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- Title
LAPAROSCOPIC DIAGNOSIS OF ENDOMETRIOSIS AT KENYATTA NATIONAL HOSPITAL, KENYA.
- Authors
Gichuhi, J. W.; Ogengo, J.; Gichangi, P.
- Abstract
Background: Endometriosis constitutes a serious health issue due to its high affliction of 10% in reproductive age women and its clinical manifestation of infertility and chronic pelvic pain. Worldwide, there is clear documentation of the prevalence of endometriosis in the developed countries; however, the prevalence in black African woman is unknown. Objective: To determine the prevalence, pattern and clinical presentation of endometriosis in indigenous African women. Design: A prospective analytical cross-sectional study. Setting: Kenyatta National Hospital, Kenya between March 2018 and March 2021. Subjects/Participants: Indigenous African women aged 18-49 years Main Outcome Measures: The prevalence of histological confirmed endometriosis and clinical presentation. Results: The prevalence of histological confirmed endometriosis in indigenous Africans was 4.6% ( 95% CI 0.5--18.4). Laparoscopic visualization diagnosis had a positive predictive value of 33%. Dysmenorrhoea, chronic pelvic pain scale 8-10, dyspareunia, nulliparity and menarche at 13 years and below were significant findings of endometriosis (P<0.001). Physical findings of adnexal tenderness and of nodules in the pouch of Douglas were significant in relation to endometriosis (P<0.001). The most common sites of the endometriosis implants were the Pouch of Douglas and the most common form of endometriosis was endometrioma (40%). Conclusion: The prevalence of endometriosis in Indigenous African woman is 4.6%. Nulliparity, menarche at the age of 13 and below, dysmenorrhoea, chronic pelvic pain scale 8-10 and dyspareunia were significantly associated with endometriosis. The most common site for endometriosis was the Pouch of Douglas whilst the most common form of endometriosis was endometrioma.
- Subjects
AFRICA; DIAGNOSIS of endometriosis; LAPAROSCOPY; DIAGNOSIS of diseases in women; WOMEN; DISEASE prevalence; SYMPTOMS
- Publication
East African Medical Journal, 2021, Vol 98, Issue 8, p4038
- ISSN
0012-835X
- Publication type
Article