RESUMEN
BACKGROUND: Endometriosis is a challenging chronic condition with a significant impact on women's well-being. This systematic review of systematic reviews aims to assess the evidence investigating the intricate interplay between endometriosis and quality of life (QoL). METHODS: A systematic review was performed for English-language studies up to January 2022 to identify systematic reviews with and without meta-analysis analyzing quantitative or qualitative data The following databases were searched: Scopus, PubMed, Embase, Web of Science and Cochrane Central Register of Controlled Trials. Participants/population were women with endometriosis, and the outcomes included were all reported outcomes evaluating the impact of endometriosis on women's QoL (PROSPERO 2021 CRD42021289347). RESULTS: 15 systematic reviews were identified. 8 included meta-analysis: 4 explored the prevalence of mental health problems, and 1 analyzed, respectively, the overall impact of endometriosis, headache migraine, and sexual function. 7 articles reported on the mental consequences, and three sexual functioning. One was a qualitative review. The impact of the relationships with the healthcare system was analyzed in 3 reviews. Pain is a hallmark of endometriosis. Infertility and sexual problems are also frequent. Depression, anxiety, and stress represent significant contributors to lessening women's QoL. Women have frustrating relationships with the healthcare system: the complex and long diagnostic process, lack of treatment effectiveness, and persistence of symptoms contribute to emotional challenges. Negative cognitive patterns developed by women with emotional distress, such as catastrophizing and fear-avoidance behaviors, amplify the experience of pain. CONCLUSION: The limitations of this review are the high degree of heterogeneity of papers that include many factors, including comorbidities, and use of medical care that may impact QoL, and that most of them were cross-sectional. Endometriosis is a chronic disease that significantly impacts all domains of women's lifes. Pain, infertility, and stress linked with depression, and anxiety significantly influence QoL. Women are dissatisfied with the care they receive.
Asunto(s)
Endometriosis , Calidad de Vida , Humanos , Endometriosis/psicología , Endometriosis/complicaciones , Femenino , Calidad de Vida/psicología , Revisiones Sistemáticas como AsuntoRESUMEN
Background: Reproductive health of adolescent females is an important health concern. Aim: To determine the impact and the knowledge, attitude and practice of female adolescents toward reproductive health. Materials & methods: This is a survey based cross-sectional study conducted in Turkistan region. Results: A total of 1250 participants were included with a mean age of 17.3 ± 1.4 years, and >80% of the participants have completed high school. A total of 1191 girls had the onset of menarche at approximately 13.2 years old, and 85.7% reported menstrual disorder. Conclusion: There is poor knowledge and practice of reproductive health among participating adolescents. Alcohol consumption, high BMI, bad family relationships and lack of gynecological visits were found to negatively affect reproductive health.
Improving adolescent girl's knowledge toward reproductive health can help them make better and informed reproductive health choices. We studied a sample of adolescent girls in Turkistan region in Kazakhstan and found that the majority of the surveyed girls have poor reproductive health. Several issues were found to negatively influence reproductive health of adolescent girls including obesity (measured by BMI), consumption of alcohol, lack of visit of reproductive healthcare experts and strained family relationships.