Endometriosis and Pain

The Physical Composite Score (PCS) is based on four physical dimensions of quality of life and involves 8 components (Physical Functioning, Role Physical, Bodily Pain,General Health, Vitality, Social Functioning,Mental Health and Emotional Role). The evolution of the PCS is measured between T0, start of care, and the end of care (at T0 + 3 months).

The PCS score ranges from 0 to 100, a higher score being associated with a better quality of life.

Evolution of pain assessed by the Visual Analogue Scale (VAS) between the beginning (T0) and the end of patient care (T0 + 3 months), in different body areas (back - abdomen - pelvic area - others) The VAS allows patients to rate their pain in an objective and comparable measure. This allows a quantitative evaluation of intensity of pain and trace evolution of the symptomatology in the same subject.

The VAS ranges from 0 to 10, 0 for no pain, 10 for maximum pain.

Evolution of overall pain assessed by the Visual Analogue Scale (VAS) between the beginning (T0) and the end of patient care (T0 + 3 months) The VAS allows patients to rate their pain in an objective and comparable measure. This allows a quantitative evaluation of intensity of pain and trace evolution of the symptomatology in the same subject.

The VAS ranges from 0 to 10, 0 for no pain, 10 for maximum pain.

Comparison of painful location (circle by the patient on the body schema) before (T0)/after patient care (T0 + 3 months).

Since endometriosis is synonymous with chronic and specific chronic pain (dyspareunia, dyschesia, cystalgia, for example), the body pain schema is a complementary tool in measurements, where the patient precisely surrounds the painful location (localizations of pain) and their extensions on a body schema,

Comparison of area of pain (circle by the patient on the body schema), before (T0)/after patient care (T0 + 3 months).

Area of each pain location will be calculated using the Geocalcul.Plus software and will be compared between the beginning (T0) and the end of patient care (T0 + 3 months).

Comparison of results of the interview schedule before (T0) and after patient care (T0 + 3 months). Interview schedule examines two dimensions :

• Inter-individual: couple quality of life, sex life
• Intra-individual: self-image/body image, infertility, emotional life, pre or postoperative felt

Consumption of analgesics at the end of the treatment (T0 + 3 months) is self-evaluated by the patient: decreased / stable / increased.

Number of painful crises is the comparison of seizures number in the month preceding treatment with seizures number in the last month of care

The evolution of the Vitality (VT) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The VT score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Social Function (SF) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The SF score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Mental Health (MH) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The MH score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Role Emotional (RE) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The RE score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Physical Function (PF) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The PF score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Role Physical (RP) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The RP score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Bodily Pain (BP) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The BP score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the General Health (GH) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The GH score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Health Thinking (HT) score is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The HT score ranges from 0 to 100, a higher score being associated with a better quality of life.

The evolution of the Mental Component Score (MCS) is determined by the MOS SF36 and measured between T0, start of care, and the end of care (at T0 + 3 months).

The MCS ranges from 0 to 100, a higher score being associated with a better quality of life.

The collection of the number of group sessions performed by the patient allows assessment of patient compliance with group management sessions. This evaluation allows to assess potential biases due to poor compliance in the final analysis.