Endometriosis and associated symptoms among Nigerian women. Issue 2 (24th April 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: 2015-04-24
• Subjects: Africa -- Dysmenorrhea -- Endometriosis -- Laparoscopy -- Pelvic pain; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1016/j.ijgo.2015.02.030
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: 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.