When sex is not on fire: a prospective multicentre study evaluating the short-term effects of radical resection of endometriosis on quality of sex life and dyspareunia
| Autor: | Gernot Hudelist, Dietmar Haas, Ayman Tammaa, Monika Wölfler, Uwe Ulrich, Stefan P. Renner, Peter Oppelt, Nadja Fritzer, Daniela Hornung |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Sexual Behavior Vaginal Diseases Endometriosis Personal distress Human sexuality Personal Satisfaction Peritoneal Diseases Young Adult 03 medical and health sciences 0302 clinical medicine Germany Surveys and Questionnaires medicine Humans Interpersonal Relations Prospective Studies Sexual Dysfunctions Psychological Prospective cohort study Gynecology 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology Middle Aged medicine.disease Sexual Dysfunction Physiological Distress Sexual intercourse Dyspareunia Treatment Outcome Reproductive Medicine Austria 030220 oncology & carcinogenesis Sex life Female Laparoscopy business Sexual function |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 197:36-40 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/j.ejogrb.2015.11.007 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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