• Naseer -ud- Din
  • Attaullah Khan
  • Nudrat Illahi


Background: Endometriosis is responsible for varied and disabling symptoms, and its adverse effects on reproductivepotential are sources of widespread frustration and disappointment. This study was done to find out the prevalenceand pattern of presentation of the patients with endometriosis. Methods: Two hundred and one consecutive patients,aged 20-45 years, having signs and symptoms suggestive of endometriosis, attending the gynaecology outpatientdepartment of Nishtar Hospital, Multan, during one year i.e. 1995 to 1996, were prospectively included in this study.All such patients were subjected to laparoscopy or laparotomy for final diagnosis. The severity of the disease wasdocumented and classified according to the revised American Fertility Society staging system. Results &Conclusions: The prevalence of endometriosis was 5.2% all gynecological admissions. Our findings of a prevalenceof endometriosis of 24.88% in 201 laparotomies/laparoscopies, negates the commonly held view that endometriosisis a rare disease in Pakistan. We have also recorded a high incidence of infertility among patients suffering fromendometriosis. The prevalence and pattern of presentation of the patients are comparable with the results reportedfrom all over the world. It is, therefore, concluded that endometriosis is as common among Pakistani women aselsewhere in the world. The pattern of presentation and complications are also similar.


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