Występowanie dyspareunii u kobiet z endometriozą

Dariusz Radomski, Grażyna Jarząbek, Michał Pawlaczyk, Zbigniew Friebe
In: Seksuologia Polska; Vol 4, No 1 (2006); 13-15 · 2006 · vol. 4(1) , pp. 13–15 · W2581121502
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Abstract

Wstep . Dyspareunia jest jednym z czestszych zaburzen seksualnych wystepujących u kobiet. Jedną z jej przyczyn moze byc endometrioza. Celem pracy byla ocena wplywu postaci endometriozy (otrzewnowa vs. torbiel endometrioidalna jajnika) na czestośc wystepowania dyspareunii. Material i metody . Grupe badaną stanowilo 28 pacjentek z torbielą czekoladową bez rozsianych ognisk gruczolistości oraz 33 kobiety z rozpoznaną endometriozą otrzewnową. Grupa kontrolna skladala sie z 60 zdrowych ginekologicznie kobiet. Wyniki . Przeprowadzona analiza wykazala 4-krotnie czestsze wystepowanie dyspareunii u kobiet z endometriozą w porownaniu z grupą kontrolną i towarzyszyla 5-krotnie cześciej kobietom z endometriozą otrzewnową. Wnioski . Diagnostyka przyczyn dyspareunii powinna obejmowac rowniez weryfikacje wystepowania endometriozy otrzewnowej.
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Abstract

Introduction. Dyspareunia is one of common sexual disorders in women. One of dyspareunia causes is endometrosis. The aim of the study was to assessment influence of endometriosis type (peritoneal vs. endometrioid cysts) on the prevalence of dyspareunia.

Material

and methods. The case group consisted of 28 women with endometrioid cysts and 33 patients with peritoneal endometriosis. The control group was 60 gynecological healthy women. Results. Dyspareunia was observed 4-fold more frequent in women with endometriosis compared to healthy women. Moreover, the disease prevalence was 5-fold more frequent in women with peritoneal focuses of endometriosis than in patients with endometrioid cysts. Conlusion. Discerning diagnosis of dysperunia, after rejecting other causes of the disease, should lead to peritoneal endometriosis seeking. The association between peritoneal endometriosis and dyspareunia suggests that a intercourse pain could stem from inflammatory mediators or adhesions connected with peritoneal endometriosis.

Material

and methods. The case group consisted of 28 women with endometrioid cysts and 33 patients with peritoneal endometriosis. The control group was 60 gynecological healthy women. Results. Dyspareunia was observed 4-fold more frequent in women with endometriosis compared to healthy women. Moreover, the disease prevalence was 5-fold more frequent in women with peritoneal focuses of endometriosis than in patients with endometrioid cysts. Conlusion. Discerning diagnosis of dysperunia, after rejecting other causes of the disease, should lead to peritoneal endometriosis seeking. The association between peritoneal endometriosis and dyspareunia suggests that a intercourse pain could stem from inflammatory mediators or adhesions connected with peritoneal endometriosis.

Keywords

dyspareuniaendometriosissexual dysfunctions

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