THE PREVALENCE OF ENDOMETRIOSIS AND ITS CLINICAL CORRELATION IN PATIENTS WITH INFERTILITY

*Dr. Prateek Suren, Dr. Swati Garg and Dr. Arpita Jain

ABSTRACT

Background: Endometriosis is a medical enigma which appears to affect every aspect of a women’s reproductive health. The study aims to find out the prevalence and its staging and clinical correlation in patients with infertility. Material and methods: It is a retrospective study conducted at department of mahatma gandhi medical college and hospital, jaipur from july 2016 to june 2018 amongst women with complains of infertility. A total of 200 patients were studied who underwent diagnostic hysterolaproscopy. All of these patients and their findings were analyzed. Results: Out of 200 patients 16% were diagnosed as a case of endometriosis. 46.8% patients with endometriosis had dysmenorrhoea, 40% had chronic pelvic pain and 18.75% had deep dyspareunia. Out of this 68.75% had primary infertility and 31.25% had secondary infertility. The stage distribution of endometriosis was 34.38%, 18.75%, 34.38% and 12.5 % for stage I, II, III, IV respectively. There was no statistical significance between stage of disease and symptoms. In our study 100% biopsies were positive for ovarian endometriomas. 30.4 % from POD and 13.04% from the adhesions making overall diagnostic accuracy to be 41.07%. Conclusion: - Endometriosis with infertility is not uncommon. Though majority of these women are asymptomatic, many attend the clinic with subsequent complaints of infertility, dysmenorrhoea, dyspareunia and chronic pelvic pain which is statistically significant. So, we would like to recommend the evaluation and treatment of a patient reporting in gynecological OPD with the above-mentioned complaints with high suspicion for endometriosis.

Keywords: Endometriosis, Hysterolaproscopy, Infertility, Dyspareunia, Chronic pelvic pain.