Cargando…

The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study

The objective was to evaluate the quality of life and the incidence of depression among women suffering from endometriosis. Afterwards, the dependency between pelvic pain, its severity and stages of endometriosis were analyzed. The study protocol included women of reproductive ages with confirmed en...

Descripción completa

Detalles Bibliográficos
Autores principales: Warzecha, Damian, Szymusik, Iwona, Wielgos, Miroslaw, Pietrzak, Bronislawa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277332/
https://www.ncbi.nlm.nih.gov/pubmed/32455821
http://dx.doi.org/10.3390/ijerph17103641
_version_ 1783543094073884672
author Warzecha, Damian
Szymusik, Iwona
Wielgos, Miroslaw
Pietrzak, Bronislawa
author_facet Warzecha, Damian
Szymusik, Iwona
Wielgos, Miroslaw
Pietrzak, Bronislawa
author_sort Warzecha, Damian
collection PubMed
description The objective was to evaluate the quality of life and the incidence of depression among women suffering from endometriosis. Afterwards, the dependency between pelvic pain, its severity and stages of endometriosis were analyzed. The study protocol included women of reproductive ages with confirmed endometriosis. The stage of disease was conferred according to the ASRM (American Society of Reproductive Medicine) classification. Women fulfilled two questionnaires: “WERF EPHect Clinical Questionnaire” and self-prepared survey about fertility disorders. The study group comprised of 246 respondents. A total of 77.2% of women were symptomatic. The most common complaints were chronic pelvic pain (CPP, 71.1%), dysmenorrhea (69.0%) and dyspareunia (45.2%). Intensity of pain was independent from the stage of endometriosis. The incidence of infertility and the time to conceive increased with the stage of disease (stage 1—52.8%, 3.4 years; stage 2—66.7%, 4.1 years; stage 3—61.3%, 3.7 years; stage 4—96%, 6.1years; p = 0.02 and 0.03, respectively). The prevalence of depression was positively correlated with the beginning of dyspareunia (14.5 vs. 19.6 years old., p = 0.002). CPP (OR(odds ratio) = 3.8, 95% CI 1.2–12.8, p = 0.04) and painful defecation (OR = 7.7, 95% CI 1.4–42.3, p = 0.01) increased the risk of depression. Symptoms related to endometriosis and severity of pain correlate with the prevalence of depression. Stage of endometriosis is significantly related to the prevalence of infertility.
format Online
Article
Text
id pubmed-7277332
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-72773322020-06-15 The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study Warzecha, Damian Szymusik, Iwona Wielgos, Miroslaw Pietrzak, Bronislawa Int J Environ Res Public Health Article The objective was to evaluate the quality of life and the incidence of depression among women suffering from endometriosis. Afterwards, the dependency between pelvic pain, its severity and stages of endometriosis were analyzed. The study protocol included women of reproductive ages with confirmed endometriosis. The stage of disease was conferred according to the ASRM (American Society of Reproductive Medicine) classification. Women fulfilled two questionnaires: “WERF EPHect Clinical Questionnaire” and self-prepared survey about fertility disorders. The study group comprised of 246 respondents. A total of 77.2% of women were symptomatic. The most common complaints were chronic pelvic pain (CPP, 71.1%), dysmenorrhea (69.0%) and dyspareunia (45.2%). Intensity of pain was independent from the stage of endometriosis. The incidence of infertility and the time to conceive increased with the stage of disease (stage 1—52.8%, 3.4 years; stage 2—66.7%, 4.1 years; stage 3—61.3%, 3.7 years; stage 4—96%, 6.1years; p = 0.02 and 0.03, respectively). The prevalence of depression was positively correlated with the beginning of dyspareunia (14.5 vs. 19.6 years old., p = 0.002). CPP (OR(odds ratio) = 3.8, 95% CI 1.2–12.8, p = 0.04) and painful defecation (OR = 7.7, 95% CI 1.4–42.3, p = 0.01) increased the risk of depression. Symptoms related to endometriosis and severity of pain correlate with the prevalence of depression. Stage of endometriosis is significantly related to the prevalence of infertility. MDPI 2020-05-21 2020-05 /pmc/articles/PMC7277332/ /pubmed/32455821 http://dx.doi.org/10.3390/ijerph17103641 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Warzecha, Damian
Szymusik, Iwona
Wielgos, Miroslaw
Pietrzak, Bronislawa
The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study
title The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study
title_full The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study
title_fullStr The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study
title_full_unstemmed The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study
title_short The Impact of Endometriosis on the Quality of Life and the Incidence of Depression—A Cohort Study
title_sort impact of endometriosis on the quality of life and the incidence of depression—a cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277332/
https://www.ncbi.nlm.nih.gov/pubmed/32455821
http://dx.doi.org/10.3390/ijerph17103641
work_keys_str_mv AT warzechadamian theimpactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT szymusikiwona theimpactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT wielgosmiroslaw theimpactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT pietrzakbronislawa theimpactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT warzechadamian impactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT szymusikiwona impactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT wielgosmiroslaw impactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy
AT pietrzakbronislawa impactofendometriosisonthequalityoflifeandtheincidenceofdepressionacohortstudy