{"paper_id":"c3494f2c-c84d-4421-9b2b-549660646877","body_text":"Endometriosis y su relación en la salud física, emocional y calidad de vida de mujeres en edad reproductiva en América Latina: revisión de la evidencia científica, 2020–2025\nDOI:\nhttps://doi.org/10.65415/0bezx222Palabras clave:\nEndometriosis; Dolor pélvico; Salud mental; Calidad de vida; Salud de la mujer.Resumen\nLa endometriosis es una enfermedad ginecológica crónica que puede comprometer simultáneamente el funcionamiento físico, el bienestar emocional y la calidad de vida de las mujeres en edad reproductiva. El objetivo de esta revisión fue analizar la evidencia publicada entre 2020 y 2025 sobre dichas dimensiones en población latinoamericana. Se realizó una revisión de evidencia científica con síntesis narrativa y cribado estructurado a partir de 500 registros exportados de Dimensions el 30 de agosto de 2026; la verificación bibliográfica se apoyó en PubMed/MEDLINE, PubMed Central, SciELO y páginas editoriales. Se retuvieron 23 informes: 21 como evidencia directa de América Latina y 2 como evidencia iberoamericana complementaria. Entre los 21 estudios directos, 19 correspondieron a Brasil, uno a México y uno incluyó mujeres de 14 países latinoamericanos y caribeños. Los hallazgos mostraron asociaciones consistentes entre mayor intensidad o persistencia del dolor y peor calidad de vida, ansiedad, depresión, estrés, insomnio, limitación funcional y dificultades sexuales. También se identificaron estigma, menor participación física y afectación del piso pélvico. Intervenciones quirúrgicas, psicológicas y de electroterapia mostraron mejorías en dominios específicos, sin permitir inferir eficacia universal. La evidencia regional continúa concentrada geográficamente y es insuficiente para estimar con precisión el retraso diagnóstico o comparar países de manera robusta.\nDescargas\nReferencias\nAndres, M. P., Riccio, L. G. C., Abrao, H. M., Manzini, M. S., Braga, L., & Abrao, M. S. (2024). Visual Analogue Scale Cut-off Point of Seven Represents Poor Quality of Life in Patients with Endometriosis. Reproductive Sciences, 31(4), 1146-1150. https://doi.org/10.1007/s43032-023-01406-6\nda Luz, C. M., Matias, T. S., de Paula, R. R., Araujo, J., Nascimento, F. C., de Oliveira, Y. V., Camargos, E., Freitas, C. D., & Karloh, M. (2025). Six to seven times less likely to be physically active: Low self-determination and basic psychological needs support in women with endometriosis—A cluster analysis. PLOS ONE, 20(8), e0330446. https://doi.org/10.1371/journal.pone.0330446\nda Silva, J. P., de Almeida, B. M., Ferreira, R. S., de Paiva Oliveira Lima, C. R., Barbosa, L. M. Á., & Ferreira, C. W. S. (2023). Sensory and muscular functions of the pelvic floor in women with endometriosis – cross-sectional study. Archives of Gynecology and Obstetrics, 308(1), 163-170. https://doi.org/10.1007/s00404-023-07037-1\nde Barros Meneguetti, M., Silva, F. P., Dias, G. N., Benetti-Pinto, C. L., & Yela, D. A. (2023). Assessment of quality of life and psychological repercussions in women with endometriosis according to pain intensity. Psychology Health & Medicine, 28(3), 660-669. https://doi.org/10.1080/13548506.2022.2121972\nde França Moreira, M., Gamboa, O. L., & Oliveira, M. A. P. (2023). Cognitive‐affective changes mediate the mindfulness‐based intervention effect on endometriosis‐related pain and mental health: A path analysis approach. European Journal of Pain, 27(10), 1187-1202. https://doi.org/10.1002/ejp.2149\nde Souza, R. J., Vilella, N. R., & Oliveira, M. A. P. (2023). The relationship between pain intensity and insomnia in women with deep endometriosis, a cross-sectional study. Sleep and Breathing, 27(2), 441-447. https://doi.org/10.1007/s11325-022-02622-1\nde Souza, R. J., Brollo, L. C. S., Carrerette, F. B., Villela, N. R., & Oliveira, M. A. P. (2024). Challenges in measuring sleep quality among women with endometriosis: A comparison of two questionnaires. Sleep Medicine, 114, 250-254. https://doi.org/10.1016/j.sleep.2024.01.008\nDonatti, L., Podgaec, S., & Baracat, E. C. (2025). Efficacy of Cognitive Behavioral Therapy in treating women with endometriosis and chronic pelvic pain: A randomized trial. Journal of Health Psychology, 30(5), 1004-1016. https://doi.org/10.1177/13591053241240198\nFlores, I., Torres-Reverón, A., Navarro, E., Nieves-Vázquez, C. I., Cotto-Vázquez, A. C., Alonso-Díaz, J. M., Bracero, N. J., & Vincent, K. (2024). Uncovering moderators of pain perception by women with endometriosis from Latin America and Spain: the roles of sociodemographics, racial self–identity, and pain catastrophizing. Pain, 165(9), 2111-2118. https://doi.org/10.1097/j.pain.0000000000003230\nFlores-Caldera, I., Ramos-Echevarría, P. M., Oliveras-Torres, J. A., Santos-Piñero, N., Rivera-Mudafort, E. D., Soto-Soto, D. M., Hernández-Colón, B., Rivera-Hiraldo, L. E., Mas, L., Rodríguez-Rabassa, M., Bracero, N. J., Rolla, E., & Ibero-American Endometriosis Association (2021). Ibero-American Endometriosis Patient Phenome: Demographics, Obstetric-Gynecologic Traits, and Symptomatology. Frontiers in Reproductive Health, 3, 667345. https://doi.org/10.3389/frph.2021.667345\nLavor, C. B. H., Neta, F. A. V., Viana, A. B., & Medeiros, F. D. C. (2024). The impact of surgical treatment for deep endometriosis: metabolic profile, quality of life and psychological aspects. Revista Brasileira de Ginecologia e Obstetrícia, 46, e-rbgo42. https://doi.org/10.61622/rbgo/2024rbgo42\nMatías-González, Y., Sánchez-Galarza, A., Rosario-Hernández, E., Flores-Caldera, I., & Rivera-Segarra, E. (2022). Stigma and social support and their impact on quality of life and self-esteem among women with endometriosis in Latin-America and the Caribbean. PLOS Global Public Health, 2(12), e0001329. https://doi.org/10.1371/journal.pgph.0001329\nMira, T. A. A., Yela, D. A., Podgaec, S., Baracat, E. C., & Benetti-Pinto, C. L. (2020). Hormonal treatment isolated versus hormonal treatment associated with electrotherapy for pelvic pain control in deep endometriosis: Randomized clinical trial. European Journal of Obstetrics & Gynecology and Reproductive Biology, 255, 134-141. https://doi.org/10.1016/j.ejogrb.2020.10.018\nMoreira, M. D. F., Gamboa, O. L., & Oliveira, M. A. P. (2024). Mindfulness intervention effect on endometriosis-related pain dimensions and its mediator role on stress and vitality: a path analysis approach. Archives of Women's Mental Health, 27(1), 45-55. https://doi.org/10.1007/s00737-023-01381-6\nNogueira, J., Melo, V. G., Lima, L. C. S., Costa, M. V. L. R., Silva, L. C., de Sousa Gomes, L. M. R., de Melo Freire, G. I., da Cunha Leal, P., de Oliveira, C. M. B., & Moura, E. C. R. (2023). Improved quality of life (EHP-30) in patients with endometriosis after surgical treatment. Revista da Associação Médica Brasileira, 69(8), e20230316. https://doi.org/10.1590/1806-9282.20230316\nNogueira, J., Melo, V. G., Lima, L. C. S., Mendes, A. B. C., Barreto, F. N., de Sousa Gomes, L. M. R., & da Cunha Leal, P. (2024). The impact of videolaparoscopic surgery in the treatment of endometriosis on depression levels. Revista da Associação Médica Brasileira, 70(7), e20231651. https://doi.org/10.1590/1806-9282.20231651\nOsaki, J. D., & Oliveira, M. A. P. (2024). What Is Behind? Impact of Pelvic Pain on Perceived Stress and Inflammatory Markers in Women with Deep Endometriosis. Journal of Clinical Medicine, 13(10), 2927. https://doi.org/10.3390/jcm13102927\nPereira, J. O., & Kulak, J. (2025). Exploring endometriosis before surgical treatment: unraveling pain, sexual function and quality of life patterns. Revista Brasileira de Ginecologia e Obstetrícia, 47, e-rbgo47. https://doi.org/10.61622/rbgo/2025rbgo47\nPessoa de Farias Rodrigues, M., Lima Vilarino, F., de Souza Barbeiro Munhoz, A., da Silva Paiva, L., de Alcantara Sousa, L. V., Zaia, V., & Parente Barbosa, C. (2020). Clinical aspects and the quality of life among women with endometriosis and infertility: a cross-sectional study. BMC Women's Health, 20(1), 124. https://doi.org/10.1186/s12905-020-00987-7\nRibeiro, H. S. A. A., de Paiva, A. M. F., da Costa Porto Taliberti, B., Gonçalves, A. L. L., Condes, R. P., & Ribeiro, P. A. G. A. (2021). Psychological Problems Experienced by Patients with Bowel Endometriosis Awaiting Surgery. Revista Brasileira de Ginecologia e Obstetrícia, 43(09), 676-681. https://doi.org/10.1055/s-0041-1735938\nRodríguez-Lozano, D. C., Meza-Rodríguez, M. D. P., Cruz-Orozco, O. P., Sánchez-Ramírez, B., Olguin-Ortega, A., Silvestri-Tomassoni, J. R., Corona-Barsse, G., Escobar-Ponce, L. F., Solis-Paredes, J. M., Dominguez-Trejo, B., & Camacho-Arroyo, I. (2022). Emotional dysregulation in women with endometriosis with cyclical and non-cyclical chronic pelvic pain. BMC Women's Health, 22(1), 525. https://doi.org/10.1186/s12905-022-02066-5\nSilva, F. P., Yela, D. A., de Barros Meneguetti, M., Torelli, F., Gibran, L., & Benetti-Pinto, C. L. (2024). Assessment of quality of life, psychological aspects, and sexual function of women with endometriosis according to pain and infertility: a cross sectional study. Archives of Gynecology and Obstetrics, 309(6), 2741-2749. https://doi.org/10.1007/s00404-024-07464-8\nSzypłowska, M., Tarkowski, R., & Kułak, K. (2023). The impact of endometriosis on depressive and anxiety symptoms and quality of life: A systematic review. Frontiers in Public Health, 11, 1230303. https://doi.org/10.3389/fpubh.2023.1230303\nWorld Health Organization. (2025). Endometriosis. https://www.who.int/news-room/fact-sheets/detail/endometriosis\nYela, D. A., de Paula Quagliato, I., & Benetti-Pinto, C. L. (2020). Quality of Life in Women with Deep Endometriosis: A Cross-Sectional Study. Revista Brasileira de Ginecologia e Obstetrícia, 42(02), 090-095. https://doi.org/10.1055/s-0040-1708091\nZondervan, K. T., Becker, C. M., & Missmer, S. A. (2020). Endometriosis. New England Journal of Medicine, 382(13), 1244–1256. https://doi.org/10.1056/NEJMra1810764\nDescargas\nPublicado\nNúmero\nSección\nLicencia\nDerechos de autor 2026 Encalada Campos Grecia Elizabeth, Alvarado Cabanilla Mia Odalys, Caiza Escobar Noemi Damaris, Coello Contreras Emily Cristina, Izquierdo Castro Elizabeth Karen\nEsta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.","source_license":"CC0","license_restricted":false}