Deep Dyspareunia, Superficial Dyspareunia, and Infertility Concerns Among Women With Endometriosis: A Cross-Sectional Study

Autor: Kate J. Wahl, MSc, Natasha L. Orr, MSc, Michelle Lisonek, Heather Noga, MA, Mohamed A. Bedaiwy, PhD, Christina Williams, MD, Catherine Allaire, MD, Arianne Y. Albert, PhD, Kelly B. Smith, PhD, Susan Cox, PhD, Paul J. Yong, PhD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Sexual Medicine, Vol 8, Iss 2, Pp 274-281 (2020)
Druh dokumentu: article
ISSN: 2050-1161
DOI: 10.1016/j.esxm.2020.01.002
Popis: Introduction: Deep dyspareunia is a cardinal symptom of endometriosis, and as many as 40% of people with this condition experience comorbid superficial dyspareunia. Aim: To evaluate the relationship between sexual pain and infertility concerns among women with endometriosis. Methods: This is a cross-sectional study conducted at a university-based tertiary center for endometriosis. 300 reproductive-aged participants in the prospective Endometriosis Pelvic Pain Interdisciplinary Cohort (ClinicalTrials.gov Identifier: NCT02911090) with histologically confirmed endometriosis were included (2013–2017). Main Outcome Measure: The total score on the infertility concerns module of the Endometriosis Health Profile-30 categorized into 5 groups (0, 1–4, 5–8, 9–12, 13–16). Results: The odds of infertility concerns did not increase with severity of deep dyspareunia (odds ratio = 1.02, 95% CI: 0.95–1.09, P = .58). However, the odds of infertility concerns increased with severity of superficial dyspareunia (odds ratio = 1.09, 95% CI: 1.02–1.16, P = .011); this relationship persisted after adjusting for endometriosis-specific factors, infertility risk factors, reproductive history, and demographic characteristics (adjusted odds ratio [AOR] = 1.14, 95% CI: 1.06–1.24, P
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