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BioMed Research International
Volume 2014, Article ID 746705, 7 pages
Research Article

Endometriosis Patients in the Postmenopausal Period: Pre- and Postmenopausal Factors Influencing Postmenopausal Health

1Department of Obstetrics and Gynecology, Women’s General Hospital, Krankenhausstraße 26–30, 4021 Linz, Austria
2Department of Gynecology, Erlangen University Hospital, Universitätsstraße 21–23, 91054 Erlangen, Germany
3Faculty of Medicine, Johannes Kepler Univerity, Altenberger Straße 69, 4040 Linz, Austria
4Department of Applied Systems Research and Statistics, Johannes Kepler University, Altenberger Straße 69, 4040 Linz, Austria
5Ludwig Boltzmann Institute for Operative Laparoscopy, Second Surgical Department, Linz General Hospital, Krankenhausstraße 9, 4021 Linz, Austria
6Department of Obstetrics and Gynecology, Cantonal Hospital Uri, Spitalstraße 1, 6460 Altdorf, Switzerland

Received 2 January 2014; Accepted 20 May 2014; Published 2 June 2014

Academic Editor: Mohamed Mabrouk

Copyright © 2014 Dietmar Haas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To evaluate patients’ health status and the course of endometriosis from the premenopausal to the postmenopausal period and evaluate influencing factors that may be relevant. Methods. Questionnaire completed by 35 postmenopausal women in whom endometriosis had been histologically confirmed premenopausally. Correlation and regression analyses were carried out to identify factors relevant to their postmenopausal health status. Results. Overall, there was clear improvement in typical endometriosis symptoms and sexual life. Clear associations () were observed between premenopausal factors like physical limitations caused by the disease, impaired social contacts and psychological problems, and postmenopausal pain and impairment of sexual life. Three statistical models for assessing pain and impairment of sexual life in the postmenopausal period were calculated on the basis of clinical symptoms in the premenopausal period, with a very high degree of accuracy (; = 0.833/0.857/0.931). Conclusions. The results of the survey strongly suggest that physical fitness and freedom from physical restrictions, a good social environment, and psychological care in both the premenopausal and postmenopausal periods lead to marked improvements in the postmenopausal period with regard to pain, dyspareunia, and influence on sexual life in endometriosis patients.