Clinica e Investigacion en Ginecologia y Obstetricia最新文献

{"title":"Adaptación de un sistema de presión negativa con succión central de bajo costo para el tratamiento de heridas ginecoobstétricas infectadas. Un estudio de cohorte retrospectivo","authors":"Carlos Dragonas-Romo ,&nbsp;Silvia Caballero-Delgado ,&nbsp;Jorge Luis Rodríguez-Sánchez ,&nbsp;José Juan Quilantán-Cabrera ,&nbsp;Karla Fabiola Rodríguez-Gómez ,&nbsp;Luis Enrique Colunga-Lozano","doi":"10.1016/j.gine.2025.101064","DOIUrl":"10.1016/j.gine.2025.101064","url":null,"abstract":"<div><h3>Background</h3><div>The objective is to describe a technique for placing a negative pressure wound therapy system using central suction as a treatment for infected surgical wounds in low-resource settings.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted at the General Hospital of Zapopan from November 2021 to May 2023. We included patients from the Gynecology and Obstetrics Department with infected and dehiscence surgical wound who consented underwent placement of a central suction system. Surgical time, intraoperative bleeding, complications, morbidity, and mortality were analyzed. We evaluated the patients in the preoperative, immediate postoperative, and 3-month follow-up.</div></div><div><h3>Results</h3><div>Ten patients were included, comprising 8 post-cesarean section patients, one post-hysterectomy patient, and one patient with Fournier's gangrene. The mean age was 29.91 years (±<!--> <!-->12.97), with 5 patients having comorbidities. All patients with infected surgical wounds had wound dehiscence. Variations in the results of wound secretion cultures were found with the following pathogens: <em>Staphylococcus lugdunensis, Staphylococcus epidermidis, Streptococcus gallolyticus</em> and <em>Klebsiella oxytoca,</em> indicating no particular etiological agent. Length of hospital stay depended on the case, wound extent and depth, and the number of required changes.</div></div><div><h3>Conclusion</h3><div>Our technique is a cost-effective alternative for managing surgical wounds with favorable outcomes, suitable for replication in low-resource hospitals. However, further studies with a larger number of patients are needed.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101064"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adenocarcinoma de células claras primario del cuello uterino sin exposición intrauterina al dietilestilbestrol en una adolescente de 15 años. Un caso clinicopatológico","authors":"R. Sarabia Ochoa ,&nbsp;J.P. García de la Torre ,&nbsp;A. Canosa Fernández","doi":"10.1016/j.gine.2025.101070","DOIUrl":"10.1016/j.gine.2025.101070","url":null,"abstract":"<div><h3>Introduction</h3><div>Clear cell adenocarcinoma of the cervix is a rare histological variant that is usually associated with intrauterine exposure to diethylstilbestrol (DES).</div></div><div><h3>Main symptoms and/or clinical findings</h3><div>A 15-year-old girl, virgin, with vaginal bleeding and leucorrhea. There was no history of exposure to diethylstilbestrol. Gynecological examination revealed a 7<!--> <!-->cm, solid, irregular, polypoid mass in the vagina, based on the anterior lip of the cervix.</div></div><div><h3>Main diagnoses, therapeutic interventions, and results</h3><div>The tumor was excised in fragments by colposcopy. Histologically it corresponded to a malignant epithelial neoplasm with a tubulocystic pattern, with papillary and solid areas. Composed of clear or hobnail cells, atypical vesicular nuclei and frequent nucleoli. Psammomatous microcalcifications and foci of tumor necrosis were present. Immunoreactivity for PAX8, CKAE1/3AE, EMA, CA-125, CK7, and Napsin-A was present. The diagnosis was clear cell adenocarcinoma.</div><div>The patient was treated with radical hysterectomy and is disease-free three years later.</div></div><div><h3>Conclusion</h3><div>Clear cell adenocarcinoma of the cervix is a rare tumor lacking clear guidelines for effective treatment. The clinical manifestations are basically the same as those of cervical squamous cell carcinoma, and in young patients, they can be confused with dysfunctional uterine bleeding, requiring a correct differential diagnosis. Our patient received primary treatment with colposcopic electrosurgical excision biopsy, followed by radical hysterectomy without chemotherapy or radiation therapy. This could be a new treatment approach for early-stage patients given the positive results observed.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101070"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case report of spontaneous hemoperitoneum secondary to uterine myomatosis and adenomyosis","authors":"J.C. Ramírez ,&nbsp;K. Cepeda ,&nbsp;F. Carmona","doi":"10.1016/j.gine.2025.101066","DOIUrl":"10.1016/j.gine.2025.101066","url":null,"abstract":"<div><h3>Introduction</h3><div>Myomatosis and uterine adenomyosis are the most common benign uterine pathologies suffered by women of reproductive age and the symptoms they produce are mainly abnormal vaginal bleeding, dysmenorrhea and pelvic pain, but they are rarely associated with spontaneous peritoneal bleeding. The existence of this entity and its etiology is little known in the literature, limited to case reports, generating a difficulty in diagnosis. The objective of this article is to report an infrequent case of spontaneous hemoperitoneum secondary to uterine myomatosis and adenomyosis.</div></div><div><h3>Main symptoms</h3><div>Prior informed consent and certification from the institution's ethics committee. This is a 50-year-old Colombian patient, in a state of symptomatic perimenopause with hormone replacement therapy, who came to the emergency department with a history of pain in the lower abdomen of three days of severe intensity, only associated with diarrhea.</div></div><div><h3>Main diagnoses</h3><div>Abdominal computed tomography and transvaginal ultrasound diagnosed hemoperitoneum associated with a probable left adnexal mass, suggestive of a ruptured hemorrhagic cyst.</div></div><div><h3>Therapeutic interventions and results</h3><div>Exploratory laparoscopy was performed and identify hemoperitoneum secondary to a highly vascularized subserosal fibroid with bleeding from its base, hypervascularized uterus, without obvious ovarian pathology, associated with multiple adhesions between the fibroid, uterine tube and ipsilateral ovary. Due to the patient's age and continuous uncontrolled bleeding, it was decided to perform a total hysterectomy plus unilateral left salpingo-oferectomy.</div></div><div><h3>Conclusion</h3><div>This case demonstrates that, although extremely rare, uterine fibroids (still coexisting with adenomyosis) can cause spontaneous hemoperitoneum. It is essential to consider this diagnosis within the acute gynecological abdomen, since timely recognition and treatment improve the prognosis.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101066"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relación entre la lactancia materna y las disfunciones sexuales en el posparto. Una revisión sistemática","authors":"A. Rodríguez-Alonso ,&nbsp;I. Da Cuña-Carrera ,&nbsp;A. Alonso-Calvete ,&nbsp;L. Núñez-Remiseiro ,&nbsp;M. Fernández-Paz","doi":"10.1016/j.gine.2025.101067","DOIUrl":"10.1016/j.gine.2025.101067","url":null,"abstract":"<div><div>Breastfeeding is defined as the act of transferring milk between mother and child, constituting the ideal and physiological food for neonates. Female sexual dysfunction is established as a disorder of sexual desire, arousal, orgasm and/or sexual pain. The objective of this work is to review and analyze the existing literature to find out if there is a relationship between breastfeeding and the presence of sexual dysfunctions in the postpartum. A bibliographic search was carried out between the months of November and December 2023 in the PubMed, Web of Science (WOS), Scopus, Cochrane Library and Cinahl databases. The descriptors from the Medical Subject Headings (MeSH) thesaurus “Lactation”, “Breast Feeding”, “Postpartum Period”, “Sexual Dysfunction, Physiological” and “Sexual Dysfunctions, Psychological” were used. Articles published in English or Spanish that met the criteria were included. the objective of this review. Of the 123 articles identified, only 9 met the eligibility criteria and were included in the review. Breastfeeding seems to have a relationship with the presence of female sexual dysfunctions in the postpartum, with lower scores being observed in the sexual function questionnaires in lactating women compared to those of non-lactating women. However, it seems difficult to discern between sexual dysfunctions due to breastfeeding and those due to postpartum.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101067"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Síndrome de hiperestimulación ovárica grave con elevación transitoria de troponina I: a propósito de un caso","authors":"I. Agustí ,&nbsp;G. Altinier ,&nbsp;G. Casals","doi":"10.1016/j.gine.2025.101068","DOIUrl":"10.1016/j.gine.2025.101068","url":null,"abstract":"<div><h3>Introduction</h3><div>Ovarian hyperstimulation syndrome (OHSS) is a potentially serious complication of controlled ovarian stimulation, with risk of multi-organ involvement. We present a clinical case of severe OHSS that initially manifested with symptoms suggestive of cardiac involvement and transient troponin elevation, in which cardiac pathology was ultimately ruled out.</div></div><div><h3>Main symptoms and/or clinical findings</h3><div>A 26-year-old woman, with no cardiovascular history, presented with abdominal distension, nausea, and acute epigastric pain after follicular puncture in the context of controlled ovarian stimulation for egg donation.</div></div><div><h3>Main diagnoses, therapeutic interventions, and outcomes</h3><div>Severe OHSS was diagnosed with tense ascites, hemoconcentration, altered renal profile, and marked elevation of troponin I (1098 ng/L) and D-dimer. Given the suspicion of myocardial ischemia, cardiological studies were performed, ruling out cardiac pathology. Medical treatment with albumin and diuretics was initiated, with clinical resolution without the need for paracentesis. The patient was discharged after four days, with normalization of laboratory and echocardiographic parameters.</div></div><div><h3>Conclusion</h3><div>Severe OHSS may present with clinical signs and biomarkers suggestive of cardiac disease. This finding highlights the importance of considering troponin elevation in OHSS within the context of hemodynamic and/or endothelial dysfunction, rather than as a specific marker of myocardial ischemia. This is especially relevant in severe multi-organ clinical presentations where differential diagnosis is crucial.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101068"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145332345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ablación por radiofrecuencia exitosa de miomas uterinos muy grandes: estudio de 2 casos","authors":"C. Torrijo Rodrigo,&nbsp;V. Gómez García,&nbsp;C. Giménez Molina","doi":"10.1016/j.gine.2025.101065","DOIUrl":"10.1016/j.gine.2025.101065","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiofrequency ablation (RFA) is one of the latest minimally invasive treatment options for symptomatic uterine fibroids. The primary goal is to evaluate the feasibility and effectiveness of RFA as a minimally invasive treatment for large uterine fibroids, preserving the uterus and fertility.</div></div><div><h3>Main symptoms and/or clinical findings</h3><div>Two women, aged 47 and 40, with very large fibroids (approximately 10<!--> <!-->cm in length) exhibited symptoms such as hypermenorrhea, urinary symptoms, back pain, and a painful mass.</div></div><div><h3>Main diagnoses, therapeutic interventions, and outcomes</h3><div>Uterine leiomyomas or fibroids. RFA was performed using a 35<!--> <!-->cm monopolar electrode with a 17 gauge and a 10<!--> <!-->mm active tip. The sizes of the fibroids were reduced by more than half, and symptoms disappeared after the procedure.</div><div>Case 1: A 47-year-old woman with a 10<!--> <!-->cm fibroid showed a significant reduction in fibroid size (from 437 to 9<!--> <!-->cm³) and complete resolution of symptoms within one year.</div><div>Case 2: A 40-year-old woman with a 10.5<!--> <!-->cm fibroid experienced a notable reduction in fibroid size (from 472 to 33<!--> <!-->cm³) and resolution of symptoms within six months.</div></div><div><h3>Conclusion</h3><div>These cases demonstrate that RFA is a safe and effective method for treating large uterine fibroids, with significant reductions in fibroid volume and resolution of symptoms. The procedure should be performed by gynecologists experienced in minimally invasive techniques.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101065"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Premature ovarian insufficiency: An update. A literature review","authors":"M.M.A. Abdelhafez ,&nbsp;K.A.M. Ahmed ,&nbsp;N.A.M. Ahmed ,&nbsp;M.H. Ismail ,&nbsp;M.N. Bin Mohd Daud ,&nbsp;A.M. Eldiasty ,&nbsp;M.F. Bin Amri ,&nbsp;M.S. Jeffree ,&nbsp;F. Kadir ,&nbsp;D.M. Pg Baharuddin ,&nbsp;M.F. Bin Bolong ,&nbsp;F. Hayati ,&nbsp;N.B. Azizan ,&nbsp;D. Sumpat ,&nbsp;S.S. Syed Abdul Rahim ,&nbsp;W.W. Than ,&nbsp;M. Yusof Ibrahim ,&nbsp;L. Zhen Zhen ,&nbsp;M. Zoe Soe","doi":"10.1016/j.gine.2025.101071","DOIUrl":"10.1016/j.gine.2025.101071","url":null,"abstract":"<div><div>Premature ovarian insufficiency is defined as the loss of ovarian function before the age of 40. It is linked to hypoestrogenism and the loss of remaining follicles, which causes irregular menstruation, infertility, and a decline in health-related quality of life. This article goal is to highlight and analyse the various contemporary strategies for the diagnosis and treatment of the disease with reference to the most recent and evidence-based interventions in this context. A comprehensive review of the literature was conducted using database searches in EMBASE, Science Direct, Google Scholar, Scopus, and PubMed to obtain the objectives and aim of the study. The results of the search found that menopause affects about 5% of women between the ages of 40 and 45, while it affects about 1% of women before the age of 40. Under the age of 30, the disease affects about 1 in 1000 women, sometimes as early as adolescence. Our study concluded that: premature ovarian insufficiency is a condition of oestrogen deficiency that has both immediate and long-term effects on health and mental well-being. The physical, psychological, and emotional difficulties brought on by the disease's diagnosis must be handled, and the short- and long-term wellness of these young women must be safeguarded, by healthcare professionals managing these complicated entities successfully.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101071"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145525816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal access following insufflation with Veress needle at high pressure: A security maneuver for the reduction of surgical complications during laparoscopic access","authors":"F. Palomo-Rodriguez ,&nbsp;J. Gallardo-Martinez ,&nbsp;R.D. Brenner-Anidjar ,&nbsp;Z. Frias-Sanchez ,&nbsp;S. Rojo-Novo ,&nbsp;M. Pantoja-Garrido ,&nbsp;F.J. Pantoja-Rosso ,&nbsp;J.J. Fernandez-Alba","doi":"10.1016/j.gine.2025.101051","DOIUrl":"10.1016/j.gine.2025.101051","url":null,"abstract":"<div><h3>Introduction</h3><div>Up to 50% of laparoscopic complications arise during access maneuvers to abdominal cavity. Our aim is to determine whether elevated pressures of 20–25<!--> <!-->mmHg during these maneuvers, by increasing the distance between the abdominal wall and intracavitary organs, can help reduce the risk of entry-related complications, without an increase in anesthetic adverse effects.</div></div><div><h3>Methods and materials</h3><div>Prospective observational analytic multi-centered cohort study with 703 patients. The exposed-cohort consisted of patients undergoing gynecological laparoscopic surgeries in which an intra-abdominal pressure of 20–25<!--> <!-->mmHg was used (<em>group 20–25<!--> <!-->mmHg</em>) as opposed to the unexposed-cohort, in which usual<!--> <!-->&lt;<!--> <!-->15<!--> <!-->mmHg pressures (<em>group</em> <!-->&lt;<!--> <em>15<!--> <!-->mmHg</em>) were used. All surgeries were performed using the Veress needle as the method of insufflation.</div></div><div><h3>Results</h3><div>Patients in whom access was performed at pressures<!--> <!-->&lt;<!--> <!-->15<!--> <!-->mmHg had a higher risk of complications than those in whom elevated pressures of 20–25<!--> <!-->mmHg were used, which was statistically significant (OR 3.08, 95% CI95% 1.42–6.65, <em>p</em> <!-->=<!--> <!-->0.004), without finding differences regarding anesthetic complications (<em>p</em> <!-->=<!--> <!-->0.9).</div></div><div><h3>Conclusion</h3><div>The use of high intraabdominal pressure during access maneuvers serves as an effective technique for the prevention of complications, especially major complications, when compared with standard-used pressures, without increasing the incidence of anesthetic adverse effects, due to their temporary maintenance.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101051"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiofrequency treatment value for uterine fibroids in pregnant and infertile women","authors":"M. Bonet-Sánchez ,&nbsp;I. Pelayo-Delgado","doi":"10.1016/j.gine.2025.101052","DOIUrl":"10.1016/j.gine.2025.101052","url":null,"abstract":"<div><div>Radiofrequency ablation of uterine fibroids is a technique based on the application of a high-frequency electrical current, causing a coagulative necrosis of the fibroid. The aim of this review is to analyse the influence of radiofrequency treatment of fibroids in women with gestational desire and its influence on pregnancy, through the compilation and study of recent articles. Radiofrequency has achieved a similar number of full-term births compared to that of surgical myomectomy, which until now has been the gold standard treatment for women with myomas desiring pregnancy. It also seems to increase obstetric security in pregnant women previously treated compared to other techniques, with fewer rate of preterm deliveries, spontaneous abortions and placental changes. However, more randomized clinical trials focusing specifically on pregnancy are necessary to reach definitive conclusions.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101052"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of deep endometriosis with and without ovarian involvement on quality of life compared to exclusive ovarian endometriosis","authors":"M.d.P. Marín Sánchez ,&nbsp;M. Martínez-Esparza ,&nbsp;P. García-Peñarrubia ,&nbsp;A.J. Ruiz-Alcaraz ,&nbsp;J.J. Arense-Gonzálo","doi":"10.1016/j.gine.2025.101053","DOIUrl":"10.1016/j.gine.2025.101053","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate potential differences in quality of life between patients with deep endometriosis, with or without ovarian involvement (DE), and those with exclusive ovarian endometriosis (OMA).</div></div><div><h3>Material and method</h3><div>A prospective observational study was conducted on patients diagnosed with endometriosis through clinical assessment and imaging techniques, or histological confirmation. Patients were labeled as OMA or DE. Clinical data such as pain (visual analogue scale), demographic and anthropometric data, and QoL (SF-12v2 scale) were evaluated. Statistical analysis was performed using IBM SPSS 25.0.</div></div><div><h3>Results</h3><div>A total of 307 patients were enrolled, 109 with OMA and 198 with DE. Patients with OMA were younger than those with DE. QoL in the physical domain was lower in DE compared to OMA (46<!--> <!-->±<!--> <!-->11.91 vs 49.9<!--> <!-->±<!--> <!-->9.4; <em>p</em> <!-->&lt;<!--> <!-->0.02). No statistically significant differences were observed in the mental domain (41.5<!--> <!-->±<!--> <!-->10.2 vs 42.8<!--> <!-->±<!--> <!-->11; <em>p</em> <!-->&lt;<!--> <!-->0.276). Pain scores on the visual analogue scale did not differ significantly between groups. However, in the pain domain of the SF-12v2 scale, significant differences were found, with lower scores in DE (61.4<!--> <!-->±<!--> <!-->32.7 vs 73.6<!--> <!-->±<!--> <!-->28.6; <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>QoL scales should be utilized in clinical practice as they provide valuable insights into how the disease impacts patients’ lives. Patients with deep endometriosis have a poorer QoL in the physical domain compared to those with exclusive ovarian endometriosis.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101053"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}