Quality of sex life in endometriosis patients with deep dyspareunia before and after laparoscopic treatment

Abstract

The quality of the sex life in patients with endometriosis and dyspareunia showed significant improvement 6 months after laparoscopic treatment. In view of the diagnostic delay characterizing this disease and confirmed by our results, it is essential to involve a multidisciplinary team to assess all the signs and symptoms of endometriosis that may appear in a women of fertile age. This clinical approach is able to ensure a treatment that is as personalized as possible and an appropriate follow-up also with the objective of preserving reproductive performance.

Interrelationships among endometriosis-related pain symptoms and their effects on health-related quality of life: a sectional observational study

“…The considerable variability in patient descriptions of pain suggests that several different mechanisms are involved in endometriosis-related pain [ 12 ]. Although other conditions may impair sexual function, deep dyspareunia affects it severely, and findings of long-term follow-ups suggest that the surgical management of DIE in symptomatic patients can improve their sex lives [ 13 ]. Therefore, believing that endometriosis-related pain negatively affects HRQoL across countries and ethnicities, women have frequently undergone medical and surgical treatments for endometriosis that focus on mitigating the principal pain symptoms [ 14 ].…”

Questionnaire‐based evaluation of sexual life after laparoscopic surgery for endometriosis: a systematic review of prospective studies

“…After removal of duplicates and identification of one additional article (30) from references of relevant studies, 17 articles were selected for full text evaluation ( Figure 1). Five articles were excluded because they used either a nonvalidated questionnaire or a nonvalidated version of the original one (7,10,(31)(32)(33). Complete author agreement (CF and MHP) regarding included and excluded studies was achieved.…”

“…It is present in 3-10% of fertile women (4)(5)(6)(7), of which approximately two-thirds experience some form of sexual dysfunction (8). Symptoms of endometriosis include reduced fertility and pain, such as dysmenorrhea, dyspareunia and noncyclic chronic pelvic pain (7,9). Sexual function may be compromised due to these symptoms leading to reduced frequency of intercourse, feelings of guilt and lower self-esteem (7,(9)(10)(11)(12)(13).…”

Female Sexual Dysfunction in Women with Pelvic Pain

“…This particular type of endometriosis can require a significant amount of time for evaluation and surgical expertise for complete excision. 35 Other etiologies causing pain during sex on deep thrusting can include PID, IC, and ovarian cysts. PID may require laparoscopic adhesiolysis, salpingectomy, or hysterectomy for complete resolution of the problem.…”