Endometriosis and dyspareunia: Solving the enigma

Introduction

Endometriosis is a chronic oestrogen-dependent disease that affects 1 in 10 women of childbearing age. Half of these women have deep dyspareunia. The presence of this symptom has been shown to negatively affect your quality of life. There are few studies in the literature that address this issue and its pathophysiology remains poorly understood.

Materials and methods

A case-control study has been carried out in order to assess the multi-causality of dyspareunia in patients with endometriosis. All the patients were assessed in a unit specialising in endometriosis and pelvic pain and their disease was staged using high-resolution ultrasound following the criteria of the IDEA group. The patients were divided into two groups, patients with dyspareunia n = 45 (cases) and those without it n = 55 (controls).

Results

The only element that was statistically significant in explaining the dyspareunia was the presence of nodules in the retrocervical region with p = 0.000. The odds ratio of dyspareunia in the cases group was 5.3 (95 % CI 2.2-12.5).

Conclusions

Dyspareunia in patients with endometriosis is strongly dependent on the presence of nodules in the retrocervical region, although there are other factors involved that remain unknown, so more studies are still needed to understand and optimally address this symptom.

CHELSI: a portable neutron spectrometer for the 20-800 MeV region

CHELSI is a CsI-based portable spectrometer being developed at Los Alamos National Laboratory for use in high-energy neutron fields. Based on the inherent pulse shape discrimination properties of CsI(Tl), the instrument flags charged particle events produced via neutron-induced spallation events. Scintillation events are processed in real time using digital signal processing and a conservative estimate of neutron dose rate is made based on the charged particle energy distribution. A more accurate dose estimate can be made by unfolding the 2D charged particle versus pulse height distribution to reveal the incident neutron spectrum from which dose is readily obtained. A prototype probe has been assembled and data collected in quasi-monoenergetic fields at The Svedberg Laboratory (TSL) in Uppsala as well as at the Los Alamos Neutron Science Center (LANSCE). Preliminary efforts at deconvoluting the shape/energy data using empirical response functions derived from time-of-flight measurements are described.

Multisphere default spectra--solution spectrum and dosemeter response implications

Initial calibration of a multisphere spectroscopy system has been completed at Los Alamos National Laboratory using four standard calibration scenarios. Spectrum unfolding was performed using three methods of constructing the default spectrum: simple parameter models, Monte Carlo calculations and physical measurement. Comparisons of the resulting spectra for each solution method are presented. Implications of the spectral solutions upon dosemeter characterisation are addressed.