Chronic Gynaecological Disease, Endometriosis, Pelvic Pain Syndrome
Conditions
Keywords
infertility, dysmenorrhea, pelvic pain
Brief summary
Adult patients consulting the gynecological emergency department of CHI Créteil during the inclusion period for endometriosis or symptoms suggestive of endometriosis
Detailed description
Endometriosis is defined as the presence outside the uterine cavity of tissue similar to the uterine mucosa, which will be affected by hormonal changes during each subsequent menstrual cycle. Endometriosis is thus responsible for pelvic pain, which can be particularly incapacitating, as well as other symptoms depending on the location of the lesions. In some cases, endometriosis is also responsible for infertility. Symptoms have a considerable impact on the quality of life of sufferers, affecting not only their personal and marital lives, but also their professional and social lives.
Interventions
Emergency care for endometriosis * Introduction of specific treatment for endometriosis * Scheduled or completed specialist consultation (gynecologist, surgeon, midwife, radiologist) * Pelvic imaging examination scheduled or completed since the gynecological emergency consultation
Sponsors
Study design
Eligibility
Inclusion criteria
: * Adult patient (aged 18 or over) * Patient consulting the gynecological emergency department at Créteil Hospital for * Known endometriosis or * Symptoms suggestive of endometriosis: dysmenorrhea, pelvic pain, cyclic dysuria, dyspareunia, cyclic dyschezia, infertility, rectal bleeding, chest pain, catamenial hematuria * Patient who speaks French and is able to understand the information sheet
Exclusion criteria
* Minor or menopausal patient * Pregnant and breastfeeding patient * Other reason for consultation * Patient refusal * Patient not affiliated with a social security system * Patient cannot be contacted for the 3-months questionnaire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessing the impact of treatment in gynecological emergency departments on patients with endometriosis or suspected endometriosis | At 3 months | Composite criteria : number of specific hormonal or analgesic treatment introduiced for endometriosis according to ESHRE guideline endometriosis |
| Assessing the impact of treatment in gynecological emergency departments on patients endometriosis or suspected endometriosis | At 3 months | Composite criteria : number of Pelvic imaging recommanded for diagnostic or follow up of endometriosis, according to ESHRE guideline, scheduled or completed since the gynecological emergency consultation |
| Assessing the impact of deprivation on the future of patients after consultation at gynaecological emergency departments. | At 3 months | EPICE Scores (Evaluation of Deprivation and Inequalities in Health Examination Centers) |
Countries
France