Quality of life of women with a history of adenomyosis and papillary thyroid carcinoma

Abstract

The objective: to assess the quality of life of women with a history of adenomyosis and papillary thyroid carcinoma (thyroid).Materials and methods. 124 women aged 24–45 years old were examined: the I group included 61 women with a history of adenomyosis and papillary thyroid carcinoma, and the II group included 63 women with adenomyosis and normal thyroid status. The severity of pelvic pain was assessed on a visual-analog scale (VAS) in the intermenstrual and menstrual periods. Quality of life of the persons was assessed on the basis of a non-specific quality of life questionnaire Short Form Health Status Survey (SF-36).Results. According to results of VAS there was no significant difference in the intensity of pain between patients of the I and II groups. The average intensity of pelvic pain in menstrual (6.9±0.76 cm in the I group and 6.7±0.79 cm – in the II one) and intermenstrual periods (5.9±1.0 and 5.5±0.85 cm, respectively) corresponded to the level of “severe pain”.Analysis of the results of the SF-36 questionnaire demonstrated a decrease in quality of life scales in patients of both groups. Despite the absence of a significant difference in the intensity of pain between women in both groups, the indicators of physical functioning scale (61.5±13.1 points in the I group and 78.50±8.2 points – II group; p<0.05), general health (21.8±11.2 and 48.2±12.0 points, respectively; p<0.05), vital activity (31.5±9.9 and 51.0±7.4 points; p<0.05), mental health (40.4±10.4 and 50.4±7.1 points; p<0.05) and integrated indicators of physical (37.3±5.5 and 41.4±4.3 points; p<0.05) and psychological components of patient health (32.6±5.3 and 36.9±7.5, points; p<0.05) in the I group were significantly lower compared to patients in the II group.Conclusions. The physical and psychological health of women with a history of adenomyosis and papillary thyroid carcinoma is influenced by a combination of factors, including clinical manifestations of adenomyosis and the effects of thyroid carcinogenesis, which lead to reduced physical and psychological functioning.