Coital Retrograde Menstruation as a Risk Factor for Pelvic Endometriosis

Samir, F. Fadhel; Badr, Sanaa; Obeidly, A Al; Alfotouh, A.A.; Farid, A W Shaik; Alsamny, N; Ahmed, Badreldeen

doi:10.5339/qmj.2011.1.9

Cited by 1 publication

(3 citation statements)

References 13 publications

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“…However, the groups were similar regarding pelvic inflammatory disease. Another study was conducted by Samir et al (18) in Doha, Qatar, to examine sexual activity during menstruation as a predisposing factor for endometriosis. First, participants were asked about sexual activity during menstruation.…”

Section: Discussionmentioning

confidence: 99%

“…Then, abdominal ultrasound, transvaginal ultrasound, or both were performed before laparoscopy or open surgery. Their results revealed that in the first group: 36 (66%) women tested positive for endometriosis and the second group: 9 (34%) were negative for endometriosis, showing a significant difference between the presence and absence of sexual activity leading to orgasm during menstruation and endometriosis (18). The results of the present study are consistent with the results of Samir’s group.…”

Section: Discussionmentioning

confidence: 99%

“…It is hypothesized that sexual activity leading to orgasm during menstruation may increase retrograde menstruation, seeding endometrial tissue in other locations, and thus increasing the risk of endometriosis. So far, few studies have examined the relationship between sexual activity during menstruation and endometriosis (16-18). Based on a case-control study in the Yale University School of Medicine, on the relationship between prevalence of endometriosis and sexual behaviors leading to orgasm during menstruation, the tendency to perform such activities during menstruation was lower in women with endometriosis compared to women without endometriosis (17).…”

Section: Introductionmentioning

confidence: 99%

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Association Between Health Behaviours during Menstruation and Endometriosis

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BackgroundThe prevalence of endometriosis in the general population is estimated at 7-10%. There are various risk factors for this disease, including early menarche age, prolonged menstruation or no history of pregnancy. It seems that sexual activity leading to orgasm during menstruation increases the retrograde menstruation, sending endometrial tissue to an abnormal sites and thus increasing the risk of endometriosis. The present study is aimed to determine the association between sexual activity during menstruation and endometriosis.Materials and MethodsThis case-control study, conducted in the year 2017, recruited 555 women who were visited at Alzahra Hospital in Tabriz, Northwest of Iran. The case group comprised 185 women of reproductive age with confirmed endometriosis. The control group comprised 370 women of reproductive age without endometriosis visit- ing the hospital for other issues. Data was collected using a researcher-made questionnaire based on previous studies. Bivariate analysis was performed by the chi-squared test and multivariate analysis was done using conditional logistic regression to control confounding variables.ResultsThe sexual activity of the two groups during menstruation was significantly different. The occurrence of endometriosis in women who stated they had vaginal intercourse or non-coital sexual activities, leading to orgasm during menstruation, was significantly higher compared to those who stated they did not.ConclusionAccording to our findings, there is an association between sexual activities leading to orgasm during menstruation and endometriosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%