Association of pathologic diagnoses with clinical findings in chronic endometritis
Miltiadis Pitsos1, Joan Skurnick, Debra Heller
1Department of Obstetrics and Gynecology and Women's Health, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey, USA. miltos_pitsos@yahoo.com
Objective:
To investigate the association of chronic endometritis (CE) with abnormal uterine bleeding, chronic pelvic pain, human immunodeficiency virus (HIV) infection, genital tract infection and salpingitis.
Study Design:
In this retrospective study, specimens obtained from endometrial biopsy, dilatation and curettage or hysterectomy were identified. A total of 123 patients with CE and 177 without CE who were used as controls were included in the study.
Results:
The patients with CE were younger than controls (p = 0.0001) and were more likely to be premenopausal (p = 0.0004). There was no association of CE with body mass index (p = 0.82), pelvic pain (p = 0.88) or abnormal uterine bleeding (p = 0.80). None of the specimens with CE had atrophic endometrium (p = 0.0018). CE was significantly associated with history of genital tract infection (p = 0.0032), HIV infection (p = 0.0018) and salpingitis (p = 0.0007).
Conclusion:
There was significant association of CE with historical factors, but not with symptomatology.
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