Journal
FERTILITY AND STERILITY
Volume 76, Issue 5, Pages 929-935Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/S0015-0282(01)02736-4
Keywords
endometriosis; endometriomas; epidemiology; laparoscopy; infertility; dyspareunia; dysmenorrhea; pelvic pain
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Funding
- FIC NIH HHS [F06 TWO2075-01] Funding Source: Medline
- NIEHS NIH HHS [R01 ES07171] Funding Source: Medline
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Objective: To determine whether the surgical diagnosis of endometriosis can be predicted using symptoms, signs, and ultrasound findings. Design: Prospective study (study sample); retrospective record review (test sample). Setting: Hospital of Desio (study sample) and Mangiagalli Hospital (test sample), Italy. Patient(s): Ninety women scheduled to undergo laparoscopy or laparotomy (study sample); 120 women who underwent laparoscopy (test sample). Intervention: The study sample group was interviewed before surgery about infertility and dysmenorrhea, dyspareunia, and noncyclic pelvic pain and each member had a pelvic examination and a transvaginal ultrasound. At surgery, endometriosis. was noted. For the test sample, the same information was abstracted from medical records after laparoscopy. Main Outcome Measure(s): The ability of symptoms, signs, and ultrasound to predict endometriosis at surgery. A classification tree was developed with the study sample and evaluated with the test sample. Result(s): Ovarian endometriosis, but not nonovarian endometriosis, could be reliably predicted with noninvasive tools. Ultrasound and examination best predicted ovarian endometriosis, correctly classifying 100% of cases with no false positive diagnoses in the study sample. Similar results were found in the test sample. Conclusion(s): Noninvasive tools may be used to identify women with ovarian, but not nonovarian endometriosis, with excellent agreement with surgical diagnosis. (C) 2001 by American Society for Reproductive Medicine.
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