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Int J Gynaecol Obstet. 2015 Aug;130(2):190-4. doi: 10.1016/j.ijgo.2015.02.030. Epub 2015 Apr 24.

Endometriosis and associated symptoms among Nigerian women.

Author information

1
Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeria. Electronic address: fawoleo@yahoo.co.uk.
2
Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeria.
3
Department of Public Health, University of Oxford, Oxford, UK.
4
Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK.

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.

KEYWORDS:

Africa; Dysmenorrhea; Endometriosis; Laparoscopy; Pelvic pain

PMID:
25935474
DOI:
10.1016/j.ijgo.2015.02.030
[Indexed for MEDLINE]

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