Jul 2026· Indonesian Journal of Obstetrics & Gynecology Science· Vol 9, pp. 206· 0 citations· 17 references
TL;DR
Most patients with endometriosis in this study were of reproductive age and were predominantly diagnosed at an advanced stage with nulliparity frequently observed, and were predominantly diagnosed at an advanced stage with nulliparity frequently observed.
Abstract
Objective: The objective of this study is to describe the prevalence and distribution of demographic and reproductive characteristics among patients diagnosed with endometriosis at a tertiary referral hospital in Palembang, Indonesia.Methods: This is a descriptive cross-sectional study that was conducted on secondary medical record data of women with histopathologically-confirmed endometriosis between the period of July 2022 to December 2024 to achieve the objective mentioned previously by applying total sampling. Variables analyzed included age, age at menarche, menstrual cycle pattern, disease stage based on the revised American Society for Reproductive Medicine classification, marital status, parity, and body mass index. Data were then summarized using descriptive statistics.Results: A total of 507 patients were included. The highest number of cases occurred in 2024 (57.2%). Most patients were aged between 15 – 49 years (98.4%), had menarche at 8 – 15 years (98.8%), and regular menstrual cycles (98.0%). Stage IV was predominant (61.1%). Nearly half were nulliparous (49.5%), were married (94.1%), and had normal body mass index (38.5%).Conclusion: Most patients with endometriosis in this study were of reproductive age and were predominantly diagnosed at an advanced stage with nulliparity frequently observed.Distribusi dan Karakteristik Klinis Endometriosis di Rumah Sakit Rujukan Tersier di Indonesia: Studi Potong LintangAbstrakTujuan: Penelitian ini bertujuan untuk mendeskripsikan prevalensi dan distribusi karakteristik demografi serta reproduksi pasien endometriosis di rumah sakit rujukan tersier di Palembang, Indonesia.Metode: Metode yang digunakan dalam penelitian ini adalah metode deskriptif dengan desain potong lintang menggunakan data sekunder rekam medis pasien endometriosis yang terkonfirmasi secara histopatologi periode Juli 2022 hingga Desember 2024. Variabel yang dianalisis meliputi usia, usia menarche, pola siklus menstruasi, derajat berdasarkan klasifikasi Revised American Society for Reproductive Medicine, status pernikahan, paritas, dan indeks massa tubuh. Data dianalisis menggunakan statistik deskriptif.Hasil: Hasil penelitian menunjukkan bahwa sebanyak 507 pasien memenuhi kriteria. Kasus terbanyak ditemukan pada tahun 2024 (57,2%). Mayoritas pasien berusia 15 – 49 tahun (98,4%), usia menarche 8 – 15 tahun (98,8%), dan siklus menstruasi teratur (98,0%). Stadium IV mendominasi (61,1%). Sebanyak 49,5% pasien merupakan nulipara, 94,1% telah menikah, dan 38,5% memiliki indeks massa tubuh normal.Kesimpulan: Sebagian besar pasien endometriosis dalam penelitian ini merupakan wanita usia reproduktif dan terdiagnosis pada stadium lanjut dengan nuliparitas sebagai karakteristik yang sering ditemukan.
Purpose Endometriosis affects approximately 10% of reproductive-age women and up to 20% of those with infertility. Despite rising awareness in adults, adolescent endometriosis remains underrecognized, especially in Southeast Asia. This study aimed to evaluate early symptoms and diagnostic timelines of adolescent endometriosis in West Java over the past three years. Patients and Methods This retrospective descriptive study was conducted at Hasan Sadikin General Hospital, a tertiary referral center in West Java, Indonesia. Adolescents aged ≤ 22 years with surgically and histopathologically confirmed endometriosis between October 2022 and October 2024 were included. Primary outcomes were age at symptom onset, age at diagnosis, and diagnostic delay. Secondary outcomes included presenting symptoms and disease stage based on the revised American Society for Reproductive Medicine (ASRM) classification. Patients were contacted by telephone to complete a structured questionnaire after consent; ethical approval was obtained. Results The mean (SD) age at diagnosis was 20.31 (±2.55) years, while the mean age at symptom onset was 17.8 (±2.65) years. The mean diagnostic delay was 32.28 (±22.74) months (range 1–72 months). The most common symptom was dysmenorrhea (52%), followed by severe dysmenorrhea (31%), heavy menstrual bleeding (14%), dyspareunia (10%), and dysuria (1%). Most patients presented with advanced disease: among 29 cases, 15 were stage III and 13 were stage IV. Conclusion Adolescent endometriosis in West Java is characterized by delayed diagnosis and advanced-stage presentation, likely influenced by low awareness and sociocultural factors. Early recognition of persistent menstrual pain may reduce diagnostic delay and prevent disease progression.
Widya Maulida, A. Z. Suryawan, M. Ritonga et al.· International Journal of Wom...· 0 citations
Female patients predominated slightly, and the incidence of gastric and esophageal cancers was significantly higher than reported in the literature, suggesting that regional environmental, dietary, and sociocultural factors play a critical role in shaping cancer distribution across the Eastern Anatolia region.
Ismet Kızılkaya, A. Ozkahraman· The European Research Journa...· 0 citations
BACKGROUND
Gastric cancer (GC) is one of the leading causes of cancer-related mortality worldwide and remains a major public health concern. As many patients are diagnosed at advanced stages, understanding its epidemiological characteristics is essential for prevention and early detection. This study investigated the epidemiological profile of GC among patients referred to a gastroenterology clinic in western Iran.
METHODS
In this cross-sectional study, we reviewed the medical records of 193 patients diagnosed with gastrointestinal cancers (GI) out of 6223 total endoscopic/colonoscopic procedures performed at the (XXX) clinic between 2009 and 2019.
RESULTS
A total of 93 patients were diagnosed with gastric cancer, accounting for 48.2 % of all identified GI cancer cases (n = 193). The mean age was 67.3 ± 12.6 years, with the highest frequency observed in the 70-79-year age group (31.2 %). Men accounted for 64.5 % of cases. Most patients lived in urban areas (86 %). The most common presenting symptoms were epigastric pain and weight loss (45.2 %), followed by loss of appetite (36.6 %) and dysphagia (21.5 %). Tumors were most frequently located in the cardia (47.3 %), followed by the body (33.3 %), antrum (11.8 %), and pylorus (7.5 %). Adenocarcinoma was the predominant histological type (92.5 %), with poorly differentiated tumors accounting for 47.2 % of cases. Regarding risk factors, 24.7 % of patients reported smoking, 14 % had a family history of gastric cancer, and 58.1 % reported no identifiable risk factors. Tumor location and histological type showed no significant association with gender.
CONCLUSION
GC was the most prevalent GI malignancy identified in this regional cohort, aligning with national and broader epidemiological trends. While changing lifestyle profiles and dietary patterns have been hypothesized to influence these shifts globally, comprehensive longitudinal studies are required to directly evaluate specific behavioral and environmental risk factors within this population.
M. Abdollahian, Mozhgan Kaviani· Cancer Treatment and Researc...· 0 citations
Background: Abnormal uterine bleeding affects women across reproductive and postmenopausal life stages and may signal a spectrum extending from benign endometrial change to malignancy. Objective: This study evaluated the correlation between clinical presentation and histopathological findings in women with abnormal uterine bleeding. Methods: A cross-sectional analytical study was conducted in the Department of Gynecology and Obstetrics, Rajshahi Medical College Hospital, from July 2025 to June 2026, enrolling 156 women aged 18–65 years with abnormal uterine bleeding. Clinical variables, endometrial thickness, and histopathological diagnoses were extracted from case records and analysed using SPSS v26.0, with p<0.05 taken as significant. Results: Mean age was 40.6 ± 14.6 years and mean haemoglobin was 11.1 ± 2.1 g/dL, with anaemia (haemoglobin <12 g/dL) in 93/156 participants (59.6%). Polymenorrhoea (21.8%) and intermenstrual bleeding (21.2%) were the leading presentations. Histopathology showed endometrial hyperplasia without atypia in 39/156 (25.0%) and endometrial carcinoma in 33/156 (21.2%) specimens, with 84/156 (53.8%) classified as benign. Age group was strongly associated with histopathological category (χ²=94.08, df=18, p<0.001), and carcinoma cases were significantly older than non-malignant cases (47.3 ± 16.9 versus 38.8 ± 13.4 years; t=3.06, p=0.0026). Endometrial thickness, haemoglobin, and body mass index did not differ significantly across histopathological categories (all p>0.05). Hysteroscopy (26.9%) was the commonest management modality, and procedure-related complications occurred in 7/156 participants (4.5%). Conclusion: Age-stratified clinicohistopathological correlation reveals a substantial premalignant and malignant burden among women with abnormal uterine bleeding, supporting routine, age-directed endometrial sampling in this population.
Khondokar Seheli Nasrin Lina, Salma Akter, Nilufar Sharmin· TAJ Journal of Teachers Asso...· 0 citations
Objective: To determine the frequency of skin disorders associated with pregnancy at a tertiary care hospital of Karachi. Study Design: Cross sectional study. Setting: Emergency Department, Abbasi Shaheed Hospital Karachi. Period: 1st April 2023 to 31st March 2025. Methods: The data was collected through filling proforma contains demographic information; any complains related to skin disorder. The skin lesion was diagnosed clinically and confirmed after getting dermatological opinion and relevant laboratory / other investigations. The participants were divided in to two groups. Group 1 was included women with physiological skin changes in pregnancy. Group 2 included skin disorders specifically related to pregnancy and any skin disorders. Results: A total of 335 participants were enrolled. Pruritus was the commonest complain experienced by our participants 94 (28.1%). Fungal infection and scabies accounted for the main reason of pruritus. Group I showed normal physiological changes in pregnancy 196(58.50%). Among the specific skin lesions in pregnancy, 30 (9%) were found with Intrahepatic cholestasis of pregnancy. Other skins lesions results showed scabies cases were 8(2.4%), herpes simplex was seen in 3(0.9%) cases, 7(2.1%) participants had fungal infection and Tinea corporoa was 5(1.5%), Two (0.6%) case had diagnosed Lichen plannus and 2(0.6%) had Psoriasis. Conclusion: The study concluded that Physiologic skin changes were commonly observed during pregnancy and Pruritus was the commonest complain. A significant number of scabies and fungal infection were observed.
Shabnam Nadeem, Amna Begum, Sumaira Mehmood et al.· The Professional Medical Jou...· 0 citations
Objective: To determine the frequency of ectopic pregnancy among primigravida women presenting to a tertiary care hospital and to identify demographic and clinical factors associated with its occurrence. Methods: This hospital-based cross-sectional study was conducted in the Department of Obstetrics and Gynecology, Chandka Medical College Hospital, Larkana, from 1 July 2025 to 31 December 2025. A total of 155 primigravida women aged 18–40 years with a gestational age of more than eight weeks were enrolled using a non-probability consecutive sampling technique. Demographic and clinical information, including age, body mass index, family history of ectopic pregnancy, contraceptive use, residence, occupation, and lifestyle characteristics, was collected using a structured proforma. All participants underwent ultrasonographic evaluation and serum beta-human chorionic gonadotropin assessment for diagnosis. Data were analyzed using SPSS version 26.0, and a p-value less than 0.05 was considered statistically significant. Results: Ectopic pregnancy was diagnosed in 32 of 155 participants, resulting in an overall frequency of 20.6%. The mean age of women with ectopic pregnancy was 27.8 ± 5.4 years, and most cases occurred in the 21–30-year age group (62.5%). Tubal pregnancy was the most common implantation site, accounting for 84.4% of cases. Family history of ectopic pregnancy (p=0.002), previous contraceptive use (p=0.011), and urban residence (p=0.037) were significantly associated with ectopic pregnancy. Conclusion: Ectopic pregnancy constituted a considerable proportion of pregnancies among primigravida women. Early recognition of high-risk women and timely ultrasonographic evaluation may facilitate prompt diagnosis and reduce maternal morbidity.
Sumera Amanullah Junejo, S. Naz, Afsheen Shahid Shaikh et al.· Aposta: Revista de Ciencias...· 0 citations
We use cookies to run the site and, with your consent, for analytics and to show ads.
See our Cookie Policy.
