Nadja Fritzer1, Ayman Tammaa2, Dietmar Haas3, Peter Oppelt3, Stefan Renner4, Daniela Hornung5, Monika Wölfler6, Uwe Ulrich7, Gernot Hudelist8. 1. Department of Obstetrics and Gynaecology/Center for Endometriosis, Wilhelminen Hospital, Vienna, Austria. Electronic address: fritzern@gmx.net. 2. Department of Obstetrics and Gynaecology/Center for Endometriosis, Wilhelminen Hospital, Vienna, Austria. 3. Department of Obstetrics and Gynaecology/Center for Endometriosis, General Hospital Linz, Austria. 4. Department of Obstetrics and Gynaecology/Center for Endometriosis, Hospital Erlangen, Germany. 5. Department of Obstetrics and Gynaecology/Center for Endometriosis, University Hospital Schleswig-Holstein (Campus Lübeck), Germany. 6. Department of Obstetrics and Gynecology, Division of Endocrinology and Reproductive Medicine, Medical University of Graz, Auenbruggerplatz 14, 8036 Graz, Austria. 7. Department of Obstetrics and Gynaecology/Center for Endometriosis, Martin-Luther Hospital Berlin, Germany. 8. Department of Gynaecology/Endometriosis and Pelvic Pain Clinic, Hospital St. John of God, Vienna, Austria.
Abstract
OBJECTIVE: The aim of the current study was to evaluate the effect of surgical removal of endometriosis on dyspareunia, sexual function, quality of sex life and interpersonal relationships. STUDY DESIGN: A questionnaire-based multicentre prospective study was conducted in six tertiary referral centres in Austria and Germany. Ninety-six patients with histologically proven endometriosis and dyspareunia were included. Before surgery and averagely 10 months postoperatively (range 9-12 months), the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to screen women's sexuality. Additionally, we evaluated psychological parameters and pain intensity during/after sexual intercourse via a self-administered questionnaire. RESULTS: Pain scores measured via NAS during/after intercourse decreased significantly after surgery. Frequencies of interrupted sexual intercourse, feelings of guilt towards the partner, being afraid of pain before/during sexual intercourse and feelings of being a burden for the relationship also decreased significantly in patients with peritoneal endometriosis and deep infiltrating endometriosis. Interestingly, sexually related personal distress did not improve in women with peritoneal endometriosis/vaginal resection, but improved in cases of deep infiltrating endometriosis (DIE). CONCLUSION: Radical laparoscopic excision of endometriosis offers an effective treatment option and offers a significant improvement in dyspareunia and quality of sex life.
OBJECTIVE: The aim of the current study was to evaluate the effect of surgical removal of endometriosis on dyspareunia, sexual function, quality of sex life and interpersonal relationships. STUDY DESIGN: A questionnaire-based multicentre prospective study was conducted in six tertiary referral centres in Austria and Germany. Ninety-six patients with histologically proven endometriosis and dyspareunia were included. Before surgery and averagely 10 months postoperatively (range 9-12 months), the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to screen women's sexuality. Additionally, we evaluated psychological parameters and pain intensity during/after sexual intercourse via a self-administered questionnaire. RESULTS:Pain scores measured via NAS during/after intercourse decreased significantly after surgery. Frequencies of interrupted sexual intercourse, feelings of guilt towards the partner, being afraid of pain before/during sexual intercourse and feelings of being a burden for the relationship also decreased significantly in patients with peritoneal endometriosis and deep infiltrating endometriosis. Interestingly, sexually related personal distress did not improve in women with peritoneal endometriosis/vaginal resection, but improved in cases of deep infiltrating endometriosis (DIE). CONCLUSION: Radical laparoscopic excision of endometriosis offers an effective treatment option and offers a significant improvement in dyspareunia and quality of sex life.
Authors: Valentina Rossi; Roberta Galizia; Francesca Tripodi; Chiara Simonelli; Maria Grazia Porpora; Filippo Maria Nimbi Journal: Int J Environ Res Public Health Date: 2022-04-27 Impact factor: 4.614
Authors: Leona K Shum; Mohamed A Bedaiwy; Catherine Allaire; Christina Williams; Heather Noga; Arianne Albert; Sarka Lisonkova; Paul J Yong Journal: Sex Med Date: 2018-05-22 Impact factor: 2.491