Dyspareunia as a sexual problem in women with endometriosis

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This study found dyspareunia to be four times more frequent in women with endometriosis than controls, and five times more frequent in those with peritoneal endometriosis compared to endometrioid cysts.

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Abstract

Dyspareunia is defined as tenderness felt during sexual intercourse without coexisting shrinkage of vulva and vagina. It is a common sexual disorder in women, which is sometimes caused by endometriosis. The aim of the study was to assess the influence of the type of endometriosis (peritoneal vs. endometrioid cysts) on the prevalence of dyspareunia. Material: The experimental group consisted of 28 women with chocolate cysts of the ovary without scattered foci of adenomyosis and 33 patients with peritoneal endometriosis. The control group included 60 women without gynecological problems. Results: Dyspareunia was observed 4 times as frequent in women with endometriosis as compared to healthy women. Moreover, the disease was 5 times more frequent in women with peritoneal focuses of endometriosis than in patients with endometrioid cysts. Conclusion: Discerning diagnosis of dyspareunia, after rejecting other causes of the disease, should lead to peritoneal endometriosis seeking. The association between peritoneal endometriosis and dyspareunia suggests that an intercourse pain could stem from inflammatory mediators or adhesions connected with peritoneal endometriosis.

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Condition tags

endometriosisadenomyosisdyspareunia

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last seen: 2026-06-10T17:14:06.276822+00:00
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