Clinical predictive factors for endometriosis in a Portuguese infertile population

Human Reproduction
C Calhaz-JorgeA P Costa

Abstract

Endometriosis is an important clinical situation associated with subfertility. It would be very useful to identify patients at increased risk for endometriosis prior to laparoscopy. In the present study, we evaluate the demographic and clinical characteristics in a cohort of Portuguese subfertile women in relation to the presence of endometriosis. Consecutive subfertile patients scheduled for laparoscopy were interviewed prior to the procedure. At subsequent laparoscopy, the presence of endometriosis was scored according to the revised classification of the American Society for Reproductive Medicine (ASRM). Data available from the medical history were tabulated against the presence or absence of endometriosis. We used logistic regression analysis to evaluate whether data from the patient's medical history could predict the presence of endometriosis. Among the 1079 women that were studied, 358 had minimal/mild endometriosis and 130 had moderate/severe endometriosis. Primary subfertility, regularity of menstrual cycles, dysmenorrhoea, chronic pelvic pain, obesity, ever use of oral contraceptives and smoking were the most important predictors of endometriosis. The prediction model had an area under the receiver operating character...Continue Reading

Citations

May 7, 2013·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S O Hansen, U B Knudsen
Aug 16, 2011·Human Reproduction·Olof StephanssonJonas F Ludvigsson
Jul 1, 2010·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Merit LampAndres Salumets
May 28, 2010·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Nitin PandeySushil Chandra Mahapatra
Oct 8, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lorraine CamilleriAnthony Serracino Inglott
Jan 11, 2007·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Agnete Fjerbaek, Ulla B Knudsen
Mar 14, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Keiichiro YoneyamaTakashi Okai
Jun 5, 2012·Fertility and Sterility·Kelechi E NnoahamUNKNOWN World Endometriosis Research Foundation Women's Health Symptom Survey Consortium
Dec 24, 2014·BMJ Open·Francesca BraviCarlo La Vecchia
Oct 22, 2016·American Journal of Reproductive Immunology : AJRI·Kaori Yamada-NomotoShigeru Saito
Jan 27, 2018·Obstetrics & Gynecology Science·Ji Yeon HanSeok Hyun Kim
May 27, 2017·Archives of Gynecology and Obstetrics·Eric SurreyMichael C Snabes
Feb 11, 2014·Journal of Endometriosis·Anne Marie DarlingStacey A Missmer

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