Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Sachedina, Aalia; Todd, Nicole

doi:10.4274/jcrpe.galenos.2019.2019.s0217

Cited by 69 publications

(58 citation statements)

References 73 publications

(201 reference statements)

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“…The adverse effects experienced by patients with endometriosis significantly contribute to problems with productivity, relationship difficulties, and social dissatisfaction. Endometriosis is therefore a pathology that can significantly affect the quality of women's life in multiple dimensions [1,24,25]. Modern treatment of endometriosis should be personalised using a patient-centred, interdisciplinary approach.…”

Section: Introductionmentioning

confidence: 99%

Endometriosis—A Multifaceted Problem of a Modern Woman

Mińko

Turoń-Skrzypińska

Rył

et al. 2021

IJERPH

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Endometriosis is a chronic disease of unclear aetiology that affects millions of women around the world. It causes chronic pain, dysmenorrhea, and infertility, which significantly reduces the quality of daily life. The aim of the following study was a multivariate analysis of the functioning of women diagnosed with endometriosis, and the identification of the relationship between the level of physical activity and sexual functioning, ability to cope with stress, and the degree of anxiety and mood disorders. The prospective survey was conducted of 957 women. The research was carried out using standardised IPAQ, FSFI, HADS, and Mini-Cope questionnaires. The study showed that patients with endometriosis exhibit a higher level of depression and anxiety disorders (p = 0.01) and a lower level of sexual functions (p < 0.001). The influence of physical activity on the functioning of patients with endometriosis was demonstrated. Depending on the clinical stage of endometriosis, the influence of physical activity on individual aspects of life differed. Physical activity was shown, inter alia, to reduce anxiety (p = 0.015), and influence stress-coping strategies. Endometriosis affects the mental and physical health of women. Physical activity can reduce the severity of endometriosis symptoms and improve the daily functioning of patients.

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Section: Introductionmentioning

confidence: 99%

Endometriosis—A Multifaceted Problem of a Modern Woman

Mińko

Turoń-Skrzypińska

Rył

et al. 2021

IJERPH

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“…The result of this study -which was by all means selective -shows that the majority of participants initially perceived their symptoms as "normal". This is a phenomenon already known in the literature [24]. Nevertheless, there seem to be clear differences in the way the two groups dealt with the symptoms.…”

Section: Discussion Of the Resultsmentioning

confidence: 64%

Relationship between onset of symptoms and diagnostic delay in women with endometriosis

2021

Arch Clin Obs Gyn Res

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Introduction: Endometriosis, one of the most common benign gynaecological diseases, is characterized by a reduced quality of life due to various physical and psychological stresses. Late diagnosis is associated with disease progression and higher healthcare costs. The aim of this qualitative study was to gain further insights into the causes of the delay in diagnosis in women with endometriosis. Methods: Data basis are the statements of 90 women with diagnosed endometriosis from a qualitative study on the experience with health care in Germany. Following Kuckartz, structuredthematic content analysis was used to evaluate data. By comparing women with early and late onset of symptoms, possible causes for diagnostic delay were to be identified. Results: Women who experience an early onset of symptoms, often associated with menarche, are predominantly not able to recognize the pathological condition of the symptoms. Lack of knowledge and experience regarding a normal menstrual cycle, intensive influence of family members and friends who tend to "normalize", "belittle" and describe the symptoms as fateful, late use of healthcare services as well as ignorance and misjudgement on the part of physicians result in a delayed diagnostic process. Conclusion:The results of the present analysis confirm the findings of other studies indicating that misjudgment and ignorance of the signs and symptoms are the most important reasons for the delayed diagnosis of endometriosis. However, it will not be sufficient to bring about improvement exclusively at the level of the treating physician. Further measures should be taken to improve the level of knowledge of the general population. Thus, it is necessary to develop comprehensive and target group-specific information offerings to provide young girls with comprehensive and appropriate information as early as puberty.

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“…The localization and extent of the illness can, however, sometimes be determined through an accurate clinical evaluation [ 24 , 25 , 26 ]. Vaginal and rectovaginal digital examination can facilitate the investigation of pelvic trigger pain points and menstruation usually improves the clinical significance that can be detected [ 25 , 27 , 28 , 29 ]. Generally speaking, a common clinical characteristic that arises from pelvic adherences, is what is often called “frozen pelvis” [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability

Carbone

Campo

Papaleo

et al. 2021

JCM

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Endometriosis is a chronic inflammatory condition, which is distinguished by the presence of the endometrial-like glands and stroma outside the uterine cavity. Pain and infertility are the most commonly expressed symptoms, occurring in 60% and 40% of cases, respectively. Women with endometriosis, especially those with pelvic pain, also have a greater vulnerability to several psychiatric disorders. There is, in particular, a tendency to contract affective or anxiety disorders as well as panic-agoraphobic and substance use disorders. Endometriosis with pelvic pain, infertility and psychic vulnerability usually leads to disability and a markedly lower quality of life for women of reproductive age. Thus, the burden of endometriosis is not limited to the symptoms and dysfunctions of the disease; it extends to the social, working and emotional spheres, leading to a severe impairment of global functioning. An analysis of scientific literature revealed a close relationship between specific temperamental traits, the expression of several psychiatric symptoms, chronicity of pain, risk of substance use and lower probability of a positive outcome. Endometriosis symptoms and the impact of related psychological consequences, increased vulnerability and the possible onset of psychiatric symptoms may influence coping strategies and weaken resilience, so triggering a vicious cycle leading to a marked deterioration in the quality of life. A multidisciplinary approach consisting of a medical team composed of gynecologists, psychologists, psychiatrists, experts in Dual Disorder, algologists and sexologists, would guarantee the setting of a target and taking the best decision on a personalized treatment plan. That approach would allow the prompt detection of any psychopathological symptoms and improve the endometriosis-related physical symptoms, bringing a healthier quality of life and a greater likelihood of a positive outcome.

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Dysmenorrhea, Endometriosis and Chronic Pelvic Pain in Adolescents

Cited by 69 publications

References 73 publications

Endometriosis—A Multifaceted Problem of a Modern Woman

Endometriosis—A Multifaceted Problem of a Modern Woman

Relationship between onset of symptoms and diagnostic delay in women with endometriosis

The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability

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