Clinical analysis of the endometriosis.

Moon, Jeong Beom; Park, Su Jin; Lee, Yong Ho; Kim, Kyeong A; Hong, Sang Ki; Baek, Su Kyung

Original Article

Korean Journal of Obstetrics & Gynecology 2006;49(11):2335-2340.
Published online November 1, 2006.

Clinical analysis of the endometriosis.

Jeong Beom Moon, Su Jin Park, Yong Ho Lee, Kyeong A Kim, Sang Ki Hong, Su Kyung Baek

Department of Obstetrics and Gynecology, Presbyterian Medical Center, Chon-ju, Korea. orcein@naver.com

Abstract

OBJECTIVE
We studied clinical characteristics of patients have endometriosis to provide basic knowledge for diagnosis, treatment, and futher study of endometriosis. METHODS: We have performed a retrospective clinical study on 163 patients diagnosed with endometriosis during laparotomy, cesarean section, laparoscopic surgery at our medical center from January, 2000 to December, 2004. RESULTS: Incidence of endometriosis was 4.38%. The more frequent occurrence was noted in the young women with low parity and in the nulliparous women. Most frequent symptom comprised dysmenorrhea and lower abdominal pain. 33.7% of patients were asymptomatic. And 82.3% of the patients were in stage III and IV. The frequent sites involved were ovaries, Cul-de sac, uterus, tubes, peritoneum and rectum in order. Frequently combind gynecologic disease were uterine myoma, benign ovarian tumor. In Stage III & IV, there are more patients, who had abnormal elevated serum CA 125 level than patients of stage I & II. CONCLUSION: Early diagnose and appropriate management of Endometriosis for young women can lowered the development of hihger stage case and it is important for fertility and better life quality.

Key Words: Endometriosis