The Impact of Socioeconomic and Anamnestic Characteristics on Quality of Life and Sexual Function in Women with Endometriosis

Donato, Nadine Di; Montanari, Giulia; Benfenati, A.; Leonardi, Debora; Bertoldo, Valentina; Monti, Giorgia; Casadio, Paolo; Marca, Antonio La; Seracchioli, Renato

doi:10.5301/je.5000168

Cited by 11 publications

(9 citation statements)

References 21 publications

(36 reference statements)

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“…A difficult relationship with a partner results in a lower QoL in the physical and social relationships domains. The factors which have a significant impact on the relationship that women with endometriosis have with their partner include not only the symptoms of the condition, which affect different areas of their daily life, but also the pain they experience during sexual intercourse, as a result of which they often avoid sexual intercourse or significantly limit sexual activity [31,32].…”

Section: Discussionmentioning

confidence: 99%

Quality of life in women with endometriosis: a cross-sectional survey

et al. 2020

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Purpose The aim of the study was to assess QoL and identify and analyse its determinants in women with endometriosis. Methods The study was performed in 2019 in health centres in Lublin (Poland) on 309 women with diagnosed endometriosis. In order to verify which factors affect QoL of the study participants, regression for qualitative variables (CATREG) was used. The applied research instruments included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), the Laitinen Pain Scale, and a general questionnaire. Results The overall QoL score of the respondents was 3.30, whereas their overall perceived health score was 2.37. The highest QoL scores were found for the psychological domain 13.33, whereas the lowest QoL were found for the physical domain 11.52. Women with endometriosis have a moderate level of illness acceptance (24.64) and experience daily pain of moderate intensity (5.83). Conclusion Women with endometriosis rate their overall QoL higher than their overall perceived health. Perceived QoL in women with endometriosis is most commonly associated with their acceptance of illness, BMI, negative impact of symptoms on the relationship with the partner, and dyspareunia. To improve these women’s lives, care should also respond to the social, emotional, and sexual issues resulting from the illness. Such interventions will contribute to improved comfort and QoL among these women.

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Section: Discussionmentioning

confidence: 99%

Quality of life in women with endometriosis: a cross-sectional survey

et al. 2020

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“…Overall, there were 16 prospective observational cohort studies (48-63 ), 2 retrospective cohort studies (64, 65), 2 RCT (66, 67), one patients' preference parallel cohort study (68), and one before and after study (69). The number of subjects with endometriosis enrolled in the studies ranged from 7 (50) to 250 (60). The most used questionnaire evaluating sexual functioning was the Female Sexual Function Index (FSFI).…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…Seventeen studies examined the effects of surgery for endometriosis on female sexual functioning (48-58, 60, 61, 63-65, 68), whereas the impact of pharmacological therapy on sexual functioning was assessed in only 5 studies (59,62,66,67,69). Four studies analysed the effects of combined surgical and post-operative pharmacological treatment on sexual functioning (52,55,60,68).…”

Section: Accepted Articlementioning

confidence: 99%

“…The population examined represents another limitation, since several studies included only women with deep dyspareunia, while other articles did not provide clear information about pain severity or types of endometriotic lesions. In several studies (52,55,60) women underwent a combined surgical and postoperative hormonal treatment, such that it was not possible to clearly identify the proportion of variance explained by surgery versus hormonal therapy. Furthermore, many studies did not report whether patients underwent a pre-or postoperative hormonal treatment, which entails partial understanding of the results.…”

Section: Accepted Articlementioning

confidence: 99%

“…All women (with the exception of patients who were trying to conceive) were treated with either a continuous low-dose of oral contraceptives or oral progestin for 6 months after surgery Findings revealed worsened sexual functioning at one-month follow-up as compared with preoperative sexual functioning, which returned comparable with preoperative sexual functioning at 12-month follow-up. A statistically significant improvement one year after surgery was observed only as regards dyspareunia.Several authors have investigated the impact of surgical treatments for endometriosisand subsequent pharmacological therapies on sexual functioning(52,55,60). Ferrero et al(52) examined the effects of laparoscopic excision of endometriosis combined with a postoperative 6-month treatment with triptorelin.…”

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confidence: 99%

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