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Table 2 The severity of dysmenorrhea, dyspareunia, and chronic pelvic pain according to the extension of disease

From: Relationship between the severity of endometriosis symptoms (dyspareunia, dysmenorrhea and chronic pelvic pain) and the spread of the disease on ultrasound

Variable

Total

Minimal

No. (%)a

Mild

No. (%)a

Moderate

No. (%)a

Severe

No. (%)a

p

Dysmenorrhea severity

0.8

 The cumulative size of DIE implants

  < 1 cm

22

0

2 (9.1)

9 (40.9)

11 (50)

  1–3 cm

47

1 (2.1)

4 (8.5)

19 (40.4)

23 (48.9)

  > 3 cm

41

2 (4.9)

4 (9.8)

11 (26.8)

24 (58.5)

 The cumulative surface of superficial peritoneal implants

0.48

  0

142

4 (2.8)

16 (11.3)

40 (28.2)

82 (57.7)

  < 3 cm

5

0

1 (20)

3 (60)

1 (20)

  > 3 cm

5

0

0

2 (40)

3 (60)

 Endometrioma

     

0.53

 None

28

0

2 (7.1)

5 (17.9)

21 (75)

 Unilateral

78

3 (3.8)

12 (15.4)

22 (28.2)

41 (52.6)

 Bilateral

51

1 (2)

3 (5.9)

18 (35.3)

29 (56.9)

 Cumulative size of endometriomas

0.31

  0

28

0

2 (7.1)

5 (17.9)

21 (75)

  ≤ 3 cm

26

2 (7.7)

5 (19.2)

6 (23.1)

13 (50)

  > 3 cm

100

2 (2)

10 (10)

34 (34)

54 (54)

 Size of the largest endometrioma

0.69

  0

26

0

2 (7.7)

5 (19.2)

19 (73.1)

  ≤ 3 cm

43

2 (4.7)

5 (11.6)

14 (32.6)

22 (51.2)

  > 3 cm

85

2 (2.4)

10 (11.8)

26 (30.6)

47 (55.3)

 Douglas obliteration

0.42

  Absent

21

0

3 (14.3)

7 (33.3)

11 (52.4)

  Partial

53

3 (5.7)

7 (13.2)

11 (20.8)

32 (60.4)

  Complete

75

1 (1.3)

7 (9.3)

27 (36)

40 (53.3)

 Cumulative size of posterior DIE

0.7

  < 1 cm

22

0

2 (9.1)

9 (40.9)

11 (50)

  1–3 cm

46

1 (2.2)

3 (6.5)

19 (41.3)

23 (50)

  > 3 cm

40

2 (5)

4 (10)

10 (25)

24 (60)

 Sub peritoneal extension

0.82

  Sub-peritoneal only

92

2 (2.2)

10 (10.9)

27 (29.3)

53 (57.6)

  Rectal

51

2 (3.9)

5 (9.8)

16 (31.4)

28 (54.9)

  Vaginal

1

0

0

1 (100)

0

  Both rectal and vaginal

2

0

0

0

2 (100)

Dyspareunia severity

 Cumulative size of DIE implants

  < 1 cm

16

10 (62.5)

3 (18.8)

1 (6.3)

2 (12.5)

0.05

  1–3 cm

36

13 (36.1)

4 (11.1)

9 (25)

10 (27.8)

  > 3 cm

37

13 (34.2)

9 (23.7)

13 (34.2)

2 (7.9)

 Cumulative surface of superficial peritoneal implants

  0

113

46 (40.7)

19 (16.8)

27 (23.9)

21 (18.6)

0.48

  < 3 cm

4

1 (25)

0

3 (75)

0

  > 3 cm

5

3 (60)

1 (20)

1 (20)

0

 Endometrioma

  None

26

11 (42.3)

2 (7.7)

9 (34.6)

4 (15.4)

0.14

  Unilateral

61

23 (37.7)

13 (21.3)

11 (18)

14 (23)

  Bilateral

40

18 (45)

7 (17.5)

12 (30)

3 (7.5)

 Cumulative size of endometriomas

  0

26

11 (42.3)

2 (7.7)

9 (34.6)

4 (15.4)

0.52

  ≤ 3 cm

22

10 (45.5)

3 (13.6)

7 (31.8)

2 (9.1)

  > 3 cm

76

29 (38.2)

16 (21.1)

16 (21.1)

15 (19.7)

 Size of the largest endometrioma

  0

24

10 (41.7)

1 (4.2)

9 (37.5)

4 (16.7)

0.30

  ≤ 3 cm

36

16 (44.4)

5 (13.9)

7 (19.4)

8 (22.2)

  > 3 cm

64

24 (37.5)

15 (23.4)

16 (25)

9 (14.1)

 Douglas obliteration

  Absent

16

7 (43.8)

2 (12.5)

5 (31.3)

2 (12.5)

0.06

  Partial

48

12 (25)

10 (20.8)

18 (37.5)

8 (16.7)

  Complete

56

29 (51.8)

8 (14.3)

8 (14.3)

11 (19.6)

 Cumulative size of posterior DIE

 

  < 1 cm

16

10 (62.5)

3 (18.8)

1 (6.3)

2 (12.5)

0.04

  1–3 cm

35

12 (34.3)

4 (11.4)

9 (25.7)

10 (28.6)

 

  > 3 cm

37

12 (32.4)

9 (24.3)

13 (35.1)

3 (8.1)

 

 Sub peritoneal extension

  Sub-peritoneal only

72

35 (48.6)

8 (11.1)

15 (20.8)

14 (19.4)

0.07

  Rectal

42

13 (31)

11 (26.2)

13 (31)

5 (11.9)

  Vaginal

1

0

0

0

1 (100)

  Both rectal and vaginal

2

1 (50)

0

1 (50)

0

Chronic pelvic pain severity

 The cumulative size of DIE implants

  < 1 cm

23

15 (65.2)

6 (26.1)

1 (4.3)

1 (4.3)

0.07

  1–3 cm

46

24 (52.2)

6 (13)

13 (28.3)

3 (6.5)

  > 3 cm

41

19 (46.3)

14 (34.1)

5 (12.2)

3 (7.3)

 The cumulative surface of superficial peritoneal implants

  0

142

74 (52.1)

27 (19)

30 (21.1)

11 (7.7)

0.26

  < 3 cm

5

2 (40)

3 (60)

0

0

  > 3 cm

5

3 (60)

1 (20)

0

1 (20)

 Endometrioma

  None

28

13 (46.6)

4 (14.3)

8 (28.6)

3 (10.7)

0.25

  Unilateral

79

44 (55.7)

15 (19)

13 (16.5)

7 (8.9)

  Bilateral

50

22 (44)

16 (32)

10 (20)

2 (4)

 The cumulative size of endometriomas

  0

28

13 (46.6)

4 (14.3)

8 (28.6)

3 (10.7)

0.68

  ≤ 3 cm

26

15 (57.7)

4 (15.4)

5 (19.2)

2 (7.7)

  > 3 cm

100

51 (51)

25 (25)

17 (17)

7 (7)

 Size of the largest endometrioma

  0

26

13 (50)

2 (7.7)

8 (30.8)

3 (11.5)

0.38

  ≤ 3 cm

42

21 (50)

10 (23.8)

7 (16.7)

4 (9.5)

  > 3 cm

86

45 (52.3)

21 (24.4)

15 (17.4)

5 (5.8)

 Douglas obliteration

  Absent

21

13 (61.9)

2 (9.5)

4 (19)

2 (9.5)

0.5

  Partial

52

22 (42.3)

15 (28.8)

10 (19.2)

5 (9.6)

  Complete

76

43 (56.6)

14 (18.4)

14 (18.4)

5 (6.6)

 Cumulative size of posterior DIE

  < 1 cm

23

15 (65.2)

6 (26.1)

1 (4.3)

1 (4.3)

0.03

  1–3 cm

45

24 (53.3)

5 (11.1)

13 (28.9)

3 (6.7)

  > 3 cm

40

18 (45)

14 (35)

5 (12.5)

3 (7.5)

 Sub peritoneal extension

  Sub-peritoneal only

91

49 (53.3)

18 (19.6)

17 (18.5)

8 (8.7)

0.93

  Rectal

51

25 (49)

12 (23.5)

11 (21.6)

3 (5.9)

  Vaginal

1

1 (100)

0

0

0

  Both rectal and vaginal

2

1 (50)

1 (50)

0

0

  1. aRepresents the number and percentage of women with degree of severity of dysmenorrhea, dyspareunia, and chronic pelvic pain