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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (4): 851-859    DOI: 10.31083/j.ceog4804135
Original Research Previous articles | Next articles
Long-term impact of chronic pelvic pain on quality of life in women with and without endometriosis
Sayuli Bhide1, Rebecca Flyckt2, *(), Meng Yao3, Tommaso Falcone4
1School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA
2Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
3Department of Quantitative Health Sciences, Lerner Research Institute Cleveland Clinic, Cleveland, OH 44195, USA
4Cleveland Clinic Lerner College of Medicine, Cleveland Clinic London, SW1X 7AW London, UK
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Abstract  
Background: Chronic pelvic pain (CPP) has a significant impact on patients' health-related quality of life (HRQoL). Endometriosis is a common cause of CPP. Data is lacking on long-term HRQoL outcomes in patients with endometriosis-associated chronic pelvic pain (EACPP) versus other causes of chronic pelvic pain (OCPP). Methods: In this retrospective single-survey study, 198 patients completed the EHP-30 and PROMIS Global Health validated questionnaires to assess health-related quality of life (HRQoL) 8–10 years after index surgery. Results: Demographic comparison revealed significant differences in racial demographics and disability status between the EACPP and OCPP groups. There was no significant difference in EHP-30, PROMIS Global Physical, or Global Mental scores between the two groups. Patients with lower stage endometriosis (stage I/II) reported diminished HRQoL in the EHP-30 and Global Physical scores as compared to patients with higher stage (stage III/IV) endometriosis or OCPP. Additionally, no differences were found between incidence of abuse history and EHP-30 and PROMIS scores between the two groups. Higher age and higher PROMIS Global Physical scores were associated with lower pain and higher HRQoL scores on the EHP-30. Persistently high rates of sexual dysfunction were seen across both groups. Discussion: This study demonstrates that women with EACPP and OCPP appear to have similar natural histories and quality of life on long term follow-up. Race, age, disability, and physical health status may play key roles in perceived quality of life. The high rate of persistent sexual dysfunction is concerning and requires increased clinician intervention.
Key words:  Endometriosis      Quality of life      Abuse      EHP-30      Sexual dysfunction      PROMIS     
Submitted:  22 October 2020      Revised:  10 February 2021      Accepted:  19 February 2021      Published:  15 August 2021     
*Corresponding Author(s):  Rebecca Flyckt     E-mail:  Rebecca.flyckt2@uhhospitals.org

Cite this article: 

Sayuli Bhide, Rebecca Flyckt, Meng Yao, Tommaso Falcone. Long-term impact of chronic pelvic pain on quality of life in women with and without endometriosis. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(4): 851-859.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4804135     OR     https://ceog.imrpress.com/EN/Y2021/V48/I4/851

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