IMPACTO DA ENDOMETRIOSE NA QUALIDADE DE VIDA DAS PACIENTES ACOMETIDAS: REVISÃO SISTEMATIZADA.

Hanna Vitória da Cruz Correia, Luane Mascarenhas Magalhães, Clara Santos, Luana Brunelly Araújo de Lima, Luana Teles de Resende
In: Arquivos Catarinenses de Medicina · 2025 · vol. 53(4) , pp. 97–110 · doi:10.63845/4d6akq94 · W4413046735
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This systematic review found that endometriosis significantly impairs patients' quality of life, negatively affecting daily activities, self-esteem, social well-being, sexual function, and pain, with a strong correlation between symptoms and overall health, social, and emotional aspects.

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The paper studied the impact of endometriosis on patients’ quality of life using a systematic review methodology conducted between December 2022 and November 2023 in PubMed, including full-text observational studies with confirmed endometriosis diagnosis (via ultrasound, MRI, or surgery) that used quality-of-life instruments. Across included studies, the worst quality-of-life impacts involved restrictions in daily activities related to emotional factors, low self-esteem and reduced disposition, lack of social well-being, infertility, sexual relationship discomfort, and several pain-related and dyspareunia/dysmenorrhea-related symptoms, with general health, social, and emotional aspects showing strong correlation with symptomatology. The main limitation is that the review is restricted to studies meeting its specific inclusion criteria (observational, full text, instrument-based QV assessment) found in PubMed with the specified search terms. This paper is centrally about endometriosis — it systematically summarizes how endometriosis affects biopsychosocial quality of life.

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Abstract

Objetivo: Investigar o impacto da endometriose na qualidade de vida (QV) das pacientes acometidas. Metodologia: Revisão sistematizada, realizada entre dezembro/2022 e novembro/2023, na PUBMED com os descritores (MESH) “qualidade de vida” AND “endometriose”. Foram incluídos estudos observacionais, disponíveis na íntegra, com diagnóstico confirmado por USG, RM ou cirurgia, que mencionasse a QV de pacientes com endometriose e que utilizassem instrumentos para avaliar a QV. Resultados: Os estudos identificaram que os piores aspectos do impacto na QV foram: restrição de atividades de vida diária por aspectos emocionais, baixa autoestima, indisposição, ausência de bem-estar social, infertilidade, desconforto na relação sexual, dor pélvica acíclica, dismenorreia e dispareunia. O estado geral de saúde, aspecto social e emocional apresentaram forte correlação com a sintomatologia Conclusão: As pacientes acometidas com endometriose possuem um escore mais baixo de avaliação da QV em relação à população geral, com prejuízo biopsicossociais.
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IMPACTO DA ENDOMETRIOSE NA QUALIDADE DE VIDA DAS PACIENTES ACOMETIDAS: REVISÃO SISTEMATIZADA. DOI: https://doi.org/10.63845/4d6akq94Palavras-chave: Endometriose, Qualidade de vida, Dor pélvica, Bem-estar, InfertilidadeResumo Objetivo: Investigar o impacto da endometriose na qualidade de vida (QV) das pacientes acometidas. Metodologia: Revisão sistematizada, realizada entre dezembro/2022 e novembro/2023, na PUBMED com os descritores (MESH) “qualidade de vida” AND “endometriose”. Foram incluídos estudos observacionais, disponíveis na íntegra, com diagnóstico confirmado por USG, RM ou cirurgia, que mencionasse a QV de pacientes com endometriose e que utilizassem instrumentos para avaliar a QV. Resultados: Os estudos identificaram que os piores aspectos do impacto na QV foram: restrição de atividades de vida diária por aspectos emocionais, baixa autoestima, indisposição, ausência de bem-estar social, infertilidade, desconforto na relação sexual, dor pélvica acíclica, dismenorreia e dispareunia. O estado geral de saúde, aspecto social e emocional apresentaram forte correlação com a sintomatologia Conclusão: As pacientes acometidas com endometriose possuem um escore mais baixo de avaliação da QV em relação à população geral, com prejuízo biopsicossociais. Referências LASMAR, Ricardo Bassil et al. Tratado de Ginecologia. 1Ed. Rio de Janeiro: Guanabara Koogan, 2017. p. 265-275. Nácul AP, Spritzer PM. Aspectos atuais do diagnóstico e tratamento da endometriose. Rev Bras Ginecol Obstet. 2010;32(6):298-307. doi: 10.1590/s0100-72032010000600008. DOI: https://doi.org/10.1590/S0100-72032010000600008 Mendonça MFM, Morais JLP, Alves LCO, Batista RFL, Lopes IMRS, Silva Junior WFO. 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Rev Bras Ginecol Obstet. 2019 Sep;41(9):548-554. English. doi: 10.1055/s-0039-1693057. Epub 2019 Sep 3. PMID: 31480078. DOI: https://doi.org/10.1055/s-0039-1693057 Škegro B, Bjedov S, Mikuš M, Mustač F, Lešin J, Matijević V, Ćorić M, Elveđi Gašparović V, Medić F, Sokol Karadjole V. Endometriosis, Pain and Mental Health. Psychiatr Danub. 2021 Spring-Summer;33(Suppl 4):632-636. PMID: 34718292. Nogueira Neto J, Melo VG, Lima LCS, Costa MVLR, Silva LC, Gomes LMRS, Freire GIM, Leal PDC, Oliveira CMB, Moura ECR. Improved quality of life (EHP-30) in patients with endometriosis after surgical treatment. Rev Assoc Med Bras (1992). 2023 Aug 14;69(8):e20230316. doi: 10.1590/1806-9282.20230316. PMID: 37585993; PMCID: PMC10427168. DOI: https://doi.org/10.1590/1806-9282.20230316 Santulli P, Bourdon M, Presse M, Gayet V, Marcellin L, Prunet C, de Ziegler D, Chapron C. Endometriosis-related infertility: assisted reproductive technology has no adverse impact on pain or quality-of-life scores. Fertil Steril. 2016 Apr;105(4):978-987.e4. doi: 10.1016/j.fertnstert.2015.12.006. Epub 2015 Dec 30. PMID: 26746132. DOI: https://doi.org/10.1016/j.fertnstert.2015.12.006 Sperschneider ML, Hengartner MP, Kohl-Schwartz A, Geraedts K, Rauchfuss M, Woelfler MM, Haeberlin F, von Orelli S, Eberhard M, Maurer F, Imthurn B, Imesch P, Leeners B. Does endometriosis affect professional life? A matched case-control study in Switzerland, Germany and Austria. BMJ Open. 2019 Jan 9;9(1):e019570. doi: 10.1136/bmjopen-2017-019570. PMID: 30782670; PMCID: PMC6340011. DOI: https://doi.org/10.1136/bmjopen-2017-019570 Dior UP, Reddington C, Cheng C, Levin G, McInerney C, Moss A, Healey M. Lower gastrointestinal function after surgery for deep endometriosis: A prospective cohort study. Int J Gynaecol Obstet. 2023 Jan;160(1):280-288. doi: 10.1002/ijgo.14350. Epub 2022 Aug 8. PMID: 35841391; PMCID: PMC10088011. DOI: https://doi.org/10.1002/ijgo.14350 Vercellini P, Bracco B, Mosconi P, Roberto A, Alberico D, Dhouha D, Somigliana E. Norethindrone acetate or dienogest for the treatment of symptomatic endometriosis: a before and after study. Fertil Steril. 2016 Mar;105(3):734-743.e3. doi: 10.1016/j.fertnstert.2015.11.016. Epub 2015 Dec 8. PMID: 26677792. DOI: https://doi.org/10.1016/j.fertnstert.2015.11.016 Bi XL, Xie CX. Effect of neuromuscular electrical stimulation for endometriosis-associated pain: A retrospective study. Medicine (Baltimore). 2018 Jun;97(26):e11266. doi: 10.1097/MD.0000000000011266. PMID: 29953000; PMCID: PMC6039639. DOI: https://doi.org/10.1097/MD.0000000000011266 Tempest N, Boyers M, Carter A, Lane S, Hapangama DK. Premenopausal Women With a Diagnosis of Endometriosis Have a Significantly Higher Prevalence of a Diagnosis or Symptoms Suggestive of Restless Leg Syndrome: A Prospective Cross-Sectional Questionnaire Study. Front Endocrinol (Lausanne). 2021 Mar 29;12:599306. doi: 10.3389/fendo.2021.599306. PMID: 33854478; PMCID: PMC8040104. DOI: https://doi.org/10.3389/fendo.2021.599306 Vercellini P, Donati A, Ottolini F, Frassineti A, Fiorini J, Nebuloni V, Frattaruolo MP, Roberto A, Mosconi P, Somigliana E. A stepped-care approach to symptomatic endometriosis management: a participatory research initiative. Fertil Steril. 2018 Jun;109(6):1086-1096. doi: 10.1016/j.fertnstert.2018.01.037. Epub 2018 Jun 2. PMID: 29871796. DOI: https://doi.org/10.1016/j.fertnstert.2018.01.037 Oppenheimer A, Verdun S, Perot M, Du Cheyron J, Panel P, Fauconnier A. Do high-dose progestins impair sexual function in women treated for endometriosis? A prospective observational longitudinal study. Acta Obstet Gynecol Scand. 2021 May;100(5):850-859. doi: 10.1111/aogs.14014. Epub 2020 Oct 24. PMID: 33011982. DOI: https://doi.org/10.1111/aogs.14014 Cruz Araújo FW, Schmidt DB. Endometriose um problema de saúde pública: revisão de literatura. SAÚDE [Internet]. 17º de novembro de 2020 [citado 30º de julho de 2024];14(18). Disponível em: https://www.revistasuninter.com/revistasaude/index.php/saudeDesenvolvimento/article/view/989 Rosa e Silva JC, Valerio FP, Herren H, Troncon JK, Garcia R, Poli Neto OB. Endometriose – Aspectos clínicos do diagnóstico ao tratamento. Femina. 2021;49(3):134-41. Domiciano CB, Felipe DH de CN, Neto GC, Trindade MG, Alves PA de A, Ferreira PC, Carneiro AM, Oliveira DCN de. Associação entre endometriose e o aumento do risco coronariano em mulheres/ Associação entre endometriose e aumento do risco coronariano em mulheres. Braz. J. Hea. Rev. [Internet]. 2022, 6 de maio [citado em 30 de julho de 2024];5(3):8648-54. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/47641 DOI: https://doi.org/10.34119/bjhrv5n3-052 MIKOCKA-WALUS, Antonina et al. Protocol: Yoga, cognitive–behavioural therapy versus education to improve quality of life and reduce healthcare costs in people with endometriosis: a randomised controlled trial. BMJ Open, v. 11, n. 8, 2021. DOI: https://doi.org/10.1136/bmjopen-2020-046603 DOI: https://doi.org/10.1136/bmjopen-2020-046603 Armour M, Sinclair J, Chalmers KJ, Smith CA, Abbott JA. Manual Acupuncture Plus Usual Care Versus Usual Care Alone in the Treatment of Endometriosis-Related Chronic Pelvic Pain: a randomized controlled feasibility study. J Altern Complement Med. 2021;27(10):841-9. doi: 10.1089/acm.2021.0004. DOI: https://doi.org/10.1089/acm.2021.0004 Carneiro HL, Dias MHP, Silva RA, Santos EM, Nascimento MN. O papel da endometriose na infertilidade feminina: uma revisão integrativa de literatura. Res Soc Dev. 2023;12(3). doi: 10.33448/rsd-v12i3.40529 DOI: https://doi.org/10.33448/rsd-v12i3.40529 Yela DA, Quagliato ID, Benetti-Pinto CL. Quality of Life in Women with Deep Endometriosis: A Cross-Sectional Study. Rev Bras Ginecol Obstet RBGO Gynecol Obstet [Internet]. Fev 2020 [citado 30 jul 2024];42(02):090-5. Disponível em: https://doi.org/10.1055/s-0040-1708091 DOI: https://doi.org/10.1055/s-0040-1708091 Minson FP, Abrão MS, Sardá Júnior J, Kraychete DC, Podgaec S, Assis FD. Importância da avaliação da qualidade de vida em pacientes com endometriose [Importance of quality of life assessment in patients with endometriosis]. Rev Bras Ginecol Obstet. 2012 Jan;34(1):11-5. Portuguese. PMID: 22358342. Martinez JE. Análise da aplicabilidade de três instrumentos de avaliação de dor em distintas unidades de atendimento: ambulatório, enfermaria e urgência. Rev Bras Reumatol. 2011;51(4). DOI: https://doi.org/10.1590/S0482-50042011000400002 Porto BT, Ribeiro HS, Galvão MA, Sekula VG, Aldrigui JM, Ribeiro PA. Classificação histológica e qualidade de vida em mulheres portadoras de endometriose. Rev Bras Ginecol Obstet [Internet]. Fev 2015 [citado 30 jul 2024];37(2):87-93. Disponível em: https://doi.org/10.1590/so100-720320140004650 DOI: https://doi.org/10.1590/SO100-720320140004650 Downloads Publicado Edição Seção Licença Copyright (c) 2025 Arquivos Catarinenses de Medicina Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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