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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (4): 571-575    DOI: 10.31083/j.ceog.2020.04.5258
Original Research Previous articles | Next articles
How do health problems affect the quality and everyday life of patients with endometriomas?
K. Chmaj-Wierzchowska1, *(), M. Wojciechowska1, I. Parda1, K. Plagens-Rotman1, P. Rzymski1, M. Wilczak1
1Department of Maternal and Child Health, Poznan University of Medical Sciences, Poznan, Poland
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Abstract  

Introduction: The quality of human life is a subjective value and it largely depends on mental health, personality traits, preferences, and value system. This study aimed to discuss the incidence of health problems in patients with benign changes of reproductive organs (due to changes in the adnexa with the characteristics of endometrial cysts - endometriomas and other gynecological diseases, i.e. uterine myomas, other benign ovarian tumors), and influence of these problems with the daily functioning of the surveyed women. Materials and Methods: The study included patients treated surgically, due to changes in the adnexa with the characteristics of endometrial cysts (n = 24), other gynecological diseases (n = 45), i.e. uterine myomas (n = 22) and other benign ovarian tumors (n = 23) in 2017. The control group consisted of healthy patients (n = 67) who underwent routine, annual gynecological visits at the outpatient gynecological clinic, without changes within the reproductive organ (confirmed by using intravaginal ultrasound examination). The study research tool consisted of a questionnaire that was developed specifically for this study and the Nottingham Health Profile Questionnaire (NHP). The patients filled the questionnaires independently, one day prior to the procedure and in the control group prior to routine, annual doctor’s visit. Results: Among patients with endometriosis, significantly higher intensity of pain, emotional reactions, physical mobility, and vital energy were found. Women with endometrial cysts significantly more frequently reported issues related to occupation (Cramer’s V 0.578, p ≤ 0.001), household chores (Cramer’s V 0.597, p ≤ 0.001), social life (Cramer’s V 0.581, p ≤ 0.001), family life (Cramer’s V 0.576, p ≤ 0.001), sexual life (Cramer’s V 0.561; p ≤ 0.001), participation in hobbies (Cramer’s V 0.876, p ≤ 0.001), and holidays (Cramer’s V 0.876; p ≤ 0.001). Conclusions: Among patients with endometriosis a significantly higher intensity of pain, emotional reactions, physical mobility and energy vital. Because the advancement of endometriosis does not correlate with subjective complaints, routine use of Nottingham Heath Profile Questionnaire in the patients with endometriosis may improve the assessment of the severity of the disease and evaluate the effectiveness of treatment in the future.

Key words:  Endometrial cysts      Endometriosis      Gynecological diseases      Health problems      Nottingham Heath Profile Questionnaire     
Submitted:  18 May 2019      Accepted:  01 August 2019      Published:  15 August 2020     
*Corresponding Author(s):  K. Chmaj-Wierzchowska     E-mail:  karolina.chmaj-wierzchowska@ump.edu.pl

Cite this article: 

K. Chmaj-Wierzchowska, M. Wojciechowska, I. Parda, K. Plagens-Rotman, P. Rzymski, M. Wilczak. How do health problems affect the quality and everyday life of patients with endometriomas?. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 571-575.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.04.5258     OR     https://ceog.imrpress.com/EN/Y2020/V47/I4/571

Table 1  — Study group characteristics.
Group K
n = 67
Group G
n = 45
Group E
n = 24
Age (years) 30.55 38.91 30.04
Education Primary 2 2 0
Professional 1 4 1
Secondary 11 11 3
Tertiary 53 28 20
Place of residence Village 10 (14.9) 9 (20.0) 1 (4.2)
City to 50 thousand 8 (11.9) 2 (4.4) 3 (12.5)
City from 50 thousand to 200 thousand 13 (19.4) 4 (8.9) 2 (8.3)
City from 200 thousand to 500 thousand 9 (13.4) 8 (17.8) 1 (4.2)
City over 500 thousand 27 (40.3) 22 (48.9) 17 (70.8)
Marital status Maid 28 (41.8) 7 (15.6) 10 (41.7)
Married 39 (58.2) 37 (82.2) 14 (58.3)
Single 0 (0.0) 1 (2.2) 0 (0.0)
Employment situation Manual labor 6 (9.0) 4 (8.9) 2 (8.3)
Mental labor 45(67.2) 20 (44.4) 16 (66.7)
Pension 5 (7.5) 0 (0.0) 1 (4.2)
Retirement 2 (3.0) 2 (4.4) 0 (0.0)
Studies 6 (9.0) 0 (0.0) 1 (4.2)
Unemployed 0 (0.0) 18 (40.0) 4 (16.7)
Average monthly income per 1 person Less than PLN 500 2 1 1
PLN 500-1000 62 43 22
Over PLN 1000 3 1 1
Table 2  — Comparison of subjective dimensions of health status in individual groups.
Group VITAL ENERGY PAIN EMOTIONAL REACTIONS SLEEP DISORDERS SOCIAL ISOLATION PHYSICAL MOBILITY
control Age Correlation analysis with Pearson .195 .081 .239 -.261* -.172 .318*
Significance (two-sided) .114 ,515 .051 .038 .163 .009
other gynecological diseases Age Correlation analysis with Pearson .300* -.122 .153 .099 -.011 .229
Significance (two-sided) .045 .426 .315 .516 .944 .131
endometrial cysts Age Correlation analysis with Pearson -.095 -.075 -.119 .134 -.226 -.120
Significance (two-sided) .659 .729 .579 .533 .289 .576
control education Correlation analysis with Pearson -.004 -.513* -.169 -.607* -.203 -.259*
Significance (two-sided) .973 .000 .171 .000 .100 .034
other gynecological diseases education Correlation analysis with Pearson -.266 -.143 -.429* -.327* -.381* -.469*
Significance (two-sided) .078 .348 .003 .028 .010 .001
endometrial cysts education Correlation analysis with Pearson -.037 -.183 .047 .160 -.022 .013
Significance (two-sided) .864 .392 .829 .456 .920 .952
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