Open AccessCLINICAL CHARACTERISTICS OF PATIENTS WITH EXTERNAL GENITAL ENDOMETRIOSIS
Author(s) -
Yu. S. Timofeeva,
A.V. Volchek,
В. М. Кулешов,
С. В. Айдагулова,
И. О. Маринкин
Publication year - 2021
Publication title -
sibirskij medicinskij vestnik
Language(s) - English
Resource type - Journals
ISSN - 2541-8289
DOI - 10.31549/2541-8289-2021-2-3-8
Subject(s) - adenomyosis , endometriosis , infertility , medicine , gynecology , pelvic pain , stage (stratigraphy) , sex organ , uterus , surgery , pregnancy , biology , paleontology , genetics
A pairwise comparison of the clinical characteristics of patients with external genital endometriosis (EGE) stages I–III was carried out using Fisher's exact test. Patients with the most common (and newly diagnosed) stage II showed the greatest number of statistically significant correlations between clinical signs: dysmenorrheas with primary infertility (p = 0,0201), with localization of endometrioid heterotopias in the pouch of Douglas (p = 0,0214) and sacro-uterine ligaments (p = 0,0259); in addition, a relationship was found between the symptom of chronic pelvic pain and the presence of endometrioid heterotopias in the uterovesical space (p = 0,0071) and on the sacro-uterine ligaments (p = 0,0228). Along with this, they have a combination of foci of adenomyosis with multiple myoma of the uterine body was noted (p = 0,0000). In patients with stage III EGE, only one statistically significant (p = 0,0139) contingency of clinical signs was revealed — dyspareunia and heterotopias on the sacro-uterine ligaments.