{"paper_id":"9930206e-4906-4b44-b6e5-32e173b0029a","body_text":"Subscribe to RSS\nDOI: 10.1055/s-0035-1558374\nWhen sex is not on fire: A prospective multicentre study evaluating the long-term effects of radical resection of endometriosis on quality of sex life and dyspareunia\nObjective:\nThe aim of the current study was to evaluate the effect of surgical resection of endometriosis on dyspareunia, sexual function, quality of sex life and interpersonal relationships.\nStudy design:\nA questionnaire-based multicentre prospective study was conducted in six tertiary referral centres in Austria and Germany. Ninety-six patients with histologically proven endometriosis and dyspareunia were included. Before surgery and averagely 10 months after it [range 9 – 12], the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to screen women's sexuality. Additionally, we evaluated psychological parameters and pain intensity during/after sexual intercourse via a self-administered questionnaire.\nResults:\nFrequency of interrupted sexual intercourse, avoidance of sexual intercourse, feelings of guilt towards the partner, being afraid of pain before/during sexual intercourse and feelings of being a burden for the relationship decreased significantly in patients with peritoneal endometriosis and deep infiltrating endometriosis. Also pain during/after intercourse decreased significantly after surgery. Sexually related personal distress did not improve in women with peritoneal endometriosis/vaginal resection, but in cases of deep infiltrating endometriosis sexually related personal distress decreased significantly.\nConclusion:\nRadical laparoscopic excision of endometriosis seems to be an effective treatment option and offers a significant improvement in dyspareunia and quality of sex life.","source_license":"CC0","license_restricted":false}