[CLINICAL FEATURES OF ENDOMETRIOSIS IN WOMEN IN PERIMENOPAUSE].

Area of Science:

• Gynecology
• Reproductive Medicine
• Menopause Studies

Background:

• Endometriosis is a chronic condition affecting women of reproductive age.
• Perimenopause is a transitional phase characterized by hormonal fluctuations.
• The interplay between endometriosis and perimenopause requires further investigation.

Purpose of the Study:

• To assess the clinical features of endometriosis in women experiencing perimenopause.
• To compare symptom presentation in perimenopausal women with and without endometriosis.
• To identify the leading complaints and manifestations of endometriosis during the menopausal transition.

Main Methods:

• A comparative study involving 106 women with endometriosis and climacteric syndrome, 64 women with endometriosis without climacteric syndrome, and 70 controls.
• Analysis of leading complaints, menstrual function, and pain severity.
• Patient age range: 39-55 years.

Main Results:

• Endometriosis manifestations, including hyperpolymenorrhea and pain, tend to decrease with the onset of the climacteric syndrome.
• Psycho-emotional disorders emerge as the predominant issue for women with endometriosis in perimenopause.
• Significant differences in symptom profiles were observed between groups.

Conclusions:

• The clinical presentation of endometriosis evolves during perimenopause, with a shift towards psycho-emotional symptoms.
• Early identification and management of psycho-emotional disturbances are crucial for perimenopausal women with endometriosis.
• Further research is warranted to understand the long-term impact and optimal treatment strategies.