Короткий опис (реферат):
Aim: To estimate the prevalence and incidence of endometriosis, and to evaluate risk factors associated with endometriosis in Ukrain
Materials and Methods: The multicenter cohort study was performed partly as a cross-sectional study to estimate occurrence of endometriosis, partly as
a case-control study to look for factors associated with endometriosis. The study was carried out during the period from January 1st, 2019 to December 31st,
2021.This study included adolescent girls and adult women from 15 Ukrainian regions.
Results: Among 15,458 patients, 4,397 (28.4%) endometriosis were observed. Of all endometriosis cases, 48.5% were peritoneal/superficial endometriosis
(SPE), 34.6% were ovarian endometriotic cyst/endometrioma (OMA), and 16.9% were deep infiltrating endometriosis (DIE). The prevalence of the three
types of endometriosis was: SPE, 13.8%; OMA, 9.8%; and DIE, 4.8%. The factors associated with an increased risk for endometriosis include age 23-32 years,
parity (small number of births), age of first sexual intercourse <20 years, history of healthcare-associated infection after gynecological surgery (pelvic abscess
or cellulitis, salpingitis and oophoritis), history of infertility, early menarche (before the age of 11), dysmenorrhea, dyspareunia, pelvic pain, intermenstrual
bleeding, heavy uterine bleeding and dysmenorrhea, and heavy uterine bleeding.
Conclusions: Endometriosis is a common gynecological disease in Ukraine and the relative frequency of different types of endometriosis: the most common
were ovarian and peritoneal endometriosis. Healthcare services and public health strategies need to be strengthened to ensure timely endometriosis diagnosis
in adolescent girls and adult women and treatment.
