Age-Related Differences in Quality of Life in Swedish Women with Endometriosis

Lövkvist, Lena; Boström, P.; Edlund, Måns; Olovsson, Matts

doi:10.1089/jwh.2015.5403

Cited by 49 publications

(43 citation statements)

References 31 publications

(28 reference statements)

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“…A recent study compared HRQoL in women with symptomatic biopsy-proven endometriosis with HRQoL in a general Swedish population. In line with the results of this thesis (study III), women with endometriosis scored significantly lower than controls on SF-36, with young women having the worst HRQoL [116]. The management of adolescent endometriosis is known for its unique challenges, with diverse and sometimes diffuse symptoms and prolonged diagnostic delay [117,118].…”

Section: "Pain-focused" Versus "Disease-focused" Endometriosis Caresupporting

confidence: 57%

Disclosing the invisible: experiences, outcomes and quality of endometriosis healthcare

Grundström¹

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Section: "Pain-focused" Versus "Disease-focused" Endometriosis Caresupporting

confidence: 57%

Disclosing the invisible: experiences, outcomes and quality of endometriosis healthcare

Grundström¹

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“…Pain syndrome, menstrual disorders in the form of hemorrhagic syndrome, infertility are dominating clinical manifestations of endometriosis. This pathology significantly affects the quality of life of patients, leading to impairment of relations in the family and with other people, reducing professional and daily activities [5].…”

Section: в д воробийmentioning

confidence: 99%

Doppler Assessment of Uterine and Intraovarian Blood Flow in Patients with Genital Endometriosis

Воробий

2017

ZMJ

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The spread of endometriosis among women of reproductive age is 5-10 %. Forming of endometrioid foci commonly begins from development of new blood vessels. So, changes of hemodynamics in vessels that can be determined by Doppler are important for complete diagnosis of endometriosis. Aim of research was to evaluate the uterine and intraovarian hemodynamic changes in women with internal and external genital endometriosis. Materials and methods. The research included 65 women with diagnosis of external genital endometriosis who formed the I st group. 38 women with internal genital endometriosis were included into the II nd group. Control group involved 30 women without genital endometriosis. Doppler study was set in both phases of menstrual cycle with determination of uterine and intraovarian pulsatility index, resistance index and systolic/diastolic ratio in uterine arteries. Results. In patients with endometriosis we found hemodynamic disturbances in uterine arteries of varying degrees which depended on localization of the pathological process and its stages. In women of I group with I and II stages of external endometriosis indices of peripheral vascular resistance did not differ significantly from parameters of the control group. There was moderate increase of vascular resistance indices higher over healthy women (P < 0.05) in this group in patients with III stage. Increase of peripheral vascular resistance was detected, which grew rapidly according to severity of disease by II-III stages of internal endometriosis. Critical changes of circulation in form of dicrotic notch were detected in 31.58 % of patients with III stage of internal endometriosis. In half of all cases dicrotic notches were symmetrical in both uterine arteries. In addition, in 36.84 % of patients with III degree of internal endometriosis negative blood flow in diastole phase was determined. Significant important difference of pulsatility index and resistance index in intraovarian velocity between healthy women and patients with internal and external endometriosis was not determined, except persons with endometriod cysts, who had resistant index of intraovarian circulation in both phases of the menstrual cycle over 0.55. Conclusions. Blood velocity in uterine arteries during menstrual cycle in patients with genital endometriosis demonstrated highly resistant blood flow in women with external (III stage) and internal (II-III stages) endometriosis and intraovarian velocity (in persons with endometriod cysts). Decompensated changes in blood velocity in uterine arteries were observed only in patients with III stage of internal endometriosis.

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“…Younger women with endometriosis generally report worse quality of life than patients over 40 years of age. This might be due to the development of more effective coping mechanisms by older women, by younger women having more severe disease, by attenuation of disease in older women, by changing hormone levels with age, or by a combination of these factors 4,6 .…”

mentioning

confidence: 99%

“…Almost two-thirds of older women with endometriosis use coping strategies such as physical exercise, rest, yoga, specific diets, massage, acupuncture, warm baths, or heating pads to handle their pain. Adaptive or constructive coping mechanisms have a positive impact on quality of life, whereas negative techniques, such as dissociation or selfmedication, can reduce quality of life 6 .…”

mentioning

confidence: 99%

Quality of life for women with endometriosis: premenopausal and postmenopausal perspectives

Yoldemir¹

2018

Climacteric

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Age-Related Differences in Quality of Life in Swedish Women with Endometriosis

Cited by 49 publications

References 31 publications

Disclosing the invisible: experiences, outcomes and quality of endometriosis healthcare

Disclosing the invisible: experiences, outcomes and quality of endometriosis healthcare

Doppler Assessment of Uterine and Intraovarian Blood Flow in Patients with Genital Endometriosis

Quality of life for women with endometriosis: premenopausal and postmenopausal perspectives

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