n African Journal of Reproductive Health - Managing endometriosis in sub-Saharan Africa : emerging concepts and new techniques - : commentary

Volume 19, Issue 2
  • ISSN : 1118-4841
  • E-ISSN: 2141-3606


Endometriosis is a gynaecological disorder that is characterized by the growth of endometrial tissue outside the uterine cavity. In developed countries, it occurs in up to 20% of women of reproductive age and is a common cause of pelvic pain and infertility. In sub-Saharan Africa, epidemiological data on the prevalence of endometriosis among African indigenous women are meagre. In some of the few published studies, endometriosis constituted the third most common finding at laparoscopies and was reported in 15.7% of laparoscopies performed for infertility assessment. In South Africa, Wiswedel et al (1989) reported a prevalence of 2% among African indigenous women presenting to an infertility clinic compared to a prevalence of 4-6% among South Africans of mixed and white race. In Nigeria, a prevalence of 4-8% has been reported among women also presenting for assisted reproductive programmes.

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