Avaliação do efeito da menopausa e climatério sobre a representação da mulher na sociedade

Introduction: Deep endometriosis is a frequent gynecological condition that affects Women during the reproductive period, manifesting themselves through dysmenorrhea, Chronic pelvic, deep dyspareunia, infertility, urinary and intestinal disorders. The diagnosis is often late, leading to long periods of suffering, Negative impact on women's quality of life, interfering with the relationship between Family and affective, reducing self-esteem and sexual function. Sexual satisfaction is Important component of quality of life and thorough evaluation is critical to A globalized approach of women with deep endometriosis. Objective: To evaluate sexual satisfaction in women with deep endometriosis.METHODS: A cross-sectional study of 80 women aged 18-50 Years, attended at the Federal University of São Paulo. The patients were divided into Two groups. Group 1 (G1) consisted of 30 patients from the Pelvic Endometriosis of the Department of Gynecology, with suspected diagnosis of endometriosis Deep, subsequently submitted to laparoscopy. Group 2 (G2) was composed of 50 Patients from the Family Planning Sector. In this group, no Patient had a history of dysmenorrhea, dyspareunia, chronic pelvic pain or infertility. In both groups, patients with chronic diseases who Interfere with sex life. Three G1 patients were excluded because they did not present Laparoscopic confirmation of deep endometriosis. The two groups were submitted to Self-applicable Sexual Satisfaction Inventory of GolomboK and Rust (Griss) and Demographic questionnaire. The Griss consists of a questionnaire of 28 questions (4 general And 24 specific), divided into seven aspects of sexual function: frequency of relationships, Sexual satisfaction, sexual communication, sexual aversion, lack of expression of Sensuality, vaginismus and anorgasmia. All the patients signed a Free and informed consent. RESULTS: A statistically significant reduction was observed for the general Health: 29.6% of patients with deep endometriosis referred to it with good or very Good, while 76% of healthy women did so. As regards the assessment of Sexual satisfaction, it was observed that the Griss score for G1 presented a mean of 41.9 + 15.5, whereas G2 presented a lower score (better) of 30.9 + 13.4; P = 0.002. When Griss-specific domains were evaluated, there was no statistically significant difference (G1: 4.52 + 2.5, G2 3.58 + 1.95, p = 0.098), Anorgasmia (G1: 6.22 + 3.45, G2: 4.68 + 3.27, p = 0.062) sexual communication (G1: 2.8 + 2.15; G2: 2.78 + 2.28; P = 0.966) and sexual satisfaction (G1: 5.7 + 3.5, G2: 5.1 + 3.5, p = 0.47). There was Significance for the domains: sexual aversion (G1: 6.04 + 3.23, G2: 4.04 + 3.14, p = 0.012), Vaginismus (G1: 6.04 + 3.06, G2: 4.2 + 3.44, p = 0.019), lack of expression of sensuality (G1: 4.07 + 3.4; G2: 2.04 + 2.49; P = 0.009) and general (G1: 6.52 + 2.99, G2: 4.1 + 3.72, p = 0.006). It was not Correlation was statistically significant when correlated with satisfaction. And general health status in the group of women with endometriosis, as well as When correlating the present pain index and sexual satisfaction. Conclusions: We conclude that women with deep endometriosis are less satisfied In their sexual lives when compared to healthy women.