Sexualité féminine après chirurgie pour endométriose pelvienne profonde

J B Dubuisson, Dubuisson J, J Dubuisson, Pont M, M Pont, P Roy, Pascal Roy, François Golfier, F Golfier, Golfier F, Raudrant D, D Raudrant
Gynecologie, obstetrique & fertilite · 2013 · vol. 41(1) , pp. 38–44 · doi:10.1016/j.gyobfe.2012.11.010 · PMID:23291054 · W2019806540
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This paper investigated female sexuality following surgery for deep pelvic endometriosis, reporting on the outcomes and experiences of patients.

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Abstract

ObjectivesThe aim of this study is to assess the impact on sexuality of the surgical treatment in patients with symptomatic deep pelvic endometriosis.Patients and methodsThe design is a single-center cohort prospective study including all patients with symptomatic pelvic endometriosis and regular sexual activity who underwent surgery between October 2009 and September 2010. Sexual function was evaluated by the "Brief Index of Sexual Functioning for Women" (BISF-W) questionnaire translated and validated in French, including a global evaluation by the Composite Score (CS). Pain symptoms related to endometriosis were evaluated by the Visual Analog Scale (VAS) and the simple Verbal Rating Scale (VRS). Questionnaires were answered before surgery. A standardized mid and long-term postoperative follow-up was performed to compare sexuality and pain symptoms.ResultsTwenty women were included in the study. Mean follow-up was 23.3 months. When compared to a French reference population, global preoperative sexual function was significatively deteriorated (CS=14.3±10.8 vs 32.2±12.6; P<0.001), especially for arousal, frequency of sexual activity, pleasure and orgasm. Significant improvements in sex life were observed after surgery at the long-term follow-up (CS=33.0±11.7 vs 14.3±10.8; P=0.02). and sexual function was similar to the reference population (CS=33.0±11.7 vs 32.2±12.6; P=0.806). At the mid-follow-up, a significant improvement in the intensity of dysmenorrhoea, non-cyclic pelvic pain, dyspareunia and bowel symptoms were observed on the VAS. At the long-term follow-up, dysmenorrhoea and dyspareunia were significatively ameliorated. Pelvic pain recurrence related to endometriosis was 13.3%.Discussion and conclusionSurgical management of deep pelvic endometriosis in symptomatic patients improves sexual life at the long term follow-up. Deep dyspareunia pain decreases significantly, although other conditions are involved in the improvement of sexual function.

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Condition tags

dysmenorrheadyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Adnexal Diseases Adnexal Diseases Endometriosis Endometriosis Sexual Dysfunction, Physiological Adnexal Diseases Adult Cohort Studies Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Pelvic Pain Pelvic Pain

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.

References (27)

Cited by (16)

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License: CC0 · commercial use OK