Endometriosis in Srinagarind Hospital

Main Article Content

Srisuda Thailert
Pisake Lumbiganon
Metha Songthamwattana


Background : Endometriosis is a relatively relatively common gynecological  condition. There  was no report  related to the prevalence and description in the  northeast region of Thailand.

Objective : 1.To assess the prevalence of endometriosis in inpatient unit of Obstetric – Gynecology department of Srinagarind hospital. 2. To assess the characteristics of endometriotic patients regarding clinical manifestations, results of investigations, modalities of treatment and results.

Design : A descriptive study.

Setting : Srinagarind hospital, Khon Kaen University. Subjects : 3,626 gynecologic patients who were admitted to Srinagarind  hospital from January 1 , 1991 to  December 31, 1992.

Main  Outcome Measures : The prudent indicators  used  in  this  study  were  the  prevalence  of  endometriosis,  ties  and  result  of  treatment.

Results: The prevalence  of  endometriosis in Srinagarind  hospital during the study  period  was 8.6%  which consisted  of 3.1%  endometriosis externa, 3.1% adenomyosis , 0.8% combined  and 1.6% with  other diseases. In  the  adenomyosis group,  this study  revealed  the  mean age of  43.9 years.   The  most  common  presenting  symptoms were  abnormal  vaginal bleeding (42.9%), chronic pelvic  pain (33.9%)  and dysmenorrheal (21.4%). Most of  the  patients  were treated  by  hysterectome. The results  of  therapy  were good, 99.1%  of patients had no symptoms and  normal  pelvic  examination. In the endometriosis externa  group,  this  study  revealed  the  mean  age  of 32.5 years,  most  of  patients (54.4%) were nullipara. The most  common  presenting  symptoms  were infertility (46.5%) and  dysmenorrheal (44.7%). Most of the pathology were found  in  ovaries (52.6%) . forty  two percents  of  the patients were treated  by  surgery,  in which  74.2% were conservative surgery.  Other  patients  were treated  by  hormonat  therapy  and  combined  hormonal – surgical therapy in 30.7% and 15.8% respectively. Most of the  patients (76.3%) were lost follow  up.

Conclusions : Endometriosis is  a  common  disease  in  Gynecologic  inpatient  unit  of  Srinagarind  hospital. The results of  therapy  especially  in  adenomyosis group was  quite effective but  there  was  a  high  rate  of  lost  follow  up in endometriosis externa  group  so  the success  rate  of  treatment  could  not   be  accurately evaluated.


Download data is not yet available.

Article Details

Original Articles