Objective. To evaluate the impact of endometriosis on bone metabolism.
Materials and methods. We compared bone mineral density and biochemic
al markers (plasma osteocalcin, bone alkaline phosphatase, fasting uri
nary hydroxyproline, urinary excretion of cross-linked N-telopeptide o
f type I collagen) of bone turnover in forty-nine perimenopausal women
undergoing laparotomy because of benign gynecologic pathology: in twe
nty-four of them (group A) endometriosis was diagnosed, the remaining
twenty-five represented the control group (group B), Statistical analy
sis was perfomed by means of Student ''t''-test; significance was set
at p<0.05, Results, Bone density of the lumbar spine (0.898+/-0.325 vs
0.930+/-0.350) and bone markers failed to show statistically signific
ant differences between the two groups, No significant correlation was
observed between any bone density measurement and severity of endomet
riosis, Conclusion. Endometriosis does not seem to induce even in adva
nced stages, a reduction of bone density.