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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Uterine fibroids and gynecologic pain symptoms in a population-based study
Fertility and Sterility, Volume 80, No. 6, Year 2003
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Description
Objective: To determine the association between dyspareunia, dysmenorrhea, and noncyclic pelvic pain and the presence and characteristics of uterine fibroids. Design: Population-based cross-sectional study. Setting: Desio, Italy. Patient(s): Six hundred thirty-five non-care-seeking participants of the Seveso Women's Health Study with an intact uterus who underwent transvaginal ultrasound. Intervention(s): None. Main Outcome Measure(s): Ultrasound-detected presence of uterine fibroids and fibroid characteristics including volume, number, location, and position. Current dyspareunia, dysmenorrhea, and noncyclic pelvic pain was measured by self-report on a visual analog scale. Result(s): Uterine fibroids were detected in 96 women (15%). Women with fibroids were more likely to report moderate or severe dyspareunia (adjusted odds ratio [OR] = 2.8, 95% confidence interval [CI] = 0.9-8.3, statistically significant trend) and moderate or severe noncyclic pelvic pain (adjusted OR = 2.6, 95% CI = 0.9-7.6, statistically significant trend) than women without fibroids. Moderate or severe dysmenorrhea was not associated with the presence of fibroids (adjusted OR = 1.1, 95% CI = 0.5-2.6). Number and total volume of fibroids were not related to pain. Conclusion(s): This is the first population-based study of gynecologic pain symptoms and fibroids. Dyspareunia and noncyclic pelvic pain, but not dysmenorrhea, increased in severity with the presence of uterine fibroids. Fibroid-associated pain symptomatology in a non-care-seeking population may be different from that of a clinic population. © 2003 by American Society for Reproductive Medicine.
Authors & Co-Authors
Lippman, Sheri A.
United States, Berkeley
University of California, Berkeley
Olive, David L.
United States, Berkeley
University of California, Berkeley
Eskenazi, Brenda
United States, Berkeley
University of California, Berkeley
Statistics
Citations: 210
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1016/S0015-0282(03)02207-6
ISSN:
00150282
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Participants Gender
Female