Dyspareunia and depressive symptoms are associated with impaired sexual functioning in women with endometriosis, whereas sexual functioning in their male partners is not affected

Graaff, Aisha A. de; Lankveld, Jacques van; Smits, Luc; Beek, Johannes J. van; Dunselman, G.A.J.

doi:10.1093/humrep/dew215

Cited by 113 publications

(138 citation statements)

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“…In fact, the symptoms have been reported to be responsible for 7%-19% of divorces, owing to a partner's incomprehension of the pain. 38,39 These findings suggest that there is a complex interplay of factors in the life of these women, for whom prolongment of symptoms intensifies the effects of the disease, leading to permanent health injuries. This could be a reason why the popularity of complementary studies among this population of women is growing and is proving to be a viable option associated with medical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Another point to consider is sexual relationships. Many women are affected by chronic pelvic pain and by pain during intercourse, which interferes with partner relationships . Approximately 67% of women with endometriosis have relationship problems due to the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 67% of women with endometriosis have relationship problems due to the disease. In fact, the symptoms have been reported to be responsible for 7%–19% of divorces, owing to a partner's incomprehension of the pain . These findings suggest that there is a complex interplay of factors in the life of these women, for whom prolongment of symptoms intensifies the effects of the disease, leading to permanent health injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Many women are affected by chronic pelvic pain and by pain during intercourse, which interferes with partner relationships. 33,37,38 Approximately 67% of women with endometriosis have relationship problems due to the disease. In fact, the symptoms have been reported to be responsible for 7%-19% of divorces, owing to a partner's incomprehension of the pain.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Systematic review and meta‐analysis of complementary treatments for women with symptomatic endometriosis

Mira

Buen

Borges

et al. 2018

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review and meta‐analysis of complementary treatments for women with symptomatic endometriosis

Mira

Buen

Borges

et al. 2018

Intl J Gynecology & Obste

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“…27 While there are no international normative values for pain catastrophising for women with CPP, existing studies that have measured pain catastrophising on a number of measures show sample means that are significantly higher than non-pelvic pain control groups. 13,28,29 This suggests that this group may be uniquely at risk of developing CPP and for poorer outcomes after biomedical intervention.…”

mentioning

confidence: 99%

Unmet treatment needs in patients with chronic pelvic pain in a New Zealand gynaecology service

Joseph

Mills

2019

Aust NZ J Obst Gynaeco

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BACKGROUNDChronic pelvic pain (CPP) is defined as continuous or intermittent pain in the abdomen and/or pelvis lasting for at least six months. 1 Current prevalence estimates suggest one in every four to six women experience CPP, making it relatively common. 2,3 For many of these women, CPP is accompanied by high levels of distress, disability, and reduced quality of life. 2,3 The high levels of distress experienced by these women have resulted in strong lobbying for increased treatments to alleviate CPP. 2 The mainstay of such treatments has been based on traditional biomedical perspectives of pain directed toward the end Background: Chronic pelvic pain, which carries a high burden of disability and distress, is a common presentation to gynaecology clinics. While there is increasing acknowledgment of the complexity of chronic pelvic pain, and the benefits of providing management from a multidisciplinary team within a sociopsychobiomedical framework, the mainstay of management in gynaecology outpatient clinics remains within a single clinician biomedical-focused model. This model of care is only sufficient for women who present with minimal psychosocial complexity to their pain. Aims: To estimate the proportion of women attending the gynaecology outpatient clinic at a public women's hospital in New Zealand referred with chronic pelvic pain who have needs unmet by the current biomedical model of care. Informed by international research, pain catastrophising was used as a psychosocial correlate of this complexity. Methods: An audit was undertaken of 100 consecutive pre-appointment questionnaires of women, referred to a gynaecology outpatient clinic for review of pelvic pain of duration over six months, with no red flags in their referral history. Results:An unexpectedly high level of catastrophic thoughts about pain was reported. Seventy-seven percent of the women scored in the high or severe range, with 55% endorsing clinically significant scores for helpless catastrophising.Conclusions: The Pain Catastrophising Scores in this cohort were found to be higher than those in similar groups in the published international literature and also than in patients referred to the local tertiary level pain management centre, further reinforcing the need for investment into appropriate services for women with chronic pelvic pain. K E Y W O R D Scatastrophising, chronic pain, endometriosis, pain management, pelvic pain

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Association Between Mental Health and Reproductive System Disorders in Women

et al. 2023

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ImportanceReproductive system and mental health disorders are commonly comorbid in women. Although the causes of this overlap remain elusive, evidence suggests potential shared environmental and genetic factors associated with risk.ObjectiveTo investigate the comorbidity between psychiatric and reproductive system disorders, both as broad diagnostic categories and among specific pairs of diagnoses.Data SourcePubMed.Study SelectionObservational studies published between January 1980 and December 2019 assessing prevalence of psychiatric disorders in women with reproductive system disorders and prevalence of reproductive system disorders in women with psychiatric disorders were included. The study did not include psychiatric and reproductive disorders triggered by life events (eg, trauma, infection, surgery) to address potential confounding.Data Extraction and SynthesisA search yielded 1197 records, of which 50 met the inclusion criteria for the qualitative and 31 for the quantitative synthesis in our study. A random-effects model was used for data synthesis and Egger test and I2 to assess study bias and heterogeneity. Data were analyzed from January to December 2022. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline.Main Outcomes and MeasuresPsychiatric and reproductive system disorders.ResultsA total of 1197 records were identified, of which 50 met the inclusion criteria for qualitative and 31 for quantitative synthesis. Diagnosis of a reproductive system disorder was associated with a 2- to 3-fold increased odds of having a psychiatric disorder (lower bound odds ratio [OR], 2.00; 95% CI, 1.41-2.83; upper bound OR; 2.88; 95% CI, 2.21-3.76). The analysis focused on specific diagnoses described in the literature and found that polycystic ovary syndrome was associated with increased odds of depression (population-based studies OR, 1.71; 95% CI, 1.19-2.45; clinical studies OR, 2.58; 95% CI, 1.57-4.23) and anxiety (population-based studies OR, 1.69; 95% CI, 1.36-2.10; clinical studies OR, 2.85; 95% CI, 1.98-4.09). Chronic pelvic pain was also associated with both depression (OR, 3.91; 95% CI, 1.81-8.46) and anxiety (OR, 2.33; 95% CI, 1.33-4.08). Few studies investigated risk of other reproductive system disorders in women with psychiatric disorders, or reverse associations (risk of reproductive system disorder among women with a psychiatric diagnosis).Conclusions and RelevanceIn this systematic review and meta-analysis, a high rate of reported co-occurrence between psychiatric and reproductive disorders overall was observed. However, data for many disorder pairs were limited. The available literature focused overwhelmingly on affective disorders in polycystic ovary syndrome, overlooking a substantial portion of disease overlap. As such, the associations between the majority of mental health outcomes and conditions of the female reproductive system are largely unknown.

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Dyspareunia and depressive symptoms are associated with impaired sexual functioning in women with endometriosis, whereas sexual functioning in their male partners is not affected

Abstract: Not applicable.

Cited by 113 publications

References 55 publications

Systematic review and meta‐analysis of complementary treatments for women with symptomatic endometriosis

Systematic review and meta‐analysis of complementary treatments for women with symptomatic endometriosis

Unmet treatment needs in patients with chronic pelvic pain in a New Zealand gynaecology service

Association Between Mental Health and Reproductive System Disorders in Women

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