PREVALENCE AND GENESIS OF ENDOMETRIOSIS

被引:256
作者
MAHMOOD, TA
TEMPLETON, A
机构
[1] Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Aberdeen AB9 2ZD, Cornhill Road
关键词
PREVALENCE; ENDOMETRIOSIS; FERTILE INFERTILE; GENESIS;
D O I
10.1093/oxfordjournals.humrep.a137377
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A group of 1542 pre-menopausal Caucasian women were assessed prospectively to investigate the prevalence of endometriosis. The women were either having laparoscopy because of infertility (n = 654), undergoing laparoscopic sterilization (n = 598), having laparoscopy because of chronic abdominal and pelvic pain (n = 156) or undergoing abdominal hysterectomy for dysfunctional uterine bleeding (n = 134). Endometriosis was noted more frequently among women being investigated for infertility (21%) than among those undergoing sterilization (6%). Among those being investigated for chronic abdominal pain, the incidence of endometriosis was 15%, while among those undergoing abdominal hysterectomy, it was 25%. In all groups the total duration of combined pill usage was significantly higher in patients who had a normal pelvis compared to those with endometriosis. It is suggested that among susceptible women, both fertile and infertile, a prolonged period of regular spontaneous menstruation may play a causative role in the genesis of endometriosis.
引用
收藏
页码:544 / 549
页数:6
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