Pelvic endometriosis: epidemiological and clinical profile prior to surgical treatment.

Abstract

Objective: This study aims to analyze the epidemiological, sociodemographic, and clinical profile of women undergoing videolaparoscopic surgery for the treatment of pelvic endometriosis at the Hospital Israelita Albert Einstein.

Methods: A cross-sectional and descriptive study was conducted, including 110 patients who underwent surgery for endometriosis between January 2017 and December 2022. Sociodemographic information, personal history, symptomatology, radiological diagnosis, and surgical details were collected.

Results: The average age of the evaluated patients was 37.04 years. Most were white women (69.7%), married or in a stable union (57.8%), and had completed secondary or higher education (86.3%). Dysmenorrhea was the predominant complaint in 60% of cases, with symptom onset occurring mainly between 1 and 5 years (48.2% of the total). Postoperative complications were observed in 8.1% of participants (9 cases), while the main associated comorbidities were anxiety and depression, represented in 43.3% of cases (26 cases).

Conclusion: Endometriosis presents as a condition that negatively impacts women's quality of life, generally diagnosed between the fourth and fifth decades of life. Hormonal treatment is sometimes insufficient to resolve symptoms, requiring surgical intervention for clinical improvement.