TITLE:
Quality of Life in Women with Endometriosis Pelvic Pain Treated with the Levonorgestrel-Releasing Intrauterine System
AUTHORS:
René Cortés Flores, Evangelina Briones Lara, Luis Carlos Quintana Corral, Ricardo Alberto Isacc Chaib, Luis Oswaldo de la O. Pérez, Oscar Armando González Díaz, Raúl Cortés Flores
KEYWORDS:
Quality of Life, Endometriosis, Chronic Pelvic Pain, Levonorgestrel-Releasing Intrauterine System, LNG-IUS, EPH-30, Questionnaires
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.3,
March
17,
2015
ABSTRACT: Objective: To evaluate the quality of
life in patients with endometriosis pelvic pain before and after the
application of the levonorgestrel-releasing intrauterine system (LNG-IUS). Design:
Open non-comparative study. Setting: Obstetrics and Gynecology Hospital at
Monterrey, Mexico. Sample: 29 women aged 18 to 40 years with pelvic pain
associated with endometriosis confirmed by laparoscopy. Methods: After
laparoscopy but before LNG-IUS insertion (basal visit) and 6 months afterwards,
modified Endometriosis Health Profile (EHP-30) was applied. Main outcomes
measures: Size of change of questionnaire scores, need of additional analgesic
therapy and adverse effects. Statistical Analysis: Differences in the
questionnaire scores before and after intervention were analyzed by Student
t-test. Results: Final analysis set included 29 women aged 31.7 ± 4.7 years
years. The ASRM surgical staging of endometriosis was mild in 19.3 moderate in
13.7 and severe in 76% of the patients. The general perception of quality of
life improved from 52 at baseline to 98% at six months (p