Epidemiological profile of women with endometriosis: a retrospective descriptive study

Abstract

Objectives: to describe the epidemiological and clinical profile of women with endometriosis and to determine the association with the prognostic characteristics of the disease. Methods: retrospective descriptive study involving 237 women attended at two referral hospitals for endometriosis, between 2011 and 2017. Associations between groups were estimated using logistic regression models. Results: most women (65.4%) were of reproductive age (29-39 years), with a body mass index in the range of 18.5-24.9 kg/m2 and a high prevalence (23-81%) of symptoms of the disease, with 49.5% being infertile. The average time of diagnosis was 5 years. Ovarian endometrioma and/or deep infiltrative endometriosis (DIE) were the most frequent type of endometriosis (87%), and 59% of patients were in the III/IV stage of the disease. Approximately 87% of women with surgical diagnosis were aged over 30, married (70%) and had lower parity. Dyspareunia was negatively associated with superficial endometriosis. Infertility was positively associated with age (30-39 years) and DIE in the uterine tubes; dysmenorrhea with DIE in the uterosacral ligament; cyclic intestinal complaints with DIE in the rectosigmoid and intestine, and with DIE classification and III/IVstage. Conclusions: knowing the epidemiological and clinical profile of Brazilian women with endometriosis can help in diagnosis and treatment planning.

Therapeutic use of cannabidiol in endometriosis: literature review

“…Other manifestations may occur depending on the installation of the implant. In addition, it is believed that the disease is responsible for causing psychological and social harm 16 .…”

“…Although most of these women were diagnosed through magnetic resonance imaging, this is more indicated when there are ovarian masses with doubtful hypothesis. This occurs because it has high sensitivity and specificity, in addition to being an accurate method for detecting deep endometriosis 16 .…”

Os benefícios nutricionais para redução de sintomas e progressão da endometriose

“…No estudo realizado por Cardoso et al (2020) com mulheres que possuíam endometriose atendidas em hospitais de referência na doença relataram que a endometriose atinge a maioria das mulheres na idade reprodutiva, provocando impactos negativos no sistema de saúde e na qualidade de vida das mulheres, devido aos sintomas de infertilidade, dores, atrasos e alto custo de tratamento e diagnóstico. Observaram que a infertilidade foi relacionada positivamente com a idade de 30-39 anos, sendo que os casos mais graves de endometriose infiltrativa foram os mais achados (87%), além de 59% das pacientes se apresentarem nos estágios estágio III/IV da doença.…”

Assistência de enfermagem diante dos agravantes causados pela endometriose

“…(Tsamantioti & Mahdy, 2021) Apesar de ser comum, acomete mais mulheres em idade reprodutiva, manifestando de maneira assintomática, ou acompanhada de determinados sintomas como dor pélvica crônica, dismenorreia, dores intestinais e urinarias além de uma causa relevante, a infertilidade. (Cardoso et al, 2020) Essa patologia pode ser diagnosticada em torno de 10 anos com o início dos sintomas, e a dor ocasiona consultas inespecíficas, ocasionando a demora no diagnóstico. (Gruber & Mechsner, 2021) Seu diagnóstico é realizado através de exame como transvaginal com preparo intestinal, e ressonância magnética da pelve.…”