PhD Scientific Days 2026

Poster Session 1.S - Conservative Medicine

Dysmenorrhea and dyspareunia are not diagnostic for endometriosis

Előadó neve

Dr. Kollarics, Réka

Neptune code

ILWSGN

Előadó munkahelye

Semmelweis University, Doctoral College

Előadó telefonszáma

06704517432

Előadó e-mail címe

kollarics.reka@phd.semmelweis.hu

Az előadás címe

Dysmenorrhea and dyspareunia are not diagnostic for endometriosis

Szerző(k) neve és munkahelye

Réka Kollarics^1,2, Anne Marshall², Julia Jauckus², Thomas Strowitzki², Ariane Germeyer²

1: Doctoral College, Semmelweis University
2: Department of Gynaecological Endocrinology and Fertility Disorders, University Hospital Heidelberg, Heidelberg, Germany

Bemutatás módja

Poszter

Szekció

Poster Session 1.S - Conservative Medicine

Language of the presentation

Hungarian

Preferred session

Conservative Medicine

Összefoglaló szövege

Introduction: The awareness of endometriosis is increasing as many social media campaigns aim to inform the society about the disease. The eloping challenge is now to care for the increasing number of patients, who want to be seen in the endometriosis centers.
Aims: To clinically differentiate between patients with vs. without endometriosis, when dysmenorrhea (DYSM) with/without dyspareunia (DYSP) is present and to assess underlying causes for dyspareunia.
Patients and methods: 306 dysmenorrheic patients undergoing laparoscopic surgery at a university-affiliated endometriosis center from 2019 to 2025, were enrolled. After taking medical history and performing physical exam, all patients underwent laparoscopic surgery. The endometriosis diagnosis was confirmed or ruled out by surgery. Patients with DYSM were divided into two groups: control (C, n=130) and endometriosis groups (Endo, n=176). Endo group was further divided into three groups: peritoneal (n=117), ovarian (n=42) and deep infiltrating endometriosis (n=17). A subgroup analysis was conducted with patients complaining of dyspareunia (n=116).
Results: Endometriosis was found only in 57.5 % of the cases with DYSM and in 62.9% if DYSP was associated with DYSM. Based on the presence of pain symptoms or fertility issues, C and Endo groups could not be distinguished clinically. The only difference was the higher prevalence of psychiatric medication use in the Endo group (p=0.02). Only 28.8% of endometriosis patients and 48.8% of control patients presented due to severe pain symptoms without desiring pregnancy, were receiving oral contraceptive therapy. Nevertheless, DYSP did not result in a higher prevalence of infertility in the endometriosis group (p=0.25). Surgical findings in control patients with DYSP and DYSM were the following: 51.2% had no pathologies, 16.3% had fibroids and 11.6 % had adhesions in the pelvis.
Conclusions: Endometriosis cannot be diagnosed alone based on dysmenorrhea and dyspareunia. A symptom-based medical treatment approach could be applied as first line therapy to target the pain symptoms in case of patients without wish for conception. If medical therapy fails, surgery could be considered. This approach could optimize surgical scheduling and ensure that surgery slots are prioritized for patients in severe need of operation.

University

Semmelweis University

Other university, not listed above

Heidelberg University

Supervisor

Prof. Dr. Várbíró Szabolcs

Publication of my abstract

I do not give consent to the publication of my abstract on the website of the congress.

phd.section.field

in doctoral studies after complex exam (PhD)

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

9015

Start

17:00

End

17:03