Keywords
dysmenorrhea
menstruation
ovarian cysts
endometrioma
Abstract
The problem of endometriosis is especially relevant today. Unlike many other diseases of the female reproductive system, endometriosis has extremely variable symptoms, which are detected in the later stages. One of its most striking manifestations is the endometrioid cyst, a voluminous formation of the ovaries with specific symptoms that is special in its morphology and manifestations. The danger of endometrioma lies in its late detection; often this type of cyst is combined with adhesions and scarring of ovarian tissue. It has also been proven that endometriomas lead to infertility.
The purpose of the work was to conduct a comparative assessment of menstrual function and obstetric and gynecological history in women with endometriomas and other benign ovarian cysts.
Materials and methods. The study involved 100 patients who underwent surgical treatment for benign ovarian cysts, among whom 60 were found to have endometrioma (group I), and 40 were found to have other benign ovarian tumors (group II).
Results and discussion. The results of the study revealed that patients with endometriomas experience pain during menstruation in 21 cases (35.0 %), and women with other benign cysts only in 5 (12.5 %) (χ2 = 6.314, p = 0.012). Also, among the complaints specific to patients with endometrioid cysts, the presence of spotting was revealed; in group I they were found in 19 (31.6 %), while in group II none (χ2 = 15.637, p < 0.001). Based on the results of collecting data on the quality of the menstrual cycle, it turned out that patients from group I had a slightly shorter cycle duration than patients from group II — 27.00 (25.00; 29.00) and 28.00 (27.00; 31.00) days, respectively. It also turned out that women from two different groups had different durations of menstruation; in patients from group I they averaged 7.00 (6.00; 8.00), and in patients from group II — 6.00 (5.00; 7.00) days.
Conclusions. It was revealed that only patients with endometriomas had complaints of spotting; they more often than others suffered from dysmenorrhea. It was also found that in patients with endometriomas the ovarian-menstrual cycle is somewhat shorter, and menstruation is longer.
For citation
Chizhova AV, Troitskaya AN, Kudryavtseva EV. Comparative characteristics of menstrual function and obstetric-gynecological history in patients with endometrioms and other vocalized ovarian formations. USMU Medical Bulletin. 2024;(2):31–39. (In Russ.). EDN: https://elibrary.ru/XASRJQ.
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