title: Coexistence of endometriosis in women with symptomatic leiomyomas.
abstract: OBJECTIVE
  To investigate the coexistence of endometriosis in women presenting with symptomatic leiomyomas.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary university medical center.
  
  
  METHODS
  We reviewed the medical records of 131 patients who underwent laparoscopic myomectomy or hysterectomy. All patients were consented for possible concomitant diagnosis and treatment of endometriosis.
  
  
  METHODS
  All patients underwent laparoscopic myomectomy or hysterectomy.
  
  
  METHODS
  The main outcome measure of the study was the presence or absence of endometriosis.
  
  
  RESULTS
  Of the 131 patients, 113 were diagnosed with endometriosis and fibroids, while 18 were diagnosed with fibroids alone. Patients with fibroids were on average 4.0 years older than those with endometriosis and fibroids (41 vs. 45). Patients with both diagnoses were also more likely to present with pelvic pain and nulliparity than those with fibroids alone.
  
  
  CONCLUSIONS
  An overwhelming majority of patients with symptomatic fibroids were also diagnosed with endometriosis. Overlooking the concomitant diagnosis of endometriosis in these women may lead to suboptimal treatment of the patients. Further studies are needed to evaluate the impact of surgical treatments on symptom resolution.
authors.affiliation: Stanford University Medical Center, Department of Obstetrics and Gynecology, Palo Alto, California 94304, USA.
authors.forename: Jian Qun
authors.initials: JQ
authors.lastname: Huang
authors.forename: Ruth Bunker
authors.initials: RB
authors.lastname: Lathi
authors.forename: Madeleine
authors.initials: M
authors.lastname: Lemyre
authors.forename: Hilda Elena
authors.initials: HE
authors.lastname: Rodriguez
authors.forename: Ceana H
authors.initials: CH
authors.lastname: Nezhat
authors.forename: Camran
authors.initials: C
authors.lastname: Nezhat
mesh_terms: D000328:Adult; D015897:Comorbidity; D004715:Endometriosis / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D007889:Leiomyoma / Q000453:epidemiology* / Q000601:surgery*; D008875:Middle Aged; D017699:Pelvic Pain / Q000453:epidemiology / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors