Clinical, Anamnestic and Diagnostic Features of Patients with Different Stages and Localization of Endometriosis

The aim of the study — to find the features of the history, symptoms, laboratory and ultrasound data in patients with different stages and localization of endometriosis. Materials and methods . This retrospective controlled study included 99 patients with different stages according to the rASRM and localization of endometriosis who were divided into 3 groups: A 1 ( n = 34) — women with deep infiltrating endometriosis (DIE); A2 ( n = 17) — with stages III–IV endometriosis without infiltration; B ( n = 48) — with stages I–II ovarian endometriosis (OMA). Results . The severity of pain according to the visual analogue scale was 4 [3; 6]: A 1 — 5.00 [4.00; 6.75]; A 2 — 6.00 [4.00; 7.00]; B — 4.00 [2.00; 5.50] ( p = 0.050). The duration of the symptoms of endometriosis was 8 [3; 36] months: A 1–12 [6; 36]; A 2 — 24 [7; 60]; B — 6 [1;24] ( p = 0.010). According to the transvaginal ultrasound enlargement of the adnexa was found in 86/99 patients: A 1 — 27/34; A 2 — 11/17; B — 48/48 patients ( p = 0.009). Intraoperatively adhesions were found in 86/99 patients: A 1 & A 2 — 48/51; B — 38/48 patients ( p = 0.028). Conclusion . Women with DIE and stages III–IV endometriosis have a more severe chronic pelvic pain than women with stages I–II OMA. The severity of pain has no connection with the presence of intrapelvic adhesions. Adhesions of the pelvic organs are more often found in women with stages III–IV endometriosis. Transvaginal ultrasound is an effective imaging method for diagnosing OMA and DIE.