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Information Journal Paper

Title

EVALUATION OF RISK FACTORS ASSOCIATED WITH ENDOMETRIOSIS IN INFERTILE WOMEN

Author(s)

 ASHRAFI MAHNAZ | JAHANIAN SADATMAHALLEH SHAHIDEH | AKHOOND MOHAMMAD REZA | TALEBI MEHRAK | Issue Writer Certificate 

Pages

  11-21

Abstract

 Background: ENDOMETRIOSIS affects women’s physical and mental wellbeing. SYMPTOMS include dyspareunia, dysmenorrhea, pelvic pain, and INFERTILITY. The purpose of this study is to assess the correlation between some relevant factors and SYMPTOMS and risk of an ENDOMETRIOSIS diagnosis in infertile women.Materials and Methods: A retrospective study of 1282 surgical patients in an INFERTILITY Institute, Iran between 2011 and 2013 were evaluated by laparoscopy. Of these, there were 341 infertile women with ENDOMETRIOSIS (cases) and 332 infertile women with a normal pelvis (comparison group). Chi-square and t tests were used to compare these two groups. Logistic regression was done to build a prediction model for an ENDOMETRIOSIS diagnosis.Results: Gravidity [odds ratio (OR): 0.8, confidence interval (CI): 0.6-0.9, P=0.01], parity (OR: 0.7, CI: 0.6-0.9, P=0.01), family history of ENDOMETRIOSIS (OR: 4.9, CI: 2.1-11.3, P<0.001), history of galactorrhea (OR: 2.3, CI: 1.5-3.5, P=0.01), history of pelvic surgery (OR: 1.9, CI: 1.3-2.7, P<0.001), and shorter menstrual cycle length (OR: 0.9, CI: 0.9-0.9, P=0.04) were associated with ENDOMETRIOSIS. Duration of natural menstruation and age of menarche were not correlated with subsequent risk of ENDOMETRIOSIS (P>0.05). Fatigue, diarrhea, constipation, dysmenorrhea, dyspareunia, pelvic pain and premenstrual spotting were more significant among late-stage ENDOMETRIOSIS patients than in those with early-stage ENDOMETRIOSIS and more prevalent among patients with ENDOMETRIOSIS than that of the comparison group. In the logistic regression model, gravidity, family history of ENDOMETRIOSIS, history of galactorrhea, history of pelvic surgery, dysmenorrhoea, pelvic pain, dysparaunia, premenstrual spotting, fatigue, and diarrhea were significantly associated with ENDOMETRIOSIS. However, the number of pregnancies was negatively related to ENDOMETRIOSIS.Conclusion: ENDOMETRIOSIS is a considerable public health issue because it affects many women and is associated with the significant morbidity. In this study, we built a prediction model which can be used to predict the risk of ENDOMETRIOSIS in infertile women.

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    APA: Copy

    ASHRAFI, MAHNAZ, JAHANIAN SADATMAHALLEH, SHAHIDEH, AKHOOND, MOHAMMAD REZA, & TALEBI, MEHRAK. (2016). EVALUATION OF RISK FACTORS ASSOCIATED WITH ENDOMETRIOSIS IN INFERTILE WOMEN. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 10(1), 11-21. SID. https://sid.ir/paper/305857/en

    Vancouver: Copy

    ASHRAFI MAHNAZ, JAHANIAN SADATMAHALLEH SHAHIDEH, AKHOOND MOHAMMAD REZA, TALEBI MEHRAK. EVALUATION OF RISK FACTORS ASSOCIATED WITH ENDOMETRIOSIS IN INFERTILE WOMEN. INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY[Internet]. 2016;10(1):11-21. Available from: https://sid.ir/paper/305857/en

    IEEE: Copy

    MAHNAZ ASHRAFI, SHAHIDEH JAHANIAN SADATMAHALLEH, MOHAMMAD REZA AKHOOND, and MEHRAK TALEBI, “EVALUATION OF RISK FACTORS ASSOCIATED WITH ENDOMETRIOSIS IN INFERTILE WOMEN,” INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, vol. 10, no. 1, pp. 11–21, 2016, [Online]. Available: https://sid.ir/paper/305857/en

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