Abstract
Endometriosis is a chronic and progressive disease affecting 1 out of 10 women during reproductive years. The interaction between endometriosis and endometriosis-associated pain is complex, and deep dyspareunia is only a part of global sexual dysfunction. Sexual dysfunction has not yet fully investigated in this group of patients, especially in case of deep infiltrated endometriosis. Surgical and medical treatments may improve sexual dysfunction, although further studies are needed. In this chapter we are dealing with the complex problem of sexual dysfunction of endometriotic patients, using an evidence-based approach.
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References
Meana M, Binik I, Khalife S, Cohen D (1998) Affect and marital adjustment in women’s rating of dyspareunic pain. Can J Psychiatry 43:381–385
Desrosiers M, Bergeron S, Meana M, Leclerc B, Binik YM, Khalifè S (2008) Psychosexual characteristics of vestibulodynia couples: partner solicitousness and hostility are associated with pain. J Sex Med 5:418–427
Wexman SE, Tripp DA, Flamenbaum R (2008) The mediating role of depression and negative partner responses in chronic low back pain and relationship satisfaction. J Pain 9:434–442
Vercellini P, Somigliana E, Buggio L, Barbara G, Frattaruolo MP, Fedele L (2012) “I can’t get no satisfaction”: deep dyspareunia and sexual functioning in women with rectovaginal endometriosis. Fertil Steril 98:1503.e1–1511.e1
Vercellini P, Meana M, Hummelshoj L, Somigliana E, Viganò P, Fedele L (2011) Priorities for endometriosis research: a proposed focus on deep dyspareunia. Reprod Sci 18:114–118
Koninckx PR, Martin D (1994) Treatment of deeply infiltrating endometriosis. Curr Opin Obstet Gynecol 6:231–241
Fauconnier A, Chapron C, Dubuisson JB, Vieira M, Dousset B, Bréart G (2002) Relation between pain symptoms and the anatomic location of deep infiltrating endometriosis. Fertil Steril 78:719–726
Ferrero S, Esposito F, Abbamonte LH, Anserini P, Remorgida V, Ragni N (2005) Quality of sex life in women with endometriosis and deep dyspareunia. Fertil Steril 83:573–579
Montanari G, Di Donato N, Benfenati A, Giovanardi G, Zannoni L, Vicenzi C, Solfrini S, Mignemi G, Villa G, Mabrouk M, Schioppa C, Venturoli S, Seracchioli R (2013) Women with deep infiltrating endometriosis: sexual satisfaction, desire, orgasm, and pelvic problem interference with sex. J Sex Med 10:1559–1566
Fritzer N, Haas D, Oppelt P, Renner S, Hornung D, Wölfler M, Ulrich U, Fischerlehner G, Sillem M, Hudelist G (2013) More than just bad sex: sexual dysfunction and distress in patients with endometriosis. Eur J Obstet Gynecol Reprod Biol 169:392–396
Jia SZ, Leng JH, Sun PR, Lang JH (2013) Prevalence and associated factors of female sexual dysfunction in women with endometriosis. Obstet Gynecol 121:601–606
Sepulcri Rde P, do Amaral VF (2009) Depressive symptoms, anxiety, and quality of life in women with pelvic endometriosis. Eur J Obstet Gynecol Reprod Biol 142:53–56
Ferrero S, Abbamonte LH, Giordano M, Ragni N, Remorgida V (2007) Deep dyspareunia and sex life after laparoscopic excision of endometriosis. Hum Reprod 22:1142–1148
Dubernard G, Piketty M, Rouzier R, Houry S, Bazot M, Darai E (2006) Quality of life after laparoscopic colorectal resection for endometriosis. Hum Reprod 21:1243–1247
Darai E, Dubernard G, Coutant C, Frey C, Rouzier R, Ballester M (2010) Randomized trial of laparoscopically assisted versus open colorectal resection for endometriosis: morbidity, symptoms, quality of life, and fertility. Ann Surg 251:1018–1023
Setälä M, Härkki P, Matomäki J, Mäkinen J, Kössi J (2012) Sexual functioning, quality of life and pelvic pain 12 months after endometriosis surgery including vaginal resection. Acta Obstet Gynecol Scand 91:692–698
Kössi J, Setälä M, Mäkinen J, Härkki P, Luostarinen M (2013) Quality of life and sexual function 1 year after laparoscopic rectosigmoid resection for endometriosis. Colorectal Dis 15:102–108
Vercellini P, Pietropaolo G, De Giorgi O, Pasin R, Chiodini A, Crosignani PG (2005) Treatment of symptomatic rectovaginal endometriosis with an estrogen-progestogen combination versus low-dose norethindrone acetate. Fertil Steril 84:1375–1387
Vercellini P, Trespidi L, Colombo A, Vendola N, Marchini M, Crosignani PG (1993) A gonadotropin releasing hormone agonist versus a low-dose oral contraceptives for pelvic pain associated with endometriosis. Fertil Steril 60:75–79
Strowitzki T, Marr J, Gerlinger C, Faustmann T, Seitz C (2010) Dienogest is as effective as leuprolide acetate in treating the painful symptoms of endometriosis: a 24-week, randomized, multicentre, open-label trial. Hum Reprod 25:633–641
Vercellini P, Frattaruolo MP, Somigliana E, Jones GL, Consonni D, Alberico D, Fedele L (2013) Surgical versus low-dose progestin treatment for endometriosis-associated severe deep dyspareunia II: effect on sexual functioning, psychological status and health-related quality of life. Hum Reprod 28:1221–1230
Ferrero S, Abbamonte LH, Parisi M, Ragni N, Remorgida V (2007) Dyspareunia and quality of sex life after laparoscopic excision of endometriosis and postoperative administration of triptorelin. Fertil Steril 87:227–229
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© 2015 International Society of Gynecological Endocrinology
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Drakopoulos, P., Wenger, JM., Petignat, P., Pluchino, N. (2015). Effects on Sexual Function of Medical and Surgical Therapy for Endometriosis. In: Fauser, B.C.J.M., Genazzani, A.R. (eds) Frontiers in Gynecological Endocrinology. ISGE Series. Springer, Cham. https://doi.org/10.1007/978-3-319-09662-9_11
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DOI: https://doi.org/10.1007/978-3-319-09662-9_11
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