Psychological Component in the Context of Endometriosis with Involvement of the Gastrointestinal Tract: A Case Study

Larissa K. S. A. Azevedo, Carolina Bandeira Domiciano, Aníbal Costa Filho, Ana Cecília Maia, Geraldo Camilo Neto, Ðaniel Felipe, Amanda F. C. Cavalcanti, Camila Catarina Martins de Lima, Deborah Cristina Nascimento de Oliveira
In: Clinical Medicine And Health Research Journal · 2023 · vol. 3(4) , pp. 364–367 · doi:10.18535/cmhrj.v3i4.202 · W4385067824
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This case study details a patient with ovarian and intestinal endometriosis whose depressive symptoms and anxiety resolved with combined surgical and subsequent psychological/psychiatric treatment.

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This case study reports a reproductive-age patient with endometriosis involving the ovary and intestine who also exhibited a significant psychological component, including depressive symptoms and anxiety crises, alongside atypical gastrointestinal complaints such as frequent nausea, recurrent vomiting, and sialorrhea. The patient reported dysuria, dyschezia, bloating, deep dyspareunia, pelvic pain, asthenia, and weight loss, and imaging plus surgical resection with anatomopathological examination confirmed endometriosis with ovarian and intestinal involvement. After surgical management, some symptoms decreased but remaining issues persisted, leading to additional psychological and psychiatric treatment that resolved the residual atypical and persistent symptoms. This paper is centrally about endometriosis — specifically a case of endometriosis with ovarian and intestinal involvement where psychological distress is presented as a key coexisting factor.

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Abstract

Endometriosis is one of the most prevalent gynecological comorbidities in women of reproductive age and has a significant impact on mental health. The aim of this study is to report a case of a patient with endometriosis with ovarian and intestinal involvement who had a significant psychological component, presenting depressive symptoms and anxiety crises. The patient presented atypical symptoms, characterized by frequent nausea, recurrent vomiting, and sialorrhea, which required a sensitive and more critical look from the professionals who followed her, so that the treatment could be individualized and effective. She referred to dysuria, dyschezia, bloating, deep dyspareunia, and associated with these symptoms, the patient also reported pelvic pain, asthenia, and loss of about 10 kilos during this period. Imaging exams were performed, which showed endometriosis with ovarian and intestinal involvement, and from this she underwent surgical procedure for resection of the endometriosis foci and subsequent and anatomopathological study of the specimens, confirming the diagnosis. After the surgical management, the patient reported a decrease in symptoms, but still had signs that did not allow a complete improvement, leading her to add a psychological and psychiatric treatment, which made all the remaining symptoms and atypical for endometriosis disappear. This demonstrates the importance of the intervention in the treatment for endometriosis being done in a complete and multiprofessional manner.
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Abstract

Endometriosis is one of the most prevalent gynecological comorbidities in women of reproductive age and has a significant impact on mental health. The aim of this study is to report a case of a patient with endometriosis with ovarian and intestinal involvement who had a significant psychological component, presenting depressive symptoms and anxiety crises. The patient presented atypical symptoms, characterized by frequent nausea, recurrent vomiting, and sialorrhea, which required a sensitive and more critical look from the professionals who followed her, so that the treatment could be individualized and effective. She referred to dysuria, dyschezia, bloating, deep dyspareunia, and associated with these symptoms, the patient also reported pelvic pain, asthenia, and loss of about 10 kilos during this period. Imaging exams were performed, which showed endometriosis with ovarian and intestinal involvement, and from this she underwent surgical procedure for resection of the endometriosis foci and subsequent and anatomopathological study of the specimens, confirming the diagnosis. After the surgical management, the patient reported a decrease in symptoms, but still had signs that did not allow a complete improvement, leading her to add a psychological and psychiatric treatment, which made all the remaining symptoms and atypical for endometriosis disappear. This demonstrates the importance of the intervention in the treatment for endometriosis being done in a complete and multiprofessional manner.

Keywords

References - BAETAS, Beatriz Valente et al. Endometriosis and quality of life of affected women. Revista Eletrônica Acervo Científico, v. 19, p. e5928-e5928, 2021.Google Scholar ↗ - DA SILVA ROCHA, Ana Paula. Quality of life, anxiety and social support in the experience of Endometriosis. 2021.Google Scholar ↗ - DE MENDONÇA, Maria Fernanda Melo et al. Endometriosis: clinical manifestations and diagnosis-bibliographic review. Brazilian Journal of Health Review, v. 4, n. 1, p. 3584-3592, 2021.Google Scholar ↗ - DONATTI, Lilian et al. Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review. Revista Brasileira de Ginecologia e Obstetrícia, v. 44, p. 295-303, 2022.Google Scholar ↗ - DONATTI, Lilian et al. Patients with endometriosis who use positive coping strategies have less depression, stress, and pelvic pain. Einstein (São Paulo), v. 15, p. 65-70, 2017.Google Scholar ↗ - DUARTE, A. N.; RIGHI, M. G. The association between endometriosis and female infertility: a literature review. Acta Elit Salutis-AES, v. 4, n. 1, 2021.Google Scholar ↗ - Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO). Endometriosis. São Paulo: FEBRASGO, 2021 (FEBRASGO-Gynecology Protocol, n. 78/National Specialized Committee in Endometriosis).Google Scholar ↗ - LORENÇATTO, Carolina et al. Evaluation of the frequency of depression in patients with endometriosis and pelvic pain. Revista da Associação Médica Brasileira, v. 48, p. 217-221, 2002.Google Scholar ↗ - MENGARDA, Cláudia Vieira et al. Validation of the Portuguese version of a questionnaire on quality of life for women with endometriosis (Endometriosis Health Profile Questionnaire-EHP-30). Revista Brasileira de Ginecologia e Obstetrícia, v. 30, p. 384-392, 2008.Google Scholar ↗ - OLIVEIRA, Luis Adriano Freitas; BRILHANTE, Aline Veras Morais; LOURINHO, Lidia Andrade. Relationship between occurrence of endometriosis and psychological distress. Brazilian Journal in Health Promotion, v. 31, n. 4, 2018.Google Scholar ↗ - RODRIGUES, Luciana Abrantes et al. Analysis of the influence of endometriosis on quality of life. Fisioterapia em Movimento, v. 35, 2022.Google Scholar ↗ - ROSA, Julio Cesar et al. Endometriosis. Femina, v. 49, n. 3, p. 134-41, 2021.Google Scholar ↗ - SILVA, Carla Marins et al. Women's experiences regarding their trajectories to diagnosis of endometriosis. Escola Anna Nery, v. 25, 2021.Google Scholar ↗ - TEIXEIRA, Lygia Eduarda de Menezes Moraes et al. IMPACTO THAT ENDOMETRIOSIS HAS ON THE MENTAL HEALTH OF WOMEN IN THE THREATS OF A REVIEW OF LITERATURE. RECIMA21-Revista Científica Multidisciplinar-ISSN 2675-6218, v. 3, n. 11, p. e3112140-e3112140, 2022.Google Scholar ↗ - VIEIRA, Mariana Raissa S.; LOPES, Dayane Cristine QP; WATANABE, Hélcio. INTESTINAL ENDOMETRIOSIS IN CONCOMITANT INFLAMMATORY BOWEL DISEASE: A CASE REPORT. Uningá Journal, v. 55, n. S2, p. 54-63, 2018.Google Scholar ↗

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