The Association Between Endometriosis, Obesity and nesfatin1

Study Overview
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Brief Summary
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The association between endometriosis, obesity and nesfatin1.

Detailed Description
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All women in this study were subjected to all of the following: Verbal consent was obtained. History taking: Personal history. Menstrual history. Use of contraception. Use of any hormonal treatment in the three months prior to the laparoscopy. History of infertility and its duration and type. Sexual history. Past history. Complete physical examination: general, abdominal and local gynecological examination. Complete preoperative workout for laparoscopy was done. Laparoscopy was done postmenstrual, during follicular phase. All patients gave an informed consent and were fasting for at least 8 hours prior to the laparoscopy, and general anesthesia was used for all patients. The pelvis and its structures were observed and checked for presence of endometriotic lesions (uterus, tubes, ovaries and ovarian fossae, uterosacral ligaments, Douglas pouch, uterovesical pouch, broad ligaments and lateral pelvic walls). The Endometriotic patients were then classified into stages I-IV according to the revised American Fertility Society scoring system for endometriosis. Venous samples for measurement of nesfatin-1 were taken by venipuncture from patients during the laparoscopy procedure immediately after initial evaluation and before any intervention. Biopsy from lesions suspected as endometriosis was taken during laparoscopy and sent to histopathology for confirmation. The blood samples were centrifuged immediately after their collection at 5000 rpm for 10 min and serum samples were stored at -20 °C until analysis. Patients and Methods -67- Nesfatin-1 was measured by Enzyme-Linked Immuno Sorbent Assay ELISA technique using commercially available kits (Boster Biological Technology Human Nesfatin-1 ELISA kits, Catalog number EK1138, USA) in the Central Labs of Ain Shams University Hospitals.

Official Title
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The Association Bet Endometriosis, Obesity and nesfatin1

Conditions
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Endometriosis

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women in reproductive age group scheduled for laparoscopy for any indication. Exclusion Criteria: Women subject to any hormonal therapy in the last 3 months. Women with chronic endocrine disease like diabetes mellitus. Women diagnosed with pelvic inflammatory disease (PID). Severe medical disorder that prohibits the laparoscopic procedure, such as cardiovascular disease and pulmonary disease.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| endometriosis<br>30 women with laparoscopically diagnosed endometriosis. This group will be categorized into 3 sub-groups according to the BMI: i) Lean: BMI <25.0 kg/m2. ii) Overweight: BMI ≥25.0 kg/m2 but less than 30 kg/m2. iii) Obese: BMI ≥30 kg/m2. | |
| control<br>30 women without any laparoscopically detected pelvic endometriotic pathology. This group will be categorized into 3 sub-groups according to the BMI: i) Lean: BMI <25.0 kg/m2. ii) Overweight: BMI ≥25.0 kg/m2 but less than 30 kg/m2. iii) Obese: BMI ≥30 kg/m2. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Serum Nesfatin 1 | Venous samples for measurement of nesfatin-1 were taken by venipuncture from patients during the laparoscopy procedure immediately after initial evaluation and before any intervention.The blood samples were centrifuged immediately after their collection at 5000 rpm for 10 min and serum samples were stored at -20 °C until analysis. Nesfatin-1 was measured by Enzyme-Linked Immuno Sorbent Assay ELISA technique using commercially available kits (Boster Biological Technology Human Nesfatin-1 ELISA kits, Catalog number EK1138, USA) in the Central Labs of Ain Shams University Hospitals. | 24 hours |