PREVALENCE AND PRESENTATION OF ENDOMETRIOSIS IN PATIENTS ADMITTED IN NISHTAR HOSPITAL, MULTAN
Abstract
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.References
Rodrigenz EFJ, Neyro JL et al: Does minimal endometriosis
Reduce fecundity? Fertil Steril 1988; 50: 522.
Akhtar MS: Endometriosis. In: Akhtar Ms: Practical
Gynaecology, Lahore. HMR Publishing Company 1986;
pp.272-84.
Kistner RVV: Endometriosis. In: Sciarra JJ, McEln TW (Eds).
Gynaecology and Obstetrics vol. I, New York.
Harper and Row 1977.
Weed JC, Arquembourg PC: Endometriosis: Can it produce an
autoimmune response resulting in infertility?
Clin Obstet Gynaecol 1980; 23: 885.
Simpson JL, Ellas S, Mallnak LR et al: Heritable aspects of
endometriosis. Genetic studies. Am .1 Obstet Gynaecol 1980;
: 327.
Ranney B: Endometriosis: IV. Hereditary tendency. Obstet
Gynaecol 1971; 37: 734.
Bocker J, Tadmor OP, Gal M et al: The prevalence of
adenomyosis and endometriosis in an ultra-religious Jewish
population. J Obstet and Gynaecol 1994; 20: 125-29.
Jones HW, Jr, Jones GK: Novak’s text book of gynaecology
lhed, Baltimore, Williams and wilkins 1981; pp.625.
Aleem M and Bashir A: Endometriosis and diagnostic
laparoscopy. Specialist 1995; 11: 103-107.
Sarraun M. Reezazadeh: Endometriosis in diagnostic
laparoscopy in Isfahan Iran. Jnt J Gynaecol Obstet 1986; 24:
-19.
Lloyd FP: Endometriosis in Negro women. Am J Obstet
Gynaecol 1964; 89: 468.
Minazawa K: Incidence of endometriosis among Japanese
women. Obstet Gynaecol 1976; 48: 407.
Hsu CT, Chen WS, Lin YM: Statistical analysis of
endometriosis in Taiwan. J Obstet Gynaecol 1982; 8: 245-47.
Rella R, Salini P, Bonfadinl BE: Endometriosis pelvica. Min
Giner 1980: 32: 255-57.
Gruppo Italiano per to studio dell endometriosis: Prevalence
and anatomical distribution of endometriosis in women with
selected gynaecological conditions: results from a multicentric
Italian study. Hum Reprod 1994; 9: 1 158-62.
Damewood MD Pathophysiology and management of
endometriosis. J Fam Pract 1993; .37: 68-75.
Wood C: Endoscopy in the management of endometriosis.
Clin Obstet Gynaecol 1994; 8: 735-5
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