How does surgery influence female sexuality in patients with endometriosis compared to those with other benign gynecological conditions?

IF 7 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Alexandra Perricos, Manuela Gstoettner, Sahra Iklil, Florian Heinzl, Lejla Sandrieser, Jana Heine, Heinrich Husslein, Lorenz Kuessel, Christine Bekos, René Wenzl
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Abstract

Background: Endometriosis is a chronic, estrogen-dependent, benign condition, affecting 10-15% of women of reproductive age. It is associated with a prevalence of sexual dysfunction that is nearly twice as high as that seen in women with other benign gynecological conditions. Our study aimed to assess the effect of surgical intervention on sexual function, as measured by the FSFI (Female Sexual Function Index) score, in women with endometriosis compared to those with other benign gynecological conditions, both before and after surgery.

Methods: A comparative analysis was conducted at the Medical University of Vienna from 2015 to 2020. The study included patients suspected of having endometriosis, fibroids, adnexal cysts, and/or infertility. Based on findings during surgery, patients were categorized into two groups: those with endometriosis (n = 64) and control patients (n = 38). All participants completed the FSFI questionnaire before surgery and again 8 to 18 weeks after the operation.

Results: No significant differences were observed in the preoperative FSFI scores between the endometriosis patients and the control group. Similarly, no significant differences were found between the two groups in postoperative scores. However, in women diagnosed with endometriosis, surgical removal of endometriotic lesions significantly increased their full-scale FSFI score, and resulted in a significant improvement in the areas "desire" and "satisfaction". Improvements were noted in all other areas as well, though they were not statistically significant.

Conclusions: Our research indicates that the surgical removal of endometriotic lesions can lead to an improvement in sexual function, as measured by the FSFI, within 8 to 18 weeks post-surgery. This improvement was not observed in the control group, which underwent surgery for other benign gynecological issues.

与其他良性妇科疾病患者相比,手术对子宫内膜异位症患者的性行为有何影响?
背景:子宫内膜异位症是一种依赖雌激素的慢性良性疾病,影响 10-15% 的育龄妇女。子宫内膜异位症与性功能障碍有关,其发病率几乎是患有其他良性妇科疾病的妇女的两倍。我们的研究旨在评估手术干预对子宫内膜异位症妇女性功能的影响,通过女性性功能指数(FSFI)评分来衡量手术前后对性功能的影响:2015年至2020年,维也纳医科大学进行了一项对比分析。研究对象包括疑似子宫内膜异位症、子宫肌瘤、附件囊肿和/或不孕症患者。根据手术中的发现,患者被分为两组:子宫内膜异位症患者(64 人)和对照组患者(38 人)。所有参与者均在手术前填写 FSFI 问卷,并在手术后 8 至 18 周再次填写:结果:子宫内膜异位症患者和对照组患者在术前的 FSFI 评分没有明显差异。同样,两组患者的术后评分也无明显差异。不过,对于确诊患有子宫内膜异位症的妇女来说,手术切除子宫内膜异位病灶会显著提高她们的 FSFI 满分,并在 "欲望 "和 "满意度 "方面有明显改善。其他方面也都有所改善,但没有统计学意义:我们的研究表明,通过手术切除子宫内膜异位症病灶可在术后 8 至 18 周内改善性功能,以 FSFI 为衡量标准。在因其他良性妇科疾病而接受手术的对照组中,并没有观察到这种改善。
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来源期刊
BMC Medicine
BMC Medicine 医学-医学:内科
CiteScore
13.10
自引率
1.10%
发文量
435
审稿时长
4-8 weeks
期刊介绍: BMC Medicine is an open access, transparent peer-reviewed general medical journal. It is the flagship journal of the BMC series and publishes outstanding and influential research in various areas including clinical practice, translational medicine, medical and health advances, public health, global health, policy, and general topics of interest to the biomedical and sociomedical professional communities. In addition to research articles, the journal also publishes stimulating debates, reviews, unique forum articles, and concise tutorials. All articles published in BMC Medicine are included in various databases such as Biological Abstracts, BIOSIS, CAS, Citebase, Current contents, DOAJ, Embase, MEDLINE, PubMed, Science Citation Index Expanded, OAIster, SCImago, Scopus, SOCOLAR, and Zetoc.
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