Table 2.
Results of primary and secondary outcomes at three years
| Outcome | Long acting progestogen* | Combined oral contraceptive pill* | Adjusted mean difference (95% CI) |
|---|---|---|---|
| Primary outcome—EHP-30 pain score† | |||
| Baseline | 56.6 (17.3), 197 | 55.8 (19.9), 192 | — |
| 3 years | 32.9 (25.0), 173 | 32.9 (27.6), 164 | −0.8 (−5.7 to 4.2)‡ |
| Secondary outcome—EHP-30 core domains† | |||
| Control and powerlessness | |||
| Baseline | 69.1 (19.7), 198 | 66.6 (23.4), 193 | — |
| 3 years | 40.9 (28.5), 103 | 45.4 (34.2), 99 | −2.4 (−10.0 to 5.2) |
| Social support | |||
| Baseline | 56.8 (23.5), 198 | 56.5 (26.5), 193 | — |
| 3 years | 40.7 (31.5), 102 | 48.4 (36.1), 99 | −5.1 (−12.6 to 2.5) |
| Emotional wellbeing | |||
| Baseline | 53.0 (20.3), 198 | 52.4 (23.2), 193 | — |
| 3 years | 35.6 (26.6), 103 | 38.6 (31.1), 99 | −1.8 (−8.2 to 4.7) |
| Core domain: self-image | |||
| Baseline | 54.3 (28.4), 198 | 52.6 (29.0), 194 | — |
| 3 years | 43.7 (34.4), 103 | 48.1 (36.7), 99 | −1.7 (−9.6 to 6.2) |
| Secondary outcome—EHP-30 modular domains† | |||
| Work life | |||
| Baseline | 51.2 (25.9), 165 | 50.2 (28.0), 168 | — |
| 3 years | 23.5 (25.4), 94 | 23.2 (27.4), 79 | −0.7 (−8.5 to 7.1) |
| Relationship with children | |||
| Baseline | 40.5 (29.9), 107 | 33.5 (26.6), 87 | — |
| 3 years | 19.9 (25.8), 47 | 19.3 (28.7), 42 | −4.2 (−14.7 to 6.4) |
| Sexual relationship | |||
| Baseline | 68.4 (26.0), 173 | 69.6 (24.3), 169 | — |
| 3 years | 53.4 (31.7), 87 | 55.9 (32.5), 87 | −0.0 (−8.4 to 8.4) |
| Feelings about medical profession | |||
| Baseline | 36.0 (29.0), 169 | 31.2 (27.9), 162 | — |
| 3 years | 41.3 (33.0), 53 | 43.1 (34.1), 58 | −3.4 (−15.0 to 8.1) |
| Feelings about treatment | |||
| Baseline | 48.3 (26.1), 121 | 46.4 (27.5), 115 | — |
| 3 years | 40.4 (27.2), 65 | 39.1 (32.7), 67 | 2.5 (−8.7 to 13.7) |
| Feelings about infertility | |||
| Baseline | 49.9 (32.5), 110 | 48.5 (33.7), 110 | — |
| 3 years | 55.9 (31.2), 35 | 44.9 (36.3), 45 | 4.3 (−9.8 to 18.4) |
| Secondary outcome—pelvic pain using visual analogue scale§ | |||
| Pain during periods | |||
| Baseline | 7.8 (1.4), 158 | 7.9 (1.5), 152 | — |
| 3 years | 7.0 (1.7), 44 | 7.0 (2.1), 53 | −0.4 (−1.2 to 0.4) |
| Pain during intercourse | |||
| Baseline | 6.4 (2.4), 150 | 6.4 (2.6), 159 | — |
| 3 years | 5.4 (3.0), 63 | 5.6 (2.8), 74 | 0.2 (−0.6 to 1.1) |
| Pain at any other time | |||
| Baseline | 6.4 (2.0), 180 | 5.8 (2.1), 175 | — |
| 3 years | 5.3 (2.3), 81 | 5.4 (2.5), 78 | 0.3 (−0.4 to 1.0) |
| Secondary outcome—Fatigue Severity Score¶ | |||
| Baseline | 43.6 (14.1), 197 | 42.3 (13.4), 191 | — |
| 3 years | 43.0 (15.1), 102 | 42.0 (17.1), 98 | 1.5 (−2.0 to 5.1) |
| Secondary outcome—EQ-5D-5L** | |||
| Baseline | 0.63 (0.24), 198 | 0.63 (0.24), 190 | — |
| 3 years | 0.69 (0.27), 176 | 0.69 (0.29), 167 | −0.01 (−0.06 to 0.04) |
| Secondary outcome—Likert scale changes in pelvic pain,†† number (%) | |||
| Got much better | 5 (6) | 5 (6) | 0.83 (0.44 to 1.57)‡‡ |
| Got a little better | 4 (5) | 6 (8) | |
| Not changed much | 42 (50) | 38 (48) | |
| Got worse | 33 (39) | 30 (38) | |
| Total number | 84 | 79 | |
| Secondary outcome—still experiencing periods (menstrual status), number (%) | |||
| Yes | 51 (51) | 62 (63) | |
| No | 50 (50) | 36 (37) | |
| Total number | 101 | 98 | |
| Secondary outcome—menstrual cycle regularity, number (%) | |||
| Regular | 12 (25) | 13 (21) | 1.43 (0.63 to 3.24)‡‡,§§ |
| Fairly regular | 15 (31) | 16 (26) | |
| Irregular | 15 (31) | 24 (39) | |
| Bleeding on and off | 6 (13) | 8 (13) | |
| Total number | 48 | 61 | |
CI=confidence interval; EHP-30=Endometriosis Health Profile 30; LAP=long acting progestogen; SD=standard deviation.
Data are mean (standard deviation), number.
EHP-30 pain domain; score ranges from 0 (not affected) to 100 (worst affected).
Differences <0 favour LAP.
Visual analogue scale scores range from 0 (best outcome) to 10 (worse outcome); scores <0 favour LAP.
Fatigue Severity Scale scores range from 9 to 63 (higher score=greater fatigue severity); scores <0 favour LAP.
EQ-5D-5L scores range from −0.59 (worse outcome) to 1.00 (best outcome); scores >0 favour LAP.
Odds ratio from proportional odds model shown; estimates <1 favour LAP.
Adjusted odds ratio (95% confidence interval).
Centre removed from model owing to lack of convergence.