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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-01
Correlation of Pelvic Endometriosis with Infertility and Chronic Pelvic Pain: A Case Control Study
Manisha Jhirwal, Sujata deo, PL Shankhwar
Published: Jan. 30, 2018 | 142 135
DOI: 10.36347/sjams.2018.v06i01.003
Pages: 10-17
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Abstract
Endometriosis the presence of functional endometrium outside the uterine cavity, is a chronic benign, estrogen dependent inflammatory disease that causing 35-50 % of woman having chronic pelvic pain and infertility. Aim was to analyse the association of endometriosis with chronic pelvic pain and infertility. This prospective case control study was carried out to predict strong association of symptoms of chronic pelvic pain & infertility with endometriosis. This study was conducted in department of Obstetrics and Gynecology, KGMU, Lucknow for a period of 1 year. Total number of woman enrolled in this study were 100 initially ,but finally 37 case of endometriosis with strong clinical features like dysmenorrhea, heavy or irregular per vaginal bleeding, dyspareunia, pelvic pain, lower abdomen pain and ultrasonography finding of endometriosis were included as case, they underwent laparotomy/laparoscopy. Control group comprises of 25 women undergoing for laparoscopic tubal ligation. The most common symptoms found in woman with endometriosis are dysmenorrhea (59.45%), dyspareunia (54.05%), menorrhagia (54.05%) and primary infertility (45.94%). p=0.001, p<0.001, p<0.001, p<0.001 respectively. The results indicate that there was statically significant difference in dysmenorrhea, dyspareunia, menorrhagia and primary infertility status of cases and control.