A Comprehensive Exploration of Sexual Wellbeing in Women with Endometriosis

Endometriosis is an illness that impacts at least 1 in 10 women of reproductive age worldwide. It has been hypothesized to have an impact on sexual functioning and sexual satisfaction. This study aimed to better understand the levels of sexual functioning and satisfaction in women with endometriosis as well as explore the predictors of sexual satisfaction in this population. A sample of 162 cisgender women, either diagnosed via surgery or with a probable diagnosis based on symptoms and medical history provided by a healthcare professional, participated in an online survey. Participants completed questionnaires assessing their sexual functioning, sexual satisfaction, and various factors related to endometriosis symptoms, as well as emotional and sexual wellbeing. Findings revealed that overall levels of sexual functioning and sexual satisfaction were notably low in this population, with many participants meeting criteria for sexual dysfunction. A regression analysis identified high sexual functioning and high sexual self-esteem as strong predictors of sexual satisfaction. Low fatigue and low resilience emerged as small yet significant predictors of sexual satisfaction. No differences in sexual functioning or sexual satisfaction were observed between the group with a surgical diagnosis of endometriosis and those with a probable diagnosis. These findings emphasize the challenges women with endometriosis may face in maintaining sexual wellbeing, regardless of diagnosis method. The study contributes to a growing body of literature by highlighting the importance of addressing both physical and psychological factors, such as sexual functioning and sexual self-esteem, when developing interventions aimed at improving sexual satisfaction for women with endometriosis.