- Dysmenorrhoea severity and postoperative pregnancy are independent risk factors for the recurrence of endometrioma and endometriosis-related pain recurrence after surgery.
Why this matters
- Endometrioma recurrence is one of the most important issues in the management of endometriosis.
- Findings highlight that more attention should be paid to the risk for endometrioma and endometriosis-related pain in patients who have serious dysmenorrhoea and individualised management should be applied to achieve better efficacy.
- Retrospective study of 358 women (mean age, 33.2±5.4 years; body mass index (BMI): 21.2±2.6 kg/m2) with endometriomas who had minimum of 5 years of postoperative follow-up after undergoing laparoscopic cystectomy during 2009-2013 was conducted.
- All women were categorised into recurrence group and non-recurrence group.
- Funding: National Key R&D Program of China and others.
- Cumulative incidence rates of recurrence at 5-10 years after surgery were 15.4%, 16.8%, 19.3%, 22.5%, 22.5% and 22.5%, respectively.
- Differences were found between 2 groups in terms of:
- age at surgery (risk ratio [RR], 0.764; 95% CI, 0.615-0.949; P=.015),
- duration of dysmenorrhoea (RR, 1.120; 95% CI, 1.054-1.190; P<.001>
- the presence of adenomyosis (RR, 1.629; 95% CI, 1.008-2.630; P=.046) and
- CA125 level (RR, 1.856; 95% CI, 1.072-3.214; P=.021).
- Retrospective design.
- Single-centre study.