Female sexual dysfunction in patients with endometriosis: Indian scenario

Abstract

BACKGROUND:Female sexual dysfunction (FSD) in Indian women is often overlooked due to cultural beliefs and considered as social taboos. Sexuality is an important and integral part of life. There are many causes of sexual dysfunction, but the prevalence of FSD in endometriotic patients is still underdiagnosed.MATERIALS AND METHODS:Study design - Cross-sectional observational study conducted at tertiary care center, from June 2015 to March 2016. Sample size - Fifty-one patients in reproductive age group (18–47 years) who were diagnosed with endometriosis on diagnostic laparoscopy were included. Methods - FSD was assessed with a detailed 19-item female sexual function index questionnaire. All six domains of sexual dysfunction, i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain were studied. Exclusion - Patients with other gynecological, medical or surgical history were excluded.RESULTS:Out of 51 patients with endometriosis, 47.06% of patients had sexual dysfunction. With the increase in staging of endometriosis, sexual dysfunction prevalence is also rising. FSD was 100% in patients with severe endometriosis as compared to 33.33% in minimal endometriosis.CONCLUSION:Every individual deserves good sexual life. The sexual dysfunction associated with endometriosis should also be taken into consideration while managing these patients.

Effect of an Educational Intervention on Quality of Life and Sexual Function in Women with Endometriosis

“…The finding of the current study revealed that the mean age of the study and control groups was 32.29 ± 2.58 (range: 27 to 41 years) and 31.54 ± 2.91 years (range: 26 to 45 years) respectively. This was nearly congruent with Rasheed et al (2010) who found no statistically significant difference between the two groups as regards the mean Mishra et al (2016) reported that the mean age of women was 28.51 ± 5.15 years. Also El-Maraghy et al (2017) reported that the mean age of the women with endometriosis was 37.3 years (range: 24 to 45 years).…”

Effect of sex education on sexual function and sexual quality of life in women with endometriosis: A quasi‐experimental study

“…Mishra et al 28 reported an FSD rate of 47.06%, and a rise in sexual dysfunction with increasing stages of endometriosis. The rate of FSD increased from 33.33% in patients with minimal endometriosis to 100% in those with severe endometriosis 28 . The difference in FSD rates between the latter study and ours might be explained by the fact that the majority of patients in the present study had severe endometriosis.…”

“…These data are supported by two other studies, in which 70%-75% of women with endometriosis had FSD. 26,27 Mishra et al 28 reported an FSD rate of 47.06%, and a rise in sexual dysfunction with increasing stages of endometriosis. The rate of FSD increased from 33.33% in patients with minimal endometriosis to 100% in those with severe endometriosis.…”

Female Sexual Dysfunctions and Urogynecological Complaints: A Narrative Review

“…For instance, a retrospective investigation found a link between profound dyspareunia and bladder discomfort [ 21 ]. Additionally, in a prospective investigation, it was shown that painful bladder syndrome and levator ani tenderness, unrelated to tenderness at other anatomic locations, were associated with more severe deep dyspareunia [ 22 ]. The role of interstitial cystitis and stress urinary incontinence on dyspareunia are shown in the next sections of this review.…”

“…Unfortunately, no therapy method examined thus far has shown to ameliorate sexual dysfunction in the IC/BPS population. Although sexual dysfunction is more common in IC/BPS patients than in controls, it has been suggested that treating the condition alone may not be enough to address the multiple causes of sexual dysfunction [ 22 ].…”