Analysis of preoperative and postoperative quality of life, sexual function, and sleep in patients with endometriosis: A prospective cohort study

Belfin Nur Arıcı Halıcı, Fatih Aktöz, Meric Kabakcı, Gürkan Kıran, Pınar Özcan
In: Research Square · 2021 · doi:10.21203/rs.3.rs-1048253/v1 · W3213230270
preprint OA: green CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This prospective cohort study found that endometriosis surgery significantly improved quality of life, sexual function, sleep, and pain scores in patients three months post-operation.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 ⓘ

This prospective cohort study enrolled 56 women (age 18–60) with a prediagnosis of endometriosis whose diagnoses were histopathologically confirmed after surgery, and measured pelvic pain (VAS), sleep quality and chronotype (PSQI and MEQ), endometriosis-related quality of life (EHP-30), and sexual function (FSFI) before surgery and again three months postoperatively. The key finding was that pain scores, quality of life, sexual function, and sleep metrics improved significantly after surgery across patients regardless of endometriosis stage. The study’s main limitation is that it did not include a non-surgical control group and followed participants for only three months after surgery. This paper is centrally about endometriosis — it evaluates pre- vs post-surgical changes in quality of life, sexual function, and sleep in women with surgically confirmed endometriosis.

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Abstract

Abstract Purpose Endometriosis affects the quality of life, sleep, and sexual life of patients due to pain. This study compared the scores of endometriosis patients in these three areas before and after surgery. Methods Patients between the ages of 18–60 with a prediagnosis of endometriosis were enrolled. Postoperative histopathological diagnosis of endometriosis was confirmed in all patients. This study included 56 patients who completed pre- and postoperative (three months) evaluation of quality scale questionnaires: a visual analog scale for pelvic pain, the Pittsburgh Sleep Quality Index, Morningness-Eveningness Questionnaire, Endometriosis Health Profile-30 Questionnaire, and Female Sexual Function Index were administered prior to and three months after each patient’s surgery. Results Among the 56 female patients included in this study, statistically significant improvement statistically significant improvement was observed in pain scores, quality of life, sexual function, and sleep of all patients regardless of endometriosis stage. Conclusion Endometriosis is a disease that progresses, with increasing pain scores; it has negative effects on the quality of life, sexual function, and sleep of patients. Surgical or medical treatment can be performed considering the complaints and fertility status of the patients.

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Outcome instruments

EHP-30

Condition tags

endometriosis

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.

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