Prevalence of Pain Symptoms Suggestive of Endometriosis Among Finnish Adolescent Girls (TEENMAPS Study)

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• 作者：P.A. Suvitie ; MD¹ ; ² ; ³ ; ^{pia.a.suvitie@tyks.fi" class="auth_mail" title="E-mail the corresponding author} ; M.K. Hallamaa ; MD¹ ; ² ; J.M. Matomä ; ki ; MSc⁴ ; J.I. Mä ; kinen ; MD ; PhD¹ ; ² ; A.H. Perheentupa ; MD ; PhD¹ ; ² ; ³
• 关键词：Adolescent ; Dysmenorrhea ; Endometriosis ; Pain symptoms ; Epidemiology
• 刊名：Journal of Pediatric and Adolescent Gynecology
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：29
• 期：2
• 页码：97-103
• 全文大小：320 K

文摘

To evaluate the prevalence of pain symptoms suggestive of endometriosis among adolescent girls aged 15-19 years.

Design

Cross-sectional study.

Setting

University hospital.

Participants

Adolescent girls aged 15-19 years attending elementary school, high school, or vocational institute at 3 cities in Southwest Finland in 2010-2011.

Interventions

The school nurses distributed a detailed questionnaire to 2582 girls who were attending school at the time of the study. Completion of the questionnaire was voluntary and anonymous.

Main Outcome Measures

Prevalence and severity of dysmenorrhea, acyclic abdominal pain, dyspareunia, dyschezia, and dysuria. Severity was evaluated with an 11-point numerical rating scale (NRS).

Results

A total of 1103 eligible answers were analyzed. The prevalence of dysmenorrhea was 68% (738/1092) with mean NRS of 7.0 (SD = 2.0). Acyclic abdominal pain, dyspareunia, dyschezia, and dysuria were less frequent (19% [207/1085], 12% [53/458], 8% [87/1088] and 5% [50/1084], respectively). The prevalence of severe dysmenorrhea (NRS 8-10) was 33% (355/1089). Severe dysmenorrhea was associated with increased risk of concurrent acyclic abdominal pain (odds ratio [OR] = 2.7; 95% confidence interval [CI], 2.0-3.6), dyschezia (OR = 2.5; 95% CI, 1.6-3.9), and regular absenteeism from school or hobbies (OR = 10.0; 95% CI, 4.2-23.6). Using different criteria, 2%-10% (21-106/1103) of all girls could be identified as having symptoms suggestive of endometriosis. Five percent of girls (n = 53/1103) had severe dysmenorrhea, used oral contraceptive pills, and reported inadequate relief from pain medication.

Conclusion

One-third (355/1089) of 15- to 19-year-old girls had severe menstrual pain and 14% (49/355) of them were regularly absent from school or hobbies. Five percent of all teenage girls (53/1103) were poor responders to conventional therapy for primary dysmenorrhea.