% CI: 1.132 - 19.186; p = 0.033). Conclusion Cycle-related diarrhea and dysmenorrhea increase the risk probability of peritoneal endometriosis. Dyschezia increases the risk probability of rectal endometriosis.
journal_name
Geburtshilfe Frauenheilkdjournal_title
Geburtshilfe und Frauenheilkundeauthors
Nicolaus K,Reckenbeil L,Bräuer D,Sczesny R,Diebolder H,Runnebaum IBdoi
10.1055/a-1033-9588subject
Has Abstractpub_date
2020-03-01 00:00:00pages
307-315issue
3eissn
0016-5751issn
1438-8804pii
10339588journal_volume
80pub_type
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:10.1055/s-2008-1036838
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:10.1055/s-2008-1036799
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:10.1055/s-2008-1037177
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:10.1055/s-2008-1035833
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journal_title:Geburtshilfe und Frauenheilkunde
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doi:10.1055/s-2008-1036804
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
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doi:10.1055/s-2008-1036408
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
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journal_title:Geburtshilfe und Frauenheilkunde
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章
doi:10.1055/s-2008-1037069
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journal_title:Geburtshilfe und Frauenheilkunde
pub_type: 杂志文章,meta分析
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journal_title:Geburtshilfe und Frauenheilkunde
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