Public Health Section, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Department of Anaesthesia and Intensive Care Unit, San Salvatore Hospital, L'Aquila, Italy.
Womens Health (Lond). 2024 Jan-Dec;20:17455057241227361. doi: 10.1177/17455057241227361.
Endometriosis is a persistent inflammatory condition that affects women of reproductive age and causes pelvic pain. Chronic pelvic pain is a chronic regional pain syndrome involving the pelvic area.
This survey aimed to characterize the clinical and sociodemographic characteristics, lifestyles, quality of life, and perceptions of quality of care in women with endometriosis who reported chronic pelvic pain during the Covid pandemic.
We conducted a cross-sectional survey among the Italian population from July to September 2021.
Snowball sampling was used to interview a large sample of adult women who reported a diagnosis of endometriosis, through a self-reported questionnaire. Univariate and multivariable logistic regression analyses were performed to identify the factors associated with chronic pelvic pain. The primary outcome was describing women who reported chronic pelvic pain.
A total of 661 out of 1045 (63%) women who responded to the survey reported chronic pelvic pain. The multivariable analysis evidenced that chronic pelvic pain was related to physical and mental quality perception, pelvic floor disorders (adjusted odds ratio = 1.58; 95% CI = 1.10-2.27; = 0.012), dyspareunia (adjusted odds ratio = 1.87; 95% CI = 1.31-2.65; < 0.001), adhesions syndrome (adjusted odds ratio = 1.49; 95% CI = 1.05-2.11; = 0.026), and the delay in diagnosing endometriosis (adjusted odds ratio = 1.04; 95% CI = 1.00-1.09; = 0.034). The only social factor associated with chronic pelvic pain was marital status (adjusted odds ratio = 0.66; 95% CI = 0.46-0.93; = 0.019).
In the pandemic period, there was a very high prevalence of chronic pelvic pain in women with endometriosis in Italy. The pandemic highlighted the need for careful attention to diagnose endometriosis and the need for psychological and partner support, which would allow better pain management and prevent chronicity.
子宫内膜异位症是一种持续性炎症性疾病，影响育龄妇女，导致盆腔疼痛。慢性盆腔疼痛是一种涉及盆腔区域的慢性区域性疼痛综合征。
本研究旨在描述在新冠大流行期间报告慢性盆腔疼痛的子宫内膜异位症女性的临床和社会人口学特征、生活方式、生活质量和对护理质量的看法。
我们于 2021 年 7 月至 9 月期间在意大利人群中进行了横断面调查。
通过自我报告问卷，使用滚雪球抽样对报告子宫内膜异位症诊断的大量成年女性进行了访谈。进行单变量和多变量逻辑回归分析，以确定与慢性盆腔疼痛相关的因素。主要结局是描述报告慢性盆腔疼痛的女性。
在对调查做出回应的 1045 名女性中，共有 661 名（63%）报告了慢性盆腔疼痛。多变量分析表明，慢性盆腔疼痛与身体和心理健康感知、盆底功能障碍（调整后的优势比=1.58；95%置信区间=1.10-2.27； =0.012）、性交困难（调整后的优势比=1.87；95%置信区间=1.31-2.65； <0.001）、粘连综合征（调整后的优势比=1.49；95%置信区间=1.05-2.11； =0.026）以及子宫内膜异位症诊断延迟（调整后的优势比=1.04；95%置信区间=1.00-1.09； =0.034）有关。唯一与慢性盆腔疼痛相关的社会因素是婚姻状况（调整后的优势比=0.66；95%置信区间=0.46-0.93； =0.019）。
在新冠大流行期间，意大利子宫内膜异位症女性中慢性盆腔疼痛的患病率非常高。大流行凸显了仔细诊断子宫内膜异位症和提供心理和伴侣支持的必要性，这将有助于更好地管理疼痛并防止疼痛慢性化。
