Lucy R. Prentice, M.B.C.H.B., Alistair Stewart, B.Sc., Seema Mohiuddin, M.B.B.S., Neil P. Johnson, M.B.B.S.
Vol 98, Issue 4, Pages 942-947
To describe the demographics and clinical presentation of endosalpingiosis. To compare endosalpingiosis with endometriosis, particularly in regards to infertility and chronic pelvic pain.
We included women with a histologic diagnosis of endosalpingiosis, a second group with a histologic diagnosis of endometriosis, and a final group who had neither endosalpingiosis nor endometriosis, with histology reports after undergoing gynecologic surgery.
Main Outcome measures:
Infertility and chronic pelvic pain.
We found that 34.5% of endosalpingiosis cases had concurrent endometriosis; 40% of the endosalpingiosis group were postmenopausal. Endometriosis was significantly associated with infertility (odds ratio [OR] 3.5, 95% confidence interval [CI] 1.4–8.5) and chronic pelvic pain (OR 3.0, 95% CI 1.7–5.5). In contrast, there was no significant link between endosalpingiosis and infertility (OR 1.6, 95% CI 0.7–3.7) nor chronic pelvic pain (OR 0.8, 95% CI 0.5–1.5). Gynecologic malignancy occurred significantly more in premenopausal women with endosalpingiosis than in those without (OR 10.3, 95% CI 3.6–29.8).
Endosalpingiosis appears to affect postmenopausal women at a rate much higher than previously reported. Endosalpingiosis and endometriosis occur concurrently in 34% of endosalpingiosis cases, however the two diseases have different clinical presentations. This demonstrates that endosalpingiosis is not a variant of endometriosis.
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