Dados do Trabalho

Title

10 years of Endometriosis in Brazil and our relation with infertility: a epidemiologic analysis

Objective

Investigate the epidemiology of hospitalizations due to endometriosis in Brazil in the last decade and the impact on female infertility.

Methods

The numbers of hospitalizations due to endometriosis recorded in the IT department of the Unified Health System, DATASUS, using the TABNET tool, from 2013 to2023 in each region of Brazil were used for prevalence statistics . For being a study with a public database, the approval of the Research Ethics Committee was not required.

Results

In the last 10 years, there were 125.262 hospitalizations for endometriosis in Brazil, and de prevalence was 12% in 2013, 11,93% in 2014, 9,98% in 2015, 9,54% in 2016, 8,82% in 2017, 9,83% in 2018, 9,61% in 2019, 5,83% in 2020, 6,49% in 2021, 11,2% in 2022 and 4,5% until may of 2023. The results for each region was that the Southeast Region represents 41,87% with 52.429 cases, Northeast Region 26,95% with 33.567 cases , South Region 18,2% with 22.821 cases , Midwest Region 6,98% with 8.746 cases ,and North Region 6.12% with 7.669 cases.

Conclusion

It was possible to observe that the region with more cases of hospitalization for endometriosis was the Southeast region, and the year with most admissions was 2012.An important information is that from 2021 to 2022 almost duplicated the number of admissions after a time of less notification.This reality reflects the impact of the gravity of this disease in Brazil nowadays, and because of that fertility complications should receive greater attention, given that between 30-50% of people with endometriosis may experience infertility for many reasons, such as a complex network of humoral and cellular immunity factors that modulate growth and inflammatory behavior of ectopic endometrial implants and affects embryo implantation, or endocrine and ovulatory disorders.

Keywords

Infertility;Decade; Endometriosis