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Painful sexual intercourse, quality of life and sexual function in patients with endometriosis: not just deep dyspareunia.
Del Forno, Simona; Raspollini, Arianna; Doglioli, Marisol; Andreotti, Anna; Spagnolo, Emanuela; Lenzi, Jacopo; Borghese, Giulia; Raimondo, Diego; Arena, Alessandro; Rodriguez, Elena; Hernandez, Alicia; Govoni, Francesca; Seracchioli, Renato.
Afiliación
  • Del Forno S; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
  • Raspollini A; Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, Bologna, Italy. arianna.raspollini@gmail.com.
  • Doglioli M; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy. arianna.raspollini@gmail.com.
  • Andreotti A; Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, Bologna, Italy.
  • Spagnolo E; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
  • Lenzi J; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
  • Borghese G; Department of Obstetrics and Gynecology, Hospital Universitario La Paz, Madrid, Spain.
  • Raimondo D; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
  • Arena A; Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, Bologna, Italy.
  • Rodriguez E; Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, Bologna, Italy.
  • Hernandez A; Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, Bologna, Italy.
  • Govoni F; Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
  • Seracchioli R; Department of Obstetrics and Gynecology, Hospital Universitario La Paz, Madrid, Spain.
Arch Gynecol Obstet ; 310(4): 2091-2100, 2024 10.
Article en En | MEDLINE | ID: mdl-39052076
ABSTRACT

PURPOSE:

To evaluate the prevalence of deep and superficial dyspareunia in women with diagnosis of endometriosis. Secondly, to assess the temporal relation between deep and superficial dyspareunia in women reporting both symptoms (concomitant dyspareunia) and the impact on quality of life (QoL) and sexual function.

METHODS:

This is a cross-sectional cohort study that included fertile women with diagnosis of endometriosis. Enrolled subjects reported pain symptoms including dyspareunia and its temporal onset and completed two one-time validated questionnaires regarding sexual function (Female Sexual Function Index) and QoL (International QoL Assessment SF-36).

RESULTS:

Among the 334 enrolled patients, 75.7% (95%) reported dyspareunia. Women were divided into four groups according to the presence and type of dyspareunia isolated superficial dyspareunia (6.3%), isolated deep dyspareunia (26.0%), concomitant dyspareunia (43.4%) and no dyspareunia (24.3%). Women with concomitant dyspareunia reported higher NRS scores than women with isolated dyspareunia or no dyspareunia (P ≤ 0.001). The majority of women with concomitant dyspareunia (56.6%) reported that deep dyspareunia developed before superficial dyspareunia. Women with concomitant dyspareunia reported worse QoL and worse sexual function than women with isolated dyspareunia or without dyspareunia (P ≤ 0.001).

CONCLUSION:

Dyspareunia is a common symptom in women with endometriosis, with many reporting concomitant deep and superficial dyspareunia. Concomitant dyspareunia can significantly impact sexual function and quality of life (QoL). Therefore, it is crucial to investigate dyspareunia thoroughly and differentiate between its types to tailor effective therapeutic strategies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Coito / Dispareunia / Endometriosis Límite: Adult / Female / Humans Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Coito / Dispareunia / Endometriosis Límite: Adult / Female / Humans Idioma: En Revista: Arch Gynecol Obstet Asunto de la revista: GINECOLOGIA / OBSTETRICIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania