Effects of endometriosis on sleep quality of women: does life style factor make a difference?

Samaneh Youseflu, Shahideh Jahanian Sadatmahalleh, Ghazall Roshanzadeh, Azadeh Mottaghi, Anoshirvan Kazemnejad, Ashraf Moini
BMC women's health · 2020 · vol. 20(1) , pp. 168 · doi:10.1186/s12905-020-01036-z · PMID:32778090 · PMC7418319 · W3047771988
article OA: gold CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study found that women with endometriosis reported lower sleep quality than controls, with poor sleep associated with pain, dysmenorrhea, and lower consumption of dairy, fruit, and nuts.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This case-control study compared lifestyle factors and sleep quality between 78 infertile women with endometriosis confirmed by laparoscopy/histology and 78 controls with a normal pelvis, using a validated 147-item food frequency questionnaire and the Pittsburgh Sleep Quality Index (PSQI). Women with endometriosis had significantly worse sleep quality, including higher total PSQI scores and worse subjective sleep quality, sleep latency, and sleep disturbance domains; the study notes limitations typical of self-reported data, and it focused on infertile clinic attendees. Among women with endometriosis, poor sleep quality was associated with dysmenorrhea, pelvic pain, dyspareunia, physical activity patterns, and lower intake of dairy, fruit, and nuts, while irregular menstrual status, menorrhagia, dysmenorrhea, pelvic pain, abortion history, and family history were associated with endometriosis risk. This paper is centrally about endometriosis — it examines how lifestyle and dietary factors relate to sleep quality in women with confirmed endometriosis.

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Abstract

BACKGROUND: This study aimed to compare the lifestyle factors and SQ between women with and without endometriosis. Also in this essay, the influence of food intake, socio-demographic and clinical characteristics on sleep quality of women with endometriosis was determined. METHODS: Of the 156 infertile women approached for the study, 78 women had endometriosis and 78 were included in the control group. At first, each participant completed a checklist including questions about demographics, physical activity, reproductive and menstrual status. SQ was assessed by the Pittsburgh Sleep Quality Index (PSQI). Dietary data were collected using a validated 147-item semi-quantitative FFQ. RESULTS: Irregular menstrual status, menorrhagia, dysmenorrhea, pelvic pain, history of abortion, family history of endometriosis were associated with endometriosis risk (P < 0.05). In women with physical activity more than 3 h per week, high consumption of the dairy product, and fruit endometriosis is less common (P < 0.05). The total PSQI score, and the scores for subjective sleep quality, sleep latency, sleep disturbance domains were significantly different between the two groups (P < 0.05). In women with endometriosis, poor SQ was associated with dysmenorrhea, pelvic pain, dyspareunia, physical activity, and low consumption of the dairy product, fruit, and nut (p < 0.05). CONCLUSION: In endometriosis women, SQ was lower than healthy individuals. Lifestyle factors can effect on SQ of these patients.

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Condition tags

dysmenorrheadyspareuniaendometriosis

MeSH descriptors

Endometriosis Life Style Quality of Life Sleep Adult Case-Control Studies Dysmenorrhea Dyspareunia Eating Endometriosis Female Humans Infertility, Female Sleep Socioeconomic Factors

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (17)

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