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KMID : 1143220180610050605
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Obstetrics & Gynecology Science
2018 Volume.61 No. 5 p.605 ~ p.614
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Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study
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de Freitas Fonseca Marlon
Sessa Felipe Ventura
Aragao Lilian Carvalho
de Resende Jose Anacleto Dutra
Crispi Claudio Peixoto
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Abstract
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Objective: To assess the correlation between different pain symptoms and different domains of women's health-related quality of life (HRQoL).
Methods: Seventy-seven women with deep infiltrating endometriosis were successively enrolled between June 2011 and August 2013 while being prepared to undergo laparoscopy due to pain and/or infertility. We quantified the intensities of dysmenorrhea, deep dyspareunia, chronic pelvic pain, and dyschezia (menstrual and non-menstrual) using a 11-point visual analog scale (VAS: 0?10) and the validated full versions of the Short Form 36 (SF36) and Endometriosis Health Profile (EHP30) questionnaires to assess HRQoL. The pain symptoms were considered simultaneously in a hierarchical agglomerative clustering method (exploratory multivariate approach) and the associations among scores were tested by bivariate correlation.
Results: Dysmenorrhea showed the lowest similarity on to the multivariate cluster analysis and no statistically significant correlation with the other pain symptoms: deep dyspareunia (P=0.244), chronic pelvic pain (P=0.108), menstrual dyschezia (P=0.238), and non-menstrual dyschezia (P=0.380). Dysmenorrhea and chronic pelvic pain were the main symptoms correlated with all domains of the SF36 and the EHP30 (core instrument) questionnaires (P<0.05).
Conclusion: Dysmenorrhea and chronic pelvic pain were independent factors associated with HRQoL.
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KEYWORD
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Dysmenorrhea, Dyspareunia, Dyschezia, Pelvic pain, Woman's health
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