Effect of Deep Infiltrative Endometriosis Surgery and Surgical Method on Sexual Function in Females

Abstract

Introduction: Sexual function and quality of life are significantly reduced in Endometriosis, particularly deep infiltrative endometriosis (DIE) patients. The purpose of this study was to compare the effects of endometriosis excision and excision techniques on sexual function among individuals with DIE to those of healthy females in an objective manner. Materials and Methods Our study included 140 individuals who were diagnosed as having DIE and reported dyspareunia in our clinic between January 2018 and 2024, and 70 patients who presented to our family planning clinic. The preoperative and at 6th -month post-surgery scores of the Female Sexual Function Index, Quality of Sexual Experience Scale, and visual analog scale (VAS) values of all patients who described preoperative dyspareunia were examined retrospectively from the patient files. Results In our study, the FSFI score of healthy group was seen to be significantly greater than the pre-surgery and post-surgery groups (p < 0.001 and p < 0.001,irespectively). The QSES scores of the healthy group was found to be significantly higher than the pre-surgery and post surgery groups (p < .001and p < 0.001, respectively). The VAS dyspareunia values of the healthy group were discovered to be significantly lower than the pre-surgery and post surgery groups (p < 0.001 and p < 0.001.irespectively). The FSFI and QSES scores of the post-surgery group were seen to be significantly higher than the pre-surgery group (p < 0.001 and p < 0.001, respectively). The VAS dyspareunia score of the post-surgery group was seen to be significantly lower than that of the pre-surgery group (p < 0.001). The FSFI and QSES scores of patients who underwent laparotomy was discovered to be significantly greater than that of individuals who underwent laparoscopic surgery (p < 0.001 and p = 0.01,irespectively). Conclusion The surgical approach may have a positive effect both on organ dysfunction and sexual function in females affected by DIE, and therefore it is important to incorporate issues regarding females’ sexual health into standard gynecological treatment.