Surgical treatment affects perceived stress differently in women with endometriosis Correlation with severity of pain

Assessment of perceived stress in patients with histologically diagnosed endometriosis and pain.

Like Comment

Authors

Lucia Lazzeri, M.D., Silvia Vannuccini, M.D., Cinzia Orlandini, M.D., Stefano Luisi, M.D., Ph.D., Errico Zupi, M.D., Rossella Elena Nappi, M.D., Ph.D., Felice Petraglia, M.D.

Volume 103, Issue 2, Pages 433-438

Abstract

Objective:

To investigate the amount of perceived stress in a group of women with different forms of endometriosis-related pain before and after surgical treatment.

Design:

Prospective clinical trial.

Setting:

University hospital.

Patient(s):

A group of women (n = 98) referred to our center for chronic pain and suspected of having endometriosis.

Intervention(s):

All women suspected of having endometriosis with ultrasonography underwent to a clinical evaluation including assessment of perception of stress. Endometriosis was confirmed histologically by laparoscopy. Painful symptoms and perception of stress were recorded 1 month after surgery.

Main Outcome Measure(s):

Perceived stress scale (PSS) and visual analog scale for painful symptoms before and 1 month after surgery for endometriosis.

Result(s):

The PSS score before surgery was perceived as “very high” in patients with deep endometriosis (n = 20) or deep endometriosis associated with endometrioma (n = 21); “high” or “medium” PSS was perceived in patients with endometrioma (n = 34) or endometrioma associated with peritoneal endometriosis (n = 23). After the surgical treatment a significant decrease of the “very high” PSS score was shown, as well as when the entire group of patients was considered. When evaluated before and after surgery, according to the severity of pain (dysmenorrhea, dyspareunia, and pelvic pain), a direct correlation was found with the level of PSS.

Conclusion(s):

Patients with deep endometriosis-related pain (dysmenorrhea, pelvic pain, dyspareunia) showed the highest level of perceived stress, which significantly decreased after surgical treatment.

Read the full text at: http://www.fertstert.org/article/S0015-0282(14)02296-1/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

No comments yet.