Sexual self-efficacy and sexual quality of life before and after laparoscopic surgery in women with endometriosis lesions: A cross-sectional study

Soraya Malekmaleki, Shadab Shahali, Ashraf Moini
International journal of reproductive biomedicine · 2022 · vol. 20(6) , pp. 469–476 · doi:10.18502/ijrm.v20i6.11442 · PMID:35958961 · W4285007208
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This study evaluated sexual self-efficacy and sexual quality of life in women with endometriosis before and after laparoscopic surgery, finding the surgery positively impacted both measures.

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This cross-sectional study evaluated sexual self-efficacy and sexual quality of life in women with endometriosis lesions, assessing outcomes before and after laparoscopic surgery using questionnaire-based measures. The key finding reported that these sexual well-being domains changed following laparoscopic surgery, with differences observed between pre- and postoperative assessments. A major limitation is that the design is cross-sectional, which limits causal inference about how surgery specifically affects sexual self-efficacy and quality of life over time. This paper is centrally about endometriosis — it examines sexual self-efficacy and sexual quality of life in women with endometriosis lesions before and after laparoscopic surgery.

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Abstract

Background: Endometriosis is one of the most common gynecological diseases and is associated with an increased risk of dyspareunia. Objective: This study aimed to evaluate sexual self-efficacy (SSE) and sexual quality of life (SQOL) before and after laparoscopic surgery of endometriosis lesions. Materials and Methods: This cross-sectional study measured the dependent variable by questionnaires before and after the surgery, and was performed with 36 women with endometriosis (aged 20-40 yr) who were referred to Arash hospital, Tehran, Iran between December 2018 and July 2019 using a convenience sampling method. Data collection tools included SQOL and SSE questionnaires, and a visual analogue scale. Data were collected before, and 3 and 6 months after laparoscopic surgery. Results: Out of the 36 women included in this study, 91.7% had pelvic endometriosis and 8.3% had abdominal and pelvic endometriosis. 9 participants (25.0%) were in stages I or II of the disease, and 29 (75.0%) had endometriosis with higher involvement. The findings of the study showed a positive effect of laparoscopic surgery on SQOL and SSE in participants (p < 0.001). Conclusion: Laparoscopic surgery in cases of endometriosis can improve SQOL and SSE in affected women and improve dyspareunia. Key words: Laparoscopy, Endometriosis, Dyspareunia, Self-efficacy, Quality of life.
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endometriosisdyspareunia

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