HUBUNGAN ANTARA GEJALA KLINIS DAN LOKASI PERLENGKETAN LESI PADA PENDERITA ENDOMETRIOSIS

Abstract

The Relation between Clinical Symptoms and the Location of Adhesive Lesion in Endometriosis Patients. Endometriosis is a chronic condition in which functional endometrial tissue implants outside the uterine cavity. The diagnosis of endometriosis is quite difficult and often goes undetected for a long time, so this study aims to help make the diagnosis faster because it can estimate the location of the lesion earlier. This research is an analytic observational type with a cross-sectional approach and the sample are 102 patients. The most common location of adhesions was in the uterus in 54 patients (52.9%) and the most clinical symptom was dysmenorrhea in 71 patients (69.6%). The relationship of dysmenorrhea symptoms with the location of adhesions in the uterus obtained a p-value of 0.732 and the relationship of dyspareunia symptoms with the location of adhesions in the cul de sac obtained a p-value of 0.525. While research on the relationship between clinical symptoms of dyschezia and location in the rectum produced a p value of 0.031 and a PR value of 10.90 (95% CI 1.19 – 99.78). There was no significant relationship between the clinical symptoms of dysmenorrhea and the location of the adhesions in the uterus and the relationship between the clinical symptoms of dyspareunia and the location of the adhesions in the cul de sac. However, there is a relationship between the clinical symptoms of dyschezia and the location of the adhesions in the rectum.