I Can’t Get No Satisfaction Deep Dyspareunia and Sexual Functioning in Women with Rectovaginal Endometriosis

Capsule:
Women with endometriosis experienced more frequent and severe deep dyspareunia and worse sexual functioning compared with women without endometriosis, whereas differences between women with diverse endometriosis forms were marginal.

Authors:
Paolo Vercellini, M.D., Edgardo Somigliana, M.D., Laura Buggio, M.D., Giussy Barbara, M.D., Maria Pina Frattaruolo, M.D., Luigi Fedele, M.D.

Volume 98, Issue 6, Pages 1503-1511.e1, December 2012

Abstract:

Objective:
To assess the impact of rectovaginal endometriosis on pain at intercourse and sexual functioning.

Design:
Case-control study.

Setting:
Academic department.

Patients:
Cases were subjects with rectovaginal endometriosis (n = 100), and controls were women with a surgical diagnosis of peritoneal and/or ovarian endometriosis (n = 100) or without endometriosis (n = 100).

Intervention:
Questionnaires (visual analogue scale [VAS] and revised Sabbatsberg Sexual Self-Rating Scale [SRS]).

Main Outcome Measures:
Frequency and severity of deep dyspareunia and sexual functioning.

Results:
Deep dyspareunia was reported by 67/100 (67%) women in the rectovaginal endometriosis group, 52/99 (53%) in the peritoneal and/or ovarian endometriosis group, and 24/93 (26%) in the non-endometriosis group. Corresponding mean  SD dyspareunia VAS scores were, respectively, 44  34, 30  32, and 13  26. Women in both endometriosis groups performed significantly worse than those in the non-endometriosis group in several SRS subdomains. No significant difference in overall SRS score was detected between women in the two endometriosis groups.

Conclusions:
Women with endometriosis experienced more frequent and severe deep dyspareunia and worse sexual functioning compared with women without endometriosis, whereas differences between women with diverse endometriosis forms were marginal.

Translate »