Dyspareunia and algomenorrhea in women with endometriosis – clinical aspects of dienogest therapy

Grażyna Jarząbek‐Bielecka, Dariusz Radomski, Małgorzata Mizgier, Maciej Wilczak, M Durda, Maria Kaczmarek, Michał Pawlaczyk, Witold Kędzia, Magdalena Pisarska-Krawczyk
In: Current Gynecologic Oncology · 2014 · vol. 12(4) , pp. 271–277 · doi:10.15557/cgo.2014.0025 · W981283062
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This study found that dyspareunia is significantly more prevalent in women with peritoneal endometriosis than in those with endometrioid ovarian cysts, suggesting a strong association between peritoneal lesions and pain during intercourse.

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This study evaluated the prevalence of dyspareunia in women with different forms of endometriosis, comparing 28 patients with endometrioid ovarian cysts and 33 with peritoneal disease against a control group of 60 healthy women. The researchers found that dyspareunia occurred four times more frequently in women with endometriosis than in the control group, with a particularly strong association observed in those with peritoneal foci. Specifically, the condition was five times more common in patients with peritoneal endometriosis compared to those with endometrioid cysts, suggesting that pain during intercourse may result from inflammatory mediators or adhesions linked to this specific lesion type. This paper is centrally about endometriosis — specifically investigating the clinical relationship between peritoneal lesions and dyspareunia.

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Abstract

Introduction: Dyspareunia is defined as tenderness experienced during sexual intercourse without coexisting shrinkage of the vulva or vagina. Dyspareunia is a common sexual disorder in women and can be caused by endometriosis. Dienogest is an important medicine in the treatment of endometriosis. This study assesses the influence of the type of endometriosis (peritoneal vs. endometrioid cysts) on the prevalence of dyspareunia. Material: The examined group consisted of 28 women with endometrioid ovarian (chocolate) cysts without scattered foci of endometriosis, and 33 patients with peritoneal endometriosis. The control group included 60 women without gynecologic problems. Results: In women with endometriosis, dyspareunia was observed four times as frequently as in healthy women. Moreover, it was five times more frequent in women with peritoneal foci of endometriosis than in patients with endometrioid cysts. Conclusion: A diagnosis of dyspareunia should lead to evaluation for peritoneal endometriosis as a possible cause, given the significant relationship between these conditions. The association between peritoneal endometriosis and dyspareunia suggests that pain upon intercourse could stem from inflammatory mediators or adhesions connected with peritoneal endometriosis.
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Dyspareunia and algomenorrhea in women with endometriosis – clinical aspects of dienogest therapy Grażyna Jarząbek-Bielecka1, Dariusz Radomski2, Małgorzata Mizgier3, Maciej Wilczak4,5, Magdalena Durda6, Maria Kaczmarek6, Michał Pawlaczyk1, Witold Kędzia1, Magdalena Pisarska-Krawczyk4,5 Introduction: Dyspareunia is defined as tenderness experienced during sexual intercourse without coexisting shrinkage of the vulva or vagina. Dyspareunia is a common sexual disorder in women and can be caused by endometriosis. Dienogest is an important medicine in the treatment of endometriosis. This study assesses the influence of the type of endometriosis (peritoneal vs. endometrioid cysts) on the prevalence of dyspareunia. Material: The examined group consisted of 28 women with endometrioid ovarian (chocolate) cysts without scattered foci of endometriosis, and 33 patients with peritoneal endometriosis. The control group included 60 women without gynecologic problems. Results: In women with endometriosis, dyspareunia was observed four times as frequently as in healthy women. Moreover, it was five times more frequent in women with peritoneal foci of endometriosis than in patients with endometrioid cysts. Conclusion: A diagnosis of dyspareunia should lead to evaluation for peritoneal endometriosis as a possible cause, given the significant relationship between these conditions. The association between peritoneal endometriosis and dyspareunia suggests that pain upon intercourse could stem from inflammatory mediators or adhesions connected with peritoneal endometriosis.

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endometriosisdyspareunia

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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