PSYCHOSOCIAL IMPACT OF ENDOMETRIOSIS COMPLICATIONS A PATIENT-CENTERED EVALUATION

Endometrial glands outside the endometrium are defined to be endometriosis, and it often causes chronic pelvic pain and infertility. When a patient suffers from a condition that affects her significantly, it acts very much on that individual’s quality of life. This study aims at discribing the WHOQOL-BREF questionnaire on quality of life among women diagnosed with endometriosis; furthermore, we also investigate pain rates as well as other complications among those who have had laparoscopy for their endometriosis. Eighty-eight women patients aged 30-50 were studied in this cross-sectional study on endometriosis. The study sample comprised of patients who had undergone laparoscopy and were subsequently diagnosed with endometriosis, besides excision and ablation of the lesions at the same time between 5th January 2023 to 20th July 2024. Data on patients' demographics and clinical data were collected from hospitals across Baghdad in Iraq. A variety of questionnaires measuring quality of life were administered to the participants, including WHOQOL-BREF, VAS Scale for pain assessment as well as a general health questionnaire post laparoscopy.

Additionally, our work engaged patient complications and clinical records. A total of 63.64% of patients who underwent laparoscopy were between the ages of 30 and 40. Among patients with a body mass index (BMI) of 18.5 to 24.9, 39 cases were identified, while 30 cases were observed among patients with a BMI of 25 to 29.9. Pelvic pain was present in 30 cases, dyspareunia in 67 cases, and an irregular menstrual cycle in 22 cases. The laparoscopy procedure time ranged from 1 to 2 hours, and the total hysterectomy was performed in 73 patients, while a subtotal hysterectomy was performed in 15 patients. The laparoscopy procedure was performed under general anaesthesia in 91% of patients, with a blood loss rate of 40.04 ± 3.10 mL and a length of stay in the hospital of 1–2 days. Eighty-one-point-eight-two percent of patients expressed high levels of satisfaction. Post-operative complications occurred in 22.73% of patients, with infection, scarring, and nausea and vomiting representing the most common complications. Our study indicates that pelvic pain, as well as dyspareunia in women suffering from endometriosis, can be effectively treated by laparoscopic diagnosis and ablation of endometrium lesions, which have been used to improve the quality of life.