A US study revealed that women with a history of endometriosis have a 31% greater risk of premature death than those without the condition. The analysis, which covers data from more than 110,000 women since 1993, shows that women with endometriosis have a premature death rate of 2 per 1,000 person-years, compared to 1.4 per 1,000 person-years in women without the condition . The results of the study were published in the journal ‘The BMJ‘.
Research has also explored the relationship between uterine fibroids and the risk of premature death, finding that although these benign tumors do not increase the overall risk of mortality, they are associated with an increased risk of death due to gynecological cancers.
TO Francesco Carmonagynecologist specialized in endometriosis, benign gynecological pathology and laparoscopic gynecological surgery, commented on the strength of the study: «This work is well founded, based on data from the cohort of Nurses’ Health Study IIa study recognized for its rigor. “The findings are based on nearly three decades of monitoring and validated data collection methods, which gives them great validity.”
However, Carmona also points out Scientific multimedia center that, as with all studies, there are limitations. “Some aspects, such as the classification of exposures or the evolution of diagnostic criteria, can influence the results,” he says.
The study adds an important discovery by highlighting the relationship between endometriosis, uterine fibroids and premature mortality. “The study expands understanding of how these conditions are not only associated with chronic disease, but also mortality risk. It highlights the need for a comprehensive approach to women’s gynecological health,” Carmona explained.
A relevant finding is the protective effect that appears to be associated with hysterectomy in women with uterine fibroids. “This finding opens the door for future research to test whether less invasive procedures, such as myomectomy, might have similar benefits in terms of mortality and quality of life,” Carmona said.
The study has direct implications for clinical practice and public health policy. “The findings highlight the importance of multidisciplinary management for women with endometriosis and uterine fibroids,” emphasizes Carmona. “It is essential that these conditions are taken into account in cancer prevention strategies and health policies to reduce premature death rates.”
The research also opens the door to new questions. “The impact of diagnostic advances and more conservative surgical techniques on long-term mortality needs to be further studied,” concludes Carmona.
What are the long-term health implications of endometriosis for women?
Interview: Understanding the Implications of Endometriosis on Women’s Health
Time.news Editor (TNE): Welcome, Dr. Francesco Carmona. Thank you for joining us today to discuss a recent study on endometriosis and its implications on women’s health.
Dr. Francesco Carmona (Carmona): Thank you for having me. It’s a pleasure to shed light on such an important topic.
TNE: Let’s dive into the findings. A U.S. study indicates that women with a history of endometriosis have a 31% greater risk of premature death compared to those without the condition. What are your thoughts on this significant increase?
Carmona: It is indeed a concerning finding. The study’s rigorous methodology, based on data from the Nurses’ Health Study II, adds weight to these results. It highlights the need for increased awareness and research around endometriosis, which has often been overlooked in the past.
TNE: Could you elaborate on the implications of this increased risk?
Carmona: Certainly. The data suggests that endometriosis may lead to complications that could affect overall health, ultimately culminating in a higher risk of premature death. This highlights the necessity for better management of the condition and comprehensive health monitoring for those diagnosed.
TNE: The study also compared the risks associated with uterine fibroids. While fibroids were found not to increase overall mortality, they were linked to a higher risk of death from gynecological cancers. How do you see these two conditions intersecting in terms of patient care?
Carmona: While both conditions are gynecological and can significantly affect women’s quality of life, their implications on mortality differ. Endometriosis can lead to systemic issues, while fibroids primarily present a localized risk. Patients with either condition should have individualized care plans that consider these varied risks. Regular screenings and education about symptoms are crucial.
TNE: The study’s data collection spanned almost three decades. How important is longitudinal data in understanding conditions like endometriosis?
Carmona: Longitudinal studies are invaluable. They provide insights over a significant time period, enabling researchers to identify trends and causal relationships. This particular study’s robust methodology enhances the validity of its findings, making it a pivotal resource for future research. It also reinforces the importance of continuous monitoring of women’s health beyond reproductive age.
TNE: Based on your expertise, what steps can healthcare providers take to better support women with endometriosis?
Carmona: First and foremost, healthcare providers need to be well-informed about endometriosis and its potential long-term effects. Education and raising awareness among patients can empower them to seek timely care. Additionally, creating multidisciplinary teams that include gynecologists, pain specialists, and mental health professionals can ensure a comprehensive approach to managing the condition.
TNE: Lastly, what message would you like to convey to women who are experiencing symptoms related to endometriosis or are worried about their health?
Carmona: I would tell them to advocate for their health. If you’re experiencing symptoms like debilitating pelvic pain or irregular periods, don’t hesitate to seek medical advice. Early diagnosis and treatment can significantly improve quality of life, and awareness of potential risks can help women make informed decisions about their health.
TNE: Thank you, Dr. Carmona, for sharing your insights. This study certainly sheds light on the need for increased attention to endometriosis and women’s health in general.
Carmona: Thank you for highlighting this critical issue. It’s essential we keep the conversation going.