Deep dyspareunia and sex life after laparoscopic excision of endometriosis

S Ferrero, Simone Ferrero, Luiza Helena Abbamonte, L H Abbamonte, Maria Caterina Giordano, M Giordano, N Ragni, Nicola Ragni, Valentino Remorgida, V Remorgida
Human Reproduction · 2006 · vol. 22(4) , pp. 1142–1148 · doi:10.1093/humrep/del465 · PMID:17182665 · W2115095164
article OA: bronze CC0 ⤵ 80 in-corpus citations
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Laparoscopic excision of endometriosis significantly improved deep dyspareunia and sexual quality of life in women, with more pronounced benefits observed in those with uterosacral ligament endometriosis.

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Abstract

BACKGROUND: Among subjects with endometriosis and deep dyspareunia (DD), those with endometriosis of the uterosacral ligament (USLE) have the most severe impairment of sexual function. This study examines the effect of laparoscopic excision of endometriosis on DD and quality of sex life. METHODS: This observational cohort prospective study included 68 women with endometriosis suffering DD (intensity of pain >or= 6 on a 10-cm visual analogue scale). Patients underwent laparoscopic full excision of endometriosis. Following surgery, they were asked to use nonhormonal contraception devices. Before surgery, at 6- and at 12-month follow-up, patients answered a self-administered questionnaire based on the Sexual Satisfaction Subscale of the Derogatis Sexual Functioning Inventory. RESULTS: At 6- and 12-month follow-up, women with and without USLE had significant improvement in DD. Subjects with USLE reported increased variety in sex life, increased frequency of intercourse, more satisfying orgasms with sex, relaxing more easily during sex and being more relaxed and fulfilled after sex. Similar improvements were observed among women without USLE; however, for some variables statistical significance was not reached. CONCLUSIONS: Surgical excision of endometriosis improves not only DD but also the quality of sex life.

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Condition tags

mesh:D004414mesh:D004715mesh:D017699endometriosisdyspareunia

MeSH descriptors

Dyspareunia Endometriosis Laparoscopy Adult Cohort Studies Dyspareunia Endometriosis Endometriosis Female Humans Laparoscopy Male Pelvic Pain Prospective Studies Sexual Behavior Sexual Dysfunctions, Psychological Time Factors

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