Quality of sex life in women with endometriosis and deep dyspareunia
Quality of sex life in women with endometriosis and deep dyspareunia
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DOI：
10.1016/j.fertnstert.2004.07.973
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发表时间：
2005-03-01
影响因子：
6.7
通讯作者：
Ragni, N
中科院分区：
文献类型：
--
作者：
Ferrero, S;Esposito, F;Ragni, N
目的：了解患有子宫内膜异位症和深度性交困难 (DD) 的女性的性功能特征。设计：横断面调查。地点：大学教学医院。患者：309 名因不孕、盆腔疼痛或附件肿块而接受手术的女性。创建了三组 DD 患者：子宫骶韧带深部浸润型子宫内膜异位症女性（U 组）、无子宫骶韧带病变的子宫内膜异位症女性（E 组）和对照组（C 组）。干预（S）：腹腔镜检查。主要结果指标：性功能问卷。结果：子宫内膜异位症女性自第一次性交以来 DD 的患病率显着高于对照组。控制（P=.029）。 U组与E、C组相比，疼痛评分较高。每周性交次数减少，性高潮不太令人满意，患者在性交后感到不那么放松和满足。疼痛方面没有观察到显着差异。结论(S)：DD患者中，子宫骶韧带子宫内膜深部浸润者性功能损害最为严重；双侧病变的存在并不影响症状的严重程度。患有子宫内膜异位症的女性在整个性生活中经常遭受DD。 （Fertil Steril (R) 2005；83:573-9。(c) 2005 年，美国生殖医学会。）
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.)