The Comparison of Chronic Pelvic Pain, Dysmenorrhea, Dyspareunia, Dysuria, and Dyschezia Intensity in Patients with Endometriosis Stage

INTRODUCTION: Women with endometriosis often experience symptoms of pain and infertility. Endometriosis was typically confirmed only by laparoscopic examination, causing delayed identification and continued symptom progression. This phenomenon can lead to impair the quality of life. This study aimed to compare the intensity of chronic pelvic pain, dysmenorrhea, dyspareunia, dysuria, and dyschezia between women who diagnosed with stage I/II of endometriosis and those with stage III/IV of endometriosis.
METHODS: This is a cross-sectional study, including 64 subjects selected by purposive sampling technique. The subjects were grouped into 32 women with stage I/II endometriosis and 32 women with stage III/IV endometriosis, based on the American Society for Reproductive Medicine (ASRM) endometriosis staging criteria. The Numeric Pain Rating Scale (NRS) and a questionnaire are used to evaluate the intensity of chronic pelvic pain, dysmenorrhea, dyspareunia, dysuria, and dyschezia. Data were analyzed with SPSS 25.
RESULTS: The result demonstrated that there is no significant relationship between the intensity of chronic pelvic pain, dysmenorrhea, dyspareunia, dysuria, and dyschezia and the stage of endometriosis with P-values >0.05.
DISCUSSION AND CONCLUSION: In conclusions, the intensity of chronic pelvic pain, dysmenorrhea, dyspareunia, dysuria, and dyschezia cannot be applied to diagnosing either the severity or stages of endometriosis.