{"title":"子宫内膜异位症早期诊断对生活质量的影响。","authors":"Mania Kaveh, Maryam Nakhaee Moghadam, Mojtaba Safari, Shahla Chaichian, Abolfazl Mehdizadeh Kashi, Mehdi Afshari, Kambiz Sadegi","doi":"10.1007/s00404-025-07999-4","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Endometriosis is one of the most common chronic diseases in women, with a prevalence of up to 10%. The disease particularly affects women of reproductive age. Endometriosis has a significant impact on the patient's quality of life (QoL). In the current study, we aimed to evaluate the role of early diagnosis of endometriosis on patients’ QoL.</p><h3>Methods</h3><p>In this longitudinal prospective study, 205 women with endometriosis who were referred to the gynecology department of Amir al-Mominin Hospital (Zabol-Iran) in 2021 were evaluated. Patients were divided into two groups based on the time of diagnosis, including early diagnosis and late diagnosis. An Endometriosis Health Profile (EHP) questionnaire was used to collect information about QoL before and 18 months after treatment. Data were analyzed using SPSSv.26 software and significance level was considered less than 0.05.</p><h3>Results</h3><p>In both groups with early and late diagnosis, the QoL scores improved without significant difference (<i>p</i> = 0.303). There was a significant difference between lower stages (1 and 2) and higher stages (3 and 4) in terms of treatment effects on patients’ QoL, and higher stages of endometriosis affected patients’ QoL before and after treatment more than lower stages (<i>P</i> values < 0.05).</p><h3>Conclusion</h3><p>Early or late diagnosis of endometriosis doesn’t affect patients’ QoL and patients benefit from treatment regardless of the time of diagnosis.</p></div>","PeriodicalId":8330,"journal":{"name":"Archives of Gynecology and Obstetrics","volume":"311 5","pages":"1415 - 1421"},"PeriodicalIF":2.1000,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00404-025-07999-4.pdf","citationCount":"0","resultStr":"{\"title\":\"The impact of early diagnosis of endometriosis on quality of life\",\"authors\":\"Mania Kaveh, Maryam Nakhaee Moghadam, Mojtaba Safari, Shahla Chaichian, Abolfazl Mehdizadeh Kashi, Mehdi Afshari, Kambiz Sadegi\",\"doi\":\"10.1007/s00404-025-07999-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Endometriosis is one of the most common chronic diseases in women, with a prevalence of up to 10%. 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引用次数: 0
摘要
背景：子宫内膜异位症是女性最常见的慢性疾病之一，发病率高达 10%：子宫内膜异位症是女性最常见的慢性疾病之一，发病率高达 10%。这种疾病对育龄妇女的影响尤为严重。子宫内膜异位症对患者的生活质量（QoL）有很大影响。本研究旨在评估子宫内膜异位症早期诊断对患者生活质量的影响：在这项纵向前瞻性研究中，我们对 2021 年转诊至 Amir al-Mominin 医院（伊朗扎布尔）妇科的 205 名子宫内膜异位症妇女进行了评估。根据诊断时间将患者分为两组，包括早期诊断和晚期诊断。采用子宫内膜异位症健康档案（EHP）问卷收集治疗前和治疗后 18 个月的 QoL 信息。数据采用 SPSSv.26 软件进行分析，显著性水平小于 0.05：早期诊断组和晚期诊断组的 QoL 评分均有所提高，但无显著差异（P = 0.303）。低分期（1 期和 2 期）和高分期（3 期和 4 期）的治疗对患者 QoL 的影响存在明显差异，高分期子宫内膜异位症在治疗前后对患者 QoL 的影响大于低分期（P 值 结论：子宫内膜异位症诊断的早晚不会影响患者的生活质量，无论诊断时间长短，患者都能从治疗中获益。
The impact of early diagnosis of endometriosis on quality of life
Background
Endometriosis is one of the most common chronic diseases in women, with a prevalence of up to 10%. The disease particularly affects women of reproductive age. Endometriosis has a significant impact on the patient's quality of life (QoL). In the current study, we aimed to evaluate the role of early diagnosis of endometriosis on patients’ QoL.
Methods
In this longitudinal prospective study, 205 women with endometriosis who were referred to the gynecology department of Amir al-Mominin Hospital (Zabol-Iran) in 2021 were evaluated. Patients were divided into two groups based on the time of diagnosis, including early diagnosis and late diagnosis. An Endometriosis Health Profile (EHP) questionnaire was used to collect information about QoL before and 18 months after treatment. Data were analyzed using SPSSv.26 software and significance level was considered less than 0.05.
Results
In both groups with early and late diagnosis, the QoL scores improved without significant difference (p = 0.303). There was a significant difference between lower stages (1 and 2) and higher stages (3 and 4) in terms of treatment effects on patients’ QoL, and higher stages of endometriosis affected patients’ QoL before and after treatment more than lower stages (P values < 0.05).
Conclusion
Early or late diagnosis of endometriosis doesn’t affect patients’ QoL and patients benefit from treatment regardless of the time of diagnosis.
期刊介绍：
Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report".
The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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