Self-Reported Prevalence of Endometriosis and its Symptoms in the United Arab Emirates (UAE)

Abstract

Abstract: The true prevalence and risk factors for endometriosis among women in UAE are unknown.

Objectives: To estimate the prevalence of endometriosis among women in UAE aged 18 to 55 years, risk factors and related health problems. A questionnaire-based cross-sectional study exploring information about reproductive events and gynecological problems including endometriosis. Among participants (n= 3572) confirmed endometriosis diagnosis was reported by 55 women. Hence, the estimated prevalence of endometriosis was 1.5 % (55/3572). Endometriosis was more prevalent among age 20-29 years. Endometriosis was more prevalent among those with cycle irregularity and long menses (≥7 days) (41.8% & 27.3 % vs 30.7% & 18.8%) respectively. Moreover, endometriosis was more prevalent among divorced women (26 (0.7%) vs 3 (5.5%), p-0,003) in control. Women with endometriosis were found to have more severe dysmenorrhea (49.1% (27) vs 17.6% (618)), infertility (12.7% (7) vs 0.9% (32), chronic pelvic pain (18.2% (10)) and dysuria (18.2% (10)) vs (2.5% (88) and 3.1% (108) respectively), p <0.001. Women with endometriosis more frequently experience abnormal uterine bleeding (20% (11) vs 4.3% (153), p<0.0001), uterine fibroids (10.9% (6) vs 0.7% (24), p<0.0001), and ovarian cysts (38.2% (21) vs 7.2% (252), p<0.0001). Ovarian cysts surgery was also strongly associated with endometriosis diagnosis (21.8% (12) vs 0.7% (23), p<0.0001. In our study, the estimate prevalence of endometriosis is 1.5 %. Irregular and prolonged periods, dysmenorrhea, chronic pelvic pain, dysuria, being divorced and infertility are associated with endometriosis.No funding was received and there are no competing interests.