PRESENCE OF ABNORMAL UTERINE BLEEDING AND RECCURENT ENDOMETRIOSIS ASSOCIATED WITH TIME TO SEEK MEDICAL ATTENTION IN ENDOMETRIOSIS PATIENTS

Problem statement: We aimed to identify the time to seek medical attention among women with endometriosis in Cipto Mangunkusumo National Referral Hospital and analyze related factors affecting visit delay.
Methods: A cross-sectional survey was conducted in 2018, with total 108 respondents aged 19-50 years diagnosed with endometriosis. The cut off duration of symptoms to time of seeking medical attention is 52 weeks. Patient’s characteristic including: age, BMI, marital status, parity, educational level, contraceptive use, alcohol use, smoking, familial history of endometriosis, and other medical and surgical history, and endometriosis-related symptoms such as: dysmenorrhea, abnormal uterine bleeding, type of pain, migraine, low back pain, sharp pain, nausea and vomiting, shortness of breath, and fibromyalgia. Univariate analysis used to identify which factors associated the most between symptom onset to time to seek medical attention.
Results: Of the 108 respondents included, the shortest duration from the onset of symptoms to the patient seeking medical attention was 2 weeks and the longest was 1456 weeks. Then we divided them into 2 groups with a limit of 52 weeks. Regarding accompanying symptoms, mostly complained of visceral type of pain, low back pain, sharp pain, and fewer complaints of abnormal uterine bleeding, dyspnea, fibromyalgia, nausea, vomiting or migraine. A significant correlation was found in patients with a history of previous surgery and presentation of AUB, who presented later than those who never had surgery and without AUB.
Conclusion: Time to seek medical attention is shorter in patients with visceral pain. And of all these accompanying symptoms only AUB and recurrent endometriosis had a significant correlation with the duration to seek medical attention in endometriosis patients in this study.

Disclosure of Interest
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.