Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest

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Dienogest treatment improved endometriosis-associated pelvic pain, quality of life, and sexual function in women compared to NSAIDs.

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This study evaluated effects of dienogest (DNG) on quality of life and sexual function in 54 women with endometriosis-associated pelvic pain, with 48 women receiving non-steroidal anti-inflammatory drugs as a control group. Pain was tracked using the Visual Analogic Scale, while QoL, sexual function, and sexual distress were assessed using SF-36, FSFI, and FSDS at 3 and 6 months; the study explicitly notes a limitation in that it includes only these two follow-up timepoints. DNG treatment improved pain at 3 months (p < 0.05) and more strongly at 6 months (p < 0.001), with QoL improving in all SF-36 categories by 6 months (p < 0.001), while FSFI showed no change at 3 months but increased by 6 months (p < 0.05), alongside a decrease in FSDS by 6 months (p < 0.001). The paper does explicitly discuss endometriosis; it is centrally about endometriosis — assessing how dienogest treatment affects quality of life and sexual function in women with endometriosis-associated pelvic pain.

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Abstract

PurposeThe aim of the study was to evaluate the effects of dienogest (DNG) on quality of life (QoL) and sexual function of women affected by endometriosis pain.MethodsFifty-four women constituted the study group and were given 2 mg/daily DNG; 48 women were given non-steroidal anti-inflammatory drugs and constitut ed the control group. To define the endometriosis-associated pelvic pain, the Visual Analogic Scale (VAS) was used. The Short Form-36 (SF-36), the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to assess the QoL, the sexual function and the sexual distress, respectively. The study included two follow-ups at 3 and 6 months.ResultsPain improvement was observed in the study group at 3 (p < 0.05) and 6 months (p < 0.001) of treatment. At the 1st follow-up, women reported QoL improvements in some functions (p < 0.05); at the 2nd follow-up, they reported improvement in all categories (p < 0.001). The FSFI score did not change at the 1st follow-up (p = NS). On the contrary, at the 2nd follow-up, it improved with respect to the baseline (p < 0.05). At the 2nd follow-up, the FSFI score had risen to 27.8 (p < 0.001) and the FSDS score had dropped to 11.3 (p < 0.001). No change was observed in the control group (p = NS).ConclusionsThe progressive reduction of the pain syndrome reported by women over the treatment period could contribute to improve the QoL and sexual life of women on DNG.
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Abstract

Purpose The aim of the study was to evaluate the effects of dienogest (DNG) on quality of life (QoL) and sexual function of women affected by endometriosis pain.

Methods

Fifty-four women constituted the study group and were given 2 mg/daily DNG; 48 women were given non-steroidal anti-inflammatory drugs and constitut ed the control group. To define the endometriosis-associated pelvic pain, the Visual Analogic Scale (VAS) was used. The Short Form-36 (SF-36), the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to assess the QoL, the sexual function and the sexual distress, respectively. The study included two follow-ups at 3 and 6 months.

Results

Pain improvement was observed in the study group at 3 (p < 0.05) and 6 months (p < 0.001) of treatment. At the 1st follow-up, women reported QoL improvements in some functions (p < 0.05); at the 2nd follow-up, they reported improvement in all categories (p < 0.001). The FSFI score did not change at the 1st follow-up (p = NS). On the contrary, at the 2nd follow-up, it improved with respect to the baseline (p < 0.05). At the 2nd follow-up, the FSFI score had risen to 27.8 (p < 0.001) and the FSDS score had dropped to 11.3 (p < 0.001). No change was observed in the control group (p = NS).

Conclusions

The progressive reduction of the pain syndrome reported by women over the treatment period could contribute to improve the QoL and sexual life of women on DNG. Similar content being viewed by others

References

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Ethical approval I declare that this study was approved by the Institutional Review Board (IRB) of our Department. Informed consent Informed consent was obtained from all individual participants included in the study. Rights and permissions About this article Cite this article Caruso, S., Iraci, M., Cianci, S. et al. Quality of life and sexual function of women affected by endometriosis-associated pelvic pain when treated with dienogest. J Endocrinol Invest 38, 1211–1218 (2015). https://doi.org/10.1007/s40618-015-0383-7 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s40618-015-0383-7

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Hormone Antagonists Nandrolone Orgasm Pelvic Pain Quality of Life Sexual Behavior Adolescent Adult Endometriosis Endometriosis Female Follow-Up Studies Hormone Antagonists Hormone Antagonists Humans Nandrolone Nandrolone Nandrolone Orgasm Pelvic Pain

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