A qualitative study of the impact of endometriosis on male partners

Culley, Lorraine; Law, Caroline; Hudson, Nicky; Mitchell, Helene; Denny, Elaine; Raine‐Fenning, Nick

doi:10.1093/humrep/dex221

Cited by 62 publications

(67 citation statements)

References 36 publications

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“…Reasons for this may include the fatigue experienced reducing social interactions 36,38 and increased anxiety of experiencing heavy menstrual bleeding, nausea, gastrointestinal and bladder symptoms 28 in public places when interacting with friends, family or others. Similar to previous work 13 , romantic and sexual relationships were commonly affected in both cohorts, with pain as a direct contributor, but fatigue, nausea, depression, and other co-morbidities also, often, contributing to relationship strain and potential breakdown 42 .…”

Section: Discussionsupporting

confidence: 77%

Endometriosis and chronic pelvic pain have similar impact on women, but time to diagnosis is decreasing: an Australian survey

Armour

Sinclair

et al. 2020

Sci Rep

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Chronic pelvic pain (CPP) affects a significant number of women worldwide. Internationally, people with endometriosis report significant negative impact across many areas of their life. We aimed to use an online survey using the EndoCost tool to determine if there was any difference in the impact of CPP in those with vs. those without a confirmed diagnosis of endometriosis, and if there was any change in diagnostic delay since the introduction of clinical guidelines in 2005. 409 responses were received; 340 with a diagnosis of endometriosis and 69 with no diagnosis. People with CPP, regardless of diagnosis, reported moderate to severe dysmenorrhea and non-cyclical pelvic pain. Dyspareunia was also common. Significant negative impact was reported for social, academic, and sexual/romantic relationships in both cohorts. In the endometriosis cohort there was a mean diagnostic delay of eight years, however there was a reduction in both the diagnostic delay (p < 0.001) and number of doctors seen before diagnosis (p < 0.001) in those presenting more recently. Both endometriosis and CPP have significant negative impact. Whilst there is a decrease in the time to diagnosis, there is an urgent need for improved treatment options and support for women with the disease once the diagnosis is made.

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Section: Discussionsupporting

confidence: 77%

Endometriosis and chronic pelvic pain have similar impact on women, but time to diagnosis is decreasing: an Australian survey

Armour

Sinclair

et al. 2020

Sci Rep

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“…Moreover, the data in the literature reveal that the partners of the women affected by endometriosis are also affected, this being a disorder that compromises other aspects of the couple's life (intimacy, pregnancy planning, active life, household income, etc.) (11).…”

Section: Pain In Endometriosismentioning

confidence: 99%

Abdominal-pelvic pain in female patients with endometriosis - a review of the literature

Badiu¹,

Sima²,

Mehedințu³

et al. 2018

JMMS

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Abdominal-pelvic pain is the dominant symptom in endometriosis, one of the most common pathologies that affect women, being also a multifactorial disorder. Exploratory laparoscopy allows the correct assessment of the location as well as severity and extent of the lesions, thus representing the current gold standard in diagnosis. The correlation of pain intensity with the evolutionary stage of endometriosis is inconstant. Surgical treatment, preferably performed laparoscopically, includes the excision of the ectopic endometrium, having as a primary objective the control of persistent pain and the removal of all endometriotic foci. This procedure helps to improve the life quality of the patient, to reduce relapses, to control postoperative pain, and to eliminate the disease. Pre-and post-operative adjuvant medical treatment is used due to its effects on the symptomatology, prolonging the asymptomatic period of the disease. Despite the use of the above procedures, there are cases in which the abdominal-pelvic pain persists even after surgery, which makes endometriosis a significant challenge for both the specialist and the patient, as well as for the medical system itself, as the study of the pathogenic mechanisms is yet the subject of numerous studies. Nutritional education in these patients is essential, given the recommendation to restrict the range of foods and to increase other foods that have an important role in reducing the risk or even leading to regression of the endometrial pathology.

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“…For example, it can cause strained intimate relationships or even negatively influence a woman's decision to start a family. 5,8,10,11 Experiences with dyspareunia are further complicated by the societal stigma surrounding topics such as menstruation and painful sexual intercourse and the societal normalization of painful sexual intercourse in women. Women may be too embarrassed to discuss their sex life with a physician, especially if talking to a male physician, so they cope with this situation in silence or even tend to normalize the painful intercourse, leading to a delay in diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

<p>Patient–Physician Interactions Regarding Dyspareunia with Endometriosis: Online Survey Results</p>

Witzeman¹,

Flores²,

Renzelli-Cain³

et al. 2020

JPR

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Introduction: Dyspareunia can be a debilitating symptom of endometriosis. We performed this study to examine women's experiences with painful sexual intercourse, the impact of dyspareunia on patients' lives, and perceptions of interactions with healthcare practitioners. Methods: An anonymous 24-question online survey was provided through the social media network MyEndometriosisTeam.com and was available internationally to women aged 19-55 years who were self-identified as having endometriosis and had painful sexual intercourse within the past 2 years. Results: From June 13 to August 20, 2018, 860 women responded and 638 women completed the survey (United States, n = 361; other countries, n = 277; 74% survey completion rate). Respondents reported high pain levels (mean score, 7.4 ± 1.86; severity scale of 0 [no pain] to 10 [worst imaginable pain]), with 50% reporting severe pain [score of 8 to 10]). Nearly half (47%) reported pain lasting ≥24 hours after intercourse with the pain often leading to avoiding (34%) or stopping (29%) intercourse. Pain impacted patients' lives, causing depression (61%), anxiety (61%), low self-esteem (55%), and relationship strain. Many women feared to seek help (10%). Of those women who approached practitioners, many (36%) did not receive effective treatments. Discussion: Women with dyspareunia related to endometriosis experience severe pain that can negatively impact patients' lives. Dyspareunia may be a challenging topic for discussion for both patient and practitioner, leading to a suboptimal treatment approach and management. Results suggest that practitioners need improved education and training regarding dyspareunia to evaluate and treat patients' sexual pain caused by endometriosis.

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A qualitative study of the impact of endometriosis on male partners

Cited by 62 publications

References 36 publications

Endometriosis and chronic pelvic pain have similar impact on women, but time to diagnosis is decreasing: an Australian survey

Endometriosis and chronic pelvic pain have similar impact on women, but time to diagnosis is decreasing: an Australian survey

Abdominal-pelvic pain in female patients with endometriosis - a review of the literature

<p>Patient–Physician Interactions Regarding Dyspareunia with Endometriosis: Online Survey Results</p>

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