Endometriosis and associated symptoms among Nigerian women. Issue 2 (August 2015)

• Record Type: Journal Article
• Authors: Fawole, Adeniran O.; Bello, Folasade A.; Ogunbode, Olayinka; Odukogbe, Akin-Tunde A.; Nkwocha, Gerald C.; Nnoaham, Kelechi E.; Zondervan, Krina T.; Akintan, Adesina; Abdus-Salam, Rukiyat A.; Okunlola, Michael A.
• Is Part Of: International journal of gynaecology and obstetrics. Volume 130:Issue 2(2015:Aug.)
• Page Start: 190
• Page End: 194
• Publication Date: 2015-08
• Subjects: Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1016/j.ijgo.2015.02.030
• Languages: English
• ISSNs: 0020-7292

Abstract

<abstract abstract-type="author" id="ab0005"> <title id="st0005">Abstract</title> <sec> <title id="st0010">Objective</title> <p id="sp0005">To determine the prevalence of endometriosis and identify associated symptoms among Nigerian women.</p> </sec> <sec> <title id="st0015">Methods</title> <p id="sp0010">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.</p> </sec> <sec> <title id="st0020">Results</title> <p id="sp0015">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%]; <italic>P</italic> = 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%]; <italic>P</italic> = 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<sup>2</sup><sub>trend</sub> = 15.5; <italic>P</italic> < 0.001). In a multivariate logistic regression model, only pain other than dysmenorrhea or dyspareunia independently predicted endometriosis (<italic>P</italic> = 0.017).</p> </sec> <sec> <title id="st0025">Conclusion</title> <p id="sp0020">Endometriosis is fairly common among Nigerian women. Efforts to increase the awareness of endometriosis among the public, researchers, and clinicians are needed.</p> </sec> </abstract>