Journal
FERTILITY AND STERILITY
Volume 83, Issue 3, Pages 573-579Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.fertnstert.2004.07.973
Keywords
dyspareunia; endometriosis; female sexual dysfunction; sexuality; uterosacral ligament
Categories
Ask authors/readers for more resources
Objective: To characterize sexual function among women with endometriosis and deep dyspareunia (DD). Design: Cross-sectional survey. Setting: University teaching hospital. Patient(s): Three-hundred nine women undergoing surgery because of infertitity, pelvic pain, or adnexal masses. Three groups of patients with DD were created: women with deep infiltrating endometriosis of the uterosacral ligament (group U), women with endometriosis without uterosacral ligament lesions (group E), and controls (group C). Intervention(S): Laparoscopy. Main Outcome Measure(s): Sexual function questionnaire. Result(s): The prevalence of DD since the first intercourse was significantly higher among women with endometriosis than in controls (P=.029). When group U was compared with group E and C, the pain score was higher. the number of intercourses per week was reduced, the orgasm was less satisfying, and the patients felt less relaxed and fulfilled after sex. No significant difference was observed in pain. score and coital frequency between subjects with monolateral and bilateral lesions of the uterosacral ligament. Conclusion(S): Among subjects with DD, those with deep infiltrating endometrios is of the uterosacral ligament have the most severe impairment of sexual function; the presence of bilateral lesions does not influence the severity of the symptoms. Women with endometriosis have frequently suffered DD during their entire sex lives. (Fertil Steril (R) 2005;83:573-9. (c) 2005 by American Society for Reproductive Medicine.)
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available