Mongiovi Jennifer M, Wallace Britani, Goodwin McKenzie, Vitonis Allison F, Karevicius Sarah, Shafrir Amy L, Sasamoto Naoko, DiVasta Amy D, Sieberg Christine B, Terry Kathryn L, Missmer Stacey A
Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, United States.
Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States.
Front Reprod Health. 2024 Jan 8;5:1306380. doi: 10.3389/frph.2023.1306380. eCollection 2023.
INTRODUCTION: Over four million women in the US alone have been diagnosed with endometriosis. For those living with this disease, surgery and hormonal treatment reduce associated pelvic pain in some, while others continue to experience life impacting pain. Therefore, identification of accessible and cost-effective methods of pain reduction to compliment current treatment is urgently needed. Our objective was to quantify the prevalence of complementary and alternative methods used to manage acyclic pelvic pain and their reported benefit among women of different age groups living with endometriosis. METHODS: We used baseline questionnaire data from laparoscopically-confirmed endometriosis cases who completed a WERF EPHect compliant questionnaire in the longitudinal cohort of The Women's Health Study: From Adolescence to Adulthood (A2A). Participants with acyclic pelvic pain were asked to indicate specific methods or activities that either helped or worsened their pelvic/lower abdominal pain. Differences among age groups [adolescent (<18 years), young adult (18-25 years), and adult (>25 years)] were assessed using Fisher's exact test. RESULTS: Of the 357 participants included in analysis, sleep for coping was reported more frequently among adolescents ( = 59, 57.3%) compared to young adults ( = 40, 44.0%) and adults ( = 19, 31.1%; = 0.004). Adolescents also reported more frequent use of music ( = 29, 21.2%) than young adults ( = 10, 7.0%) and adults ( = 7, 9.1%; = 0.001). Exercise worsened pain most commonly among adolescents ( = 82, 59.9%), followed by younger adults ( = 67, 46.9%), and adults ( = 27, 35.1%; = 0.002). DISCUSSION: Our analysis of participants in the A2A cohort showed that the prevalence of complementary and alternative methods used for coping with endometriosis-associated acyclic pelvic pain varied by age group. Future studies should aim to provide information that will further inform decisions in making care plans for managing endometriosis-associated pain that is effective, accessible, and tailored to the preferences of the patient.
引言：仅在美国，就有超过400万女性被诊断出患有子宫内膜异位症。对于患有这种疾病的女性来说，手术和激素治疗在一些人身上减轻了相关的盆腔疼痛，而另一些人则继续经历影响生活的疼痛。因此，迫切需要找到可及且具成本效益的减轻疼痛方法，以补充当前的治疗手段。我们的目标是量化用于管理非周期性盆腔疼痛的补充和替代方法的流行程度，以及它们在不同年龄组的子宫内膜异位症女性中报告的益处。 方法：我们使用了来自腹腔镜确诊的子宫内膜异位症病例的基线问卷数据，这些病例在“女性健康研究：从青春期到成年期（A2A）”的纵向队列中完成了一份符合WERF EPHect的问卷。患有非周期性盆腔疼痛的参与者被要求指出有助于或加重其盆腔/下腹部疼痛的具体方法或活动。使用Fisher精确检验评估年龄组[青少年（<18岁）、青年成人（18 - 25岁）和成年人（>25岁）]之间的差异。 结果：在纳入分析的357名参与者中，与青年成人（n = 40，44.0%）和成年人（n = 19，31.1%；p = 0.004）相比，青少年中报告将睡眠作为应对方式的频率更高（n = 59，57.3%）。青少年报告使用音乐的频率（n = 29，21.2%）也高于青年成人（n = 10，7.0%）和成年人（n = 7，9.1%；p =
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