Abstract
To determine the average body composition (percentage of body fat), the anthropometric markers, and the intensity of clinical pain in women with a clinical diagnosis of chronic pelvic pain (CPP) secondary to endometriosis. A case-control study performed with 91 women, 46 of whom with CPP secondary to endometriosis and 45 of whom with CPP secondary to other causes. They underwent an evaluation of the anthropometric parameters by means of the body mass index (BMI), the perimeters (waist, abdomen, hip), and the percentage of body fat (%BF), which were assessed on a body composition monitor by bioimpedance; the intensity of the clinical pain was evaluated using the visual analog scale (VAS), and the symptoms of anxiety and depression, using the hospital's anxiety and depression scale (HAD). The groups did not differ in terms of mean age, BMI, %BF or regarding the available waist-to-hip ratio (WHR). The mean intensity of the clinical pain by the VAS was of 7.2 ± 2.06 in the group with CPP secondary to endometriosis, and of 5.93 ± 2.64 in the group with CPP secondary to other causes (p = 0.03), revealing significant differences between the groups. We concluded that, despite the difference in the pain score assessed between the two groups, there was no difference regarding body composition and anthropometry.
Highlights
Chronic pelvic pain (CPP) is a frequent complaint in the gynecological practice, and it causes suffering, compromises the quality of life of the woman, and results in high costs to health systems.[1]
The present study aimed to evaluate whether there is a difference in average body composition (%BF) through an evalution of the anthropometric markers of women diagnosed with CPP secondary to endometriosis and those diagnosed with CPP secondary to other causes
96 took part in the evaluation, 5 of them were excluded because they were at menopause, a period that interferes in the %BF, and 91 women remained: were diagnosed with CPP secondary to other causes, and women were diagnosed with CPP secondary to endometriosis
Summary
Chronic pelvic pain (CPP) is a frequent complaint in the gynecological practice, and it causes suffering, compromises the quality of life of the woman, and results in high costs to health systems.[1] The prevalence of CPP is not well established, and it may vary from one country to another. Endometriosis is among the gynecological causes related to CPP, and its main clinical problem is painful syndrome, manifesting as dysmenorrhea, pelvic pain, abdominal pain, dyspareunia, and painful defecation.[5] In women with CPP subjected to laparoscopy, the presence of endometriosis is higher than 30%.2. Evidence suggests that the pain may be caused by peritoneal inflammation, formation of adherences, and significant nervous injury, specific to endometriosis injuries, which are possibly correlated with a deep infiltration of the endometrial tissue.[6]
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