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Endometriosis and associated symptoms among Nigerian women
Author(s) -
Fawole Adeniran O.,
Bello Folasade A.,
Ogunbode Olayinka,
Odukogbe AkinTunde A.,
Nkwocha Gerald C.,
Nnoaham Kelechi E.,
Zondervan Krina T.,
Akintan Adesina,
AbdusSalam Rukiyat A.,
Okunlola Michael A.
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.02.030
Subject(s) - medicine , endometriosis , obstetrics , gynecology
Objective To determine the prevalence of endometriosis and identify associated symptoms among Nigerian women. Methods A cross‐sectional study was conducted at a center in Ibadan, Nigeria, between October 2008 and December 2010. All women aged 18–45 years scheduled for their first diagnostic laparoscopy for gynecologic indications were enrolled. Participants completed a previously validated self‐administered questionnaire. Endometriosis was diagnosed on the basis of visual evidence. Results Among 239 women analyzed, 115 (48.1%) had endometriotic lesions. Endometriosis was more common among women reporting dysmenorrhea and pelvic pain than among those not reporting these symptoms (20/28 [71.4%] vs 95/211 [45.0%]; P = 0.009). Women who reported dysmenorrhea were significantly more likely to have endometriosis than were those without dysmenorrhea (90/171 [52.6%] vs 25/68 [36.8%]; P = 0.027). The risk of endometriosis was not significantly increased in women with one pain symptom (odds ratio [OR]1.69; 95% confidence interval [CI] 0.67–4.27), but was significantly increased in women with two (OR 2.70; 95% CI 1.13–6.52) or three (OR 4.87; 95% CI 1.88–12.82) pain symptoms (χ 2 trend = 15.5; P < 0.001). In a multivariate logistic regression model, only pain other than dysmenorrhea or dyspareunia independently predicted endometriosis ( P = 0.017). Conclusion Endometriosis is fairly common among Nigerian women. Efforts to increase the awareness of endometriosis among the public, researchers, and clinicians are needed.