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

被引：44

作者：

Fritzer, Nadja ^{[1
]}

Tammaa, Ayman ^{[1
]}

Haas, Dietmar ^{[2
]}

Oppelt, Peter ^{[2
]}

Renner, Stefan ^{[3
]}

Hornung, Daniela ^{[4
]}

Woelfler, Monika ^{[5
]}

Ulrich, Uwe ^{[6
]}

Hudelist, Gernot ^{[7
]}

机构：

[1] Wilhelminen Hosp, Dept Obstet & Gynaecol, Ctr Endometriosis, Vienna, Austria

[2] Gen Hosp Linz, Dept Obstet & Gynaecol, Ctr Endometriosis, Linz, Austria

[3] Hosp Erlangen, Dept Obstet & Gynaecol, Ctr Endometriosis, Erlangen, Germany

[4] Univ Hosp Schleswig Holstein, Dept Obstet & Gynaecol, Ctr Endometriosis, Campus Lubeck, Holstein, Germany

[5] Med Univ Graz, Dept Obstet & Gynecol, Div Endocrinol & Reprod Med, Auenbruggerpl 14, A-8036 Graz, Austria

[6] Martin Luther Hosp Berlin, Dept Obstet & Gynaecol, Ctr Endometriosis, Berlin, Germany

[7] Hosp St John God, Dept Gynaecol, Endometriosis & Pelv Pain Clin, Vienna, Austria

来源：

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2016年 / 197卷

关键词：

Endometriosis; Dyspareunia; Surgical resection; Quality of sex life; PELVIC PAIN SYMPTOMS; INFILTRATING ENDOMETRIOSIS; INDEX FSFI; OF-LIFE; BOWEL; DISTRESS; WOMEN;

D O I：

10.1016/j.ejogrb.2015.11.007

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

引用

页码：36 / 40

页数：5

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