Assessment of quality of life, psychological aspects, and sexual function of women with endometriosis according to pain and infertility: a cross sectional study

Fabia Pigatti Silva, Daniela Angerame Yela, Melissa de Barros Meneguetti, Flavia Torelli, F. Torelli, Luciano Gibran, Cristina Laguna Benetti‐Pinto, Cristina Laguna Benetti-Pinto
Archives of gynecology and obstetrics · 2024 · vol. 309(6) , pp. 2741–2749 · doi:10.1007/s00404-024-07464-8 · PMID:38563981 · W4393525710
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Women with pain from endometriosis experience worse quality of life, anxiety, and depression, with these psychological impacts exacerbated when infertility is also present.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This multicenter cross-sectional study (2018–2021) evaluated quality of life, sexual function, anxiety, and depression in 229 women with endometriosis, stratified into four groups based on the presence of pain symptoms and infertility. Using the Endometriosis Health Profile Questionnaire, Female Sexual Function Index, Beck Depression Inventory, and Beck Anxiety Index, the authors found that women with pain had significantly higher anxiety and depression scores and worse quality of life than those without pain (p < 0.001), and those with both pain and infertility showed particularly worse anxiety and depression compared with the other groups. Sexual function scores indicated that all groups were at risk for sexual dysfunction, with no significant differences between groups (p = 0.671). The authors did not state a specific limitation in the provided text beyond the cross-sectional design and the fact that deep endometriosis prevalence was similar across groups (p = 0.608). This paper is centrally about endometriosis — it directly examines how pain and infertility relate to quality of life, psychological wellbeing, and sexual function in women with endometriosis.

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Abstract

PURPOSE: To evaluate the quality of life, sexual function, anxiety, and depression of women with endometriosis according to pain symptoms and infertility. METHODS: This cross-sectional multicenter study included 229 women with endometriosis followed up at a tertiary hospital in Campinas, a tertiary hospital in São Paulo, and a reproductive medicine clinic in Campinas from 2018 to 2021. The women were divided into four groups according to the presence of pain symptoms and infertility. The Endometriosis Health Profile Questionnaire, Female Sexual Function Index, Beck Depression Inventory, and Beck Anxiety Index were applied to assess quality of life, sexual function, depression, and anxiety of women with endometriosis. RESULTS: The women were grouped as follows: group 1 (45 women without infertility and without pain), group 2 (73 women without infertility and with pain), group 3 (49 women with infertility and without pain), and group 4 (62 women with infertility and pain). Of the women with infertility, the majority had primary infertility. Most women had deep endometriosis (p = 0.608). Women with pain had higher anxiety and depression scores and worse quality of life than women without pain (p < 0.001). Regarding sexual function, all the groups were at risk for sexual dysfunction (p = 0.671). The group of women with pain and infertility have worse anxiety scores (25.31 ± 15.96) and depression (18.81 ± 11.16) than the other groups. CONCLUSION: Pain symptoms worsen anxiety, depression, and quality of life of women with endometriosis and when associated with infertility, greater impairment of psychological aspects may occur.

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Outcome instruments

EHP-30

Condition tags

endometriosischronic_pelvic_paininfertility

MeSH descriptors

Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Depression Depression Depression Depression

Citation neighborhood

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.

References (38)

Cited by (3)

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