Avaliação da qualidade de vida, função sexual, repercussões psicológicas em mulheres com endometriose de acordo com dor e infertilidade

Introduction:Endometriosis mainly affects women of reproductive age, with an estimated 176 million women affected worldwide, with a major impact on women's quality of life in the physical, psychological, social and sexual spheres.How endometriosis comprehensively affects women's lives due to pain symptoms such as dysmenorrhea, dyspareunia and chronic pelvic pain and infertility; the assessment of quality of life becomes relevant.Porpuse: To evaluate the quality of life, sexual function, anxiety and depression of women with endometriosis according to pain symptoms and infertility.Methods: cross-sectional study with 229 women with endometriosis followed at the Endometriosis Outpatient Clinic of the Department of Tocogynecology of the Center for Integral Assistance to Women's Health (CAISM) of the State University of Campinas (UNICAMP), at the Center for Gynecological Endoscopy and Endometriosis and at the of Human Reproduction at the Prola Byington Hospital in So Paulo and at the Huntington Medicine Reproductive Clinic in Campinas from 2018 to 2021.The women were divided into groups according to the presence of pain symptoms and infertility.The Endometriosis Health Profile Questionnaire (EHP-30), Female Sexual Function Index (IFSF), Beck DepressionInventory (BDI) and Beck Anxiety Index (BAI) were applied to assess quality of life, sexual function, depression and anxiety in women with endometriosis Results: In the first article women with endometriosis were divided into 4 groups according to their symptomatology: group 1-45 women without pain and infertility, group 2-73 women with pain and without infertility, group 3-49 women without pain and with infertility and group 4-62 women with pain and infertility.The majority of women with infertility had primary infertility.Most women had deep endometriosis (p=0.608).There was no difference between the average age, the average body mass index and the performance of physical activity between the groups (p=0,731; 0,125 e 0,936 respectively).Women with pain had higher scores for anxiety and depression and worse quality of life than women without pain (p<0.001).When we evaluated sexual function, all groups presented sexual dysfunction (p=0.671).The group of women who have pain and infertility have worse anxiety and depression scores (25,3115,96 e 18,8111,16 respectively).In the second article, women were divided into two groups according to the presence of pain: group 1-62 women with pain and group 2-40 women without pain.Women in group 1 had more depression and anxiety than those in group 2 (17.1 9.98 e 11.15 9.25, p= 0.003 e 23.71 12.92 e 12.58 10.53, p=0.001 respectively).Women with pain had significantly worse quality of life than those without pain (48.88 16.02 e 23.32 15.93, p<0.001).In relation to sexual function, both groups presented sexual dysfunction (group 1 17.89 6.92 and group 2 19.60 6.62, p= 0.350).Conclusion: Pain symptoms worsen anxiety, depression and quality of life in women with endometriosis and when associated with infertility there is greater impairment of psychological aspects.