PMID: 8529772Sep 1, 1995

Pain recurrence: a quality of life issue in endometriosis

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
M A Damario, J A Rock

Abstract

Studies reveal endometriosis to be present in 38-51% of women undergoing laparoscopy for chronic pelvic pain. Symptoms attributable to endometriosis include dysmenorrhea, dyspareunia, generalized pelvic pain, dyschezia, and radiation of pain to the back or leg. Psychological factors may also contribute to a more intense pain experience. Medical therapy provides symptom relief in 72-93% of patients, although recurrence is common following treatment discontinuation. Surgical therapy has had varying results for long-term pain relief; adequacy of the initial surgical treatment appears to be a critical factor. Important adjunctive measures include presacral neurectomy and excisional techniques to remove deep, fibrotic, retroperitoneal lesions. The quality of life of women with endometriosis will improve with greater focus on achieving the long-term relief of pelvic pain. Limitation of pain recurrence would benefit the patient greatly, by providing symptom relief and preventing the cycle of its probably adverse effects on physical activity, work productivity, sexual fulfilment, and mood.

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Related Concepts

Pelvic Pain Occurs With Bowel Movement
Chronic Pelvic Pain of Female
Retroperitoneal Space
Psychosexual Disorders
Endometrioma
Pelvic Pain Occurs With Urination
Recurrent Malignant Neoplasm
Adverse Effects
Pelvic Pain Decreasing in Frequency
Pelvic Pain Increasing in Severity

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