| Literature DB >> 1918305 |
Abstract
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.Entities:
Keywords: Biology; Contraception; Contraceptive Usage; Cultural Background; Demographic Factors; Developed Countries; Diseases; Endometrial Effects--etiology; Endometrium; Endoscopy; Ethnic Groups; Europe; Examinations And Diagnoses; Family Planning; Fertility; Fertility Measurements; Genitalia; Genitalia, Female; Gynecologic Surgery; Hysterectomy; Infertility; Laparoscopy; Measurement; Northern Europe; Pain; Physical Examinations And Diagnoses; Physiology; Population; Population Characteristics; Population Dynamics; Pregnancy History; Prevalence; Prospective Studies; Reproduction; Research Methodology; Signs And Symptoms; Studies; Surgery; Treatment; United Kingdom; Urogenital Surgery; Urogenital System; Uterus; Whites
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Year: 1991 PMID： 1918305 DOI： 10.1093/oxfordjournals.humrep.a137377
Source DB: PubMed Journal: Hum Reprod ISSN： 0268-1161 Impact factor: 6.918