Clinical evaluation of patients with endometriosis treated at a private referral service in Belo Horizonte

Abstract

Introduction: The clinical spectrum of this endometriosis is wide and the symptoms can vary from minimal to severely debilitating. The combination of symptoms reported during the anamnesis, signs identified on physical examination and imaging findings can be used to make a presumptive and non-surgical diagnosis of endometriosis Objective: To identify the clinical profile of patients assisted at the endometriosis clinic and relate it to physical examination findings and imaging data. Method: This is an observational, retrospective study, in which the data was collected from the charts of patients who were diagnosed with endometriosis in a referral hospital, between  January of 2018 and December of 2021. Results: The medical records of 232 patients were analyzed, in which the average age was 37 years, and only 1 woman was in menopause. The main symptoms reported were dysmenorrhea (49%), dyspareunia (38%) and chronic pelvic pain (34%) and the most used treatments were the progesterone pill, combined pill and Mirena IUD. Conclusion: The most common symptom was dysmenorrhea and there was a 5% significance when comparing the physical examination findings with what was seen mainly on transvaginal ultrasound, specialized ultrasound and magnetic resonance imaging of the pelvis