Evaluation of sexual function in women with deep infiltrating endometriosis

Mauro Cozzolino, Cozzolino M, Elena Rita Magro-Malosso, Elena Rita Magro‐Malosso, Magro-Malosso ER, Lorenzo Tofani, Maria Elisabetta Coccia
Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2018 · vol. 16 , pp. 6–9 · doi:10.1016/j.srhc.2017.12.005 · PMID:29804777 · W2781747489
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This paper evaluated the sexual function of women diagnosed with deep infiltrating endometriosis.

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Abstract

IntroductionThe influence of deep infiltrating endometriosis (DIE) on sexual function has been poorly studied. The aim of this study was to evaluate the impact of DIE on sexual function by administering questionnaires to women.MethodsWomen with a clinical and ultrasound diagnosis of DIE and histological confirmation of endometriosis were included in the study. In interview, women were asked to rate five pain symptoms, dysmenorrhea, dyspareunia, dyschezia, dysuria and Cronic Pelvic Pain (CPP), on a visual analogue scale (VAS), and sexual function was assessed using the Female Sexual Function Index (FSFI).ResultsA total of 170 women with DIE were identified. A VAS score of 7 or more was taken to indicate that a symptom was 'severe'. Dysmenorrhea was reported to be severe by 66.5% of the sample, dyspareunia by 41.8%, dyschezia by 32.4% and dysuria by 6.5%. Mean FSFI scores did not differ significantly between women with and without endometriosis lesions at particular sites, except for rectovaginal nodules, which were found to be associated with more impaired sexual activity and sexual function.ConclusionsWomen with DIE had significant impairment of sexual activity when a partial or total infiltration of the rectovaginal septum occurred. Particular attention should be given to women with this kind of lesion.

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_paindie_deep_infiltrating

MeSH descriptors

Dysmenorrhea Dyspareunia Endometriosis Pelvic Pain Sexual Behavior Sexual Dysfunction, Physiological Adult Dysmenorrhea Dyspareunia Endometriosis Endometriosis Female Humans Pelvic Pain Rectum Rectum Severity of Illness Index Sexual Dysfunction, Physiological Surveys and Questionnaires Vagina

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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