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. 2024 May 15;385:e079006. doi: 10.1136/bmj-2023-079006

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.