ABSTRACT

Purpose: Endometriosis is a prevalent and chronic disease in 10 % of women in reproductive ages that can affect mental and social parameters. The purpose of this research was to evaluate the effects of laparoscopic surgery on sexual function and sexual satisfaction in women with endometriosis.

Methods: This research was carried out with a pretest-posttest semi-experimental method during a three-month period. Each group was 40 patients. In these patients, sexual function and sexual satisfaction were assessed by the FSFI questionnaire and SSSW questionnaire. Data were analyzed by using SPSS 18 software, by inferential statistics and ANCOVA.

Results: The results showed sexual function 79% and sexual satisfaction 90% (p<0/05) improvement were seen.

Conclusion: To sum up, laparoscopic surgery has been effective in women with endometriosis and has improved sexual performance and sexual satisfaction.

Keywords: laparoscopic surgery, sexual function, sexual satisfaction, endometriosis.

   Download Full Text

References

[1]        Novak E, Berek JS. Novak s gynecology. Lippincott Williams & Wilkins, 2012.

[2]        Filocamo MT, Serati M, Li Marzi V, Costantini E, Milanesi M, Pietropaolo A, Polledro P, Gentile B, Maruccia S, Fornia S, Lauri I. The Female Sexual Function Index (FSFI): linguistic validation of the italian version. The journal of sexual medicine. 2014 Feb 1;11(2):447-53.

[3]        Mor MK, Sevick MA, Shields AM, Green JA, Palevsky PM, Arnold RM, Fine MJ, Weisbord SD. Sexual function, activity, and satisfaction among women receiving maintenance hemodialysis. Clinical Journal of the American Society of Nephrology. 2014 Jan 7;9(1):128-34.

[4]        McNulty JK, Wenner CA, Fisher TD. Longitudinal associations among relationship satisfaction, sexual satisfaction, and frequency of sex in early marriage. Archives of Sexual Behavior. 2016 Jan 1;45(1):85-97.

[5]        Talaee Zadeh F, Bakhtiar Poor S. Relationship between marital satisfaction and sexual satisfaction with the mental health of couples. Thought and Behavior. 2017; 10(40): 85-97. [in Persian)

[6]        6-Mishra VV, Nanda S, Gandhi K, Aggarwal R, Choudhary S, Gondhali R. Female sexual dysfunction in patients with endometriosis: Indian scenario. Journal of human reproductive sciences. 2016 Oct;9(4):250.

[7]        Di Donato N, Montanari G, Benfenati A, Monti G, Bertoldo V, Mauloni M, Seracchioli R. Do women with endometriosis have to worry about sex?. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2014 Aug 31;179:69-74.

[8]        Posadzka E, Jach R, Pityński K, Jablonski MJ. Treatment efficacy for pain complaints in women with endometriosis of the lesser pelvis after laparoscopic electroablation vs. CO2 laser ablation. Lasers in medical science. 2015 Jan 1;30(1):147-52.

[9]        Fritzer N, Tammaa A, Salzer H, Hudelist G. Dyspareunia and quality of sex life after surgical excision of endometriosis: a systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2014 Feb 28;173:1-6.

[10]      Ruffo G, Scopelliti F, Manzoni A, Sartori A, Rossini R, Ceccaroni M, Minelli L, Crippa S, Partelli S, Falconi M. Long-term outcome after laparoscopic bowel resections for deep infiltrating endometriosis: a single-center experience after 900 cases. BioMed research international. 2014 Apr 29;2014.

[11]      Vercellini P, Frattaruolo MP, Somigliana E, Jones GL, Consonni D, Alberico D, Fedele L. 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. Human reproduction. 2013 Feb 26;28(5):1221-30.

[12]      Ferrero S, Abbamonte LH, Giordano M, Ragni N, Remorgida V. Deep dyspareunia and sex life after laparoscopic excision of endometriosis. Human Reproduction. 2006 Dec 20;22(4):1142-8.

[13]      Rosen, C. Brown, J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D Agostino R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex &Marital Therapy. 2000 Apr 1;26(2):191-208.

[14]      Mohammadi K, Heidari M, Faghih Zadeh S. The validity of the Persian version of the Female Sexual Function Index-FSFI as a Female Sexual Function Index. Payesh journal. 2008; 7(3): 269-278. [in Persian]

[15]      Meston C, Trapnell P. OUTCOMES ASSESSMENT: Development and Validation of a Five‐Factor Sexual Satisfaction and Distress Scale for Women: The Sexual Satisfaction Scale for Women (SSS‐W). The journal of sexual medicine. 2005 Jan 1;2(1):66-81.

[16]      Roshan Chesli R, Mirzaei S, Nik Aeen A. Validity and Reliability of Multidimensional Sexual Satisfaction Scale for Women (SSSW) in One Sample of Iranian Women. CPAP. 2014; 2 (10):129-140. [in Persian]

[17]      Leeners B. Sexuality in Endometriosis. Endometriosis: Science and Practice. 2012:524-32.

[18]      Giuliani M, Cosmi V, Pierleoni L, Recine A, Pieroni M, Ticino A, Porpora MG, Simonelli C. Quality of life and sexual satisfaction in women suffering from endometriosis: An Italian preliminary study. Sexologies. 2016 Mar 31;25(1):e12-9.

[19]      Barbara G, Facchin F, Meschia M, Berlanda N, Frattaruolo MP, Vercellini P. When Love Hurts. A Systematic Review on the Effects of Endometriosis Surgical and Pharmacological Treatments on Female Sexual Functioning. Obstetrical & Gynecological Survey. 2017 Feb 1;72(2):87-8.

[20]      Facchin F, Barbara G, Saita E, Mosconi P, Roberto A, Fedele L, Vercellini P. Impact of endometriosis on quality of life and mental health: pelvic pain makes the difference. Journal of Psychosomatic Obstetrics & Gynecology. 2015 Oct 2;36(4):135-41.

[21]      Vitale SG, La Rosa VL, Rapisarda AM, Laganà AS. Comment on:“Impact of endometriosis on quality of life and mental health: pelvic pain makes the difference”. Journal of Psychosomatic Obstetrics & Gynecology. 2017 Jan 2;38(1):81-2.

[22]      Bonjer HJ, Deijen CL, Abis GA, Cuesta MA, van der Pas MH, de Lange-de Klerk ES, Lacy AM, Bemelman WA, Andersson J, Angenete E, Rosenberg J. A randomized trial of laparoscopic versus open surgery for rectal cancer. New England Journal of Medicine. 2015 Apr 2;372(14):1324-32.

[23]      Barbara G, Facchin F, Meschia M, Berlanda N, Frattaruolo MP, Vercellini P. When love hurts. A systematic review on the effects of surgical and pharmacological treatments for endometriosis on female sexual functioning. Acta Obstetricia et Gynecologica Scandinavica. 2017;96(6):668-87.

[24]     Dawes AJ, Maggard-Gibbons M, Maher AR, Booth MJ, Miake-Lye I, Beroes JM, Shekelle PG. Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. Jama. 2016 Jan 12;315(2):150-63.

[25]     Faramarzi M, Tale M, Khosravaniardakani S, Roosta S, Faramarzi A. Comparison of titanium versus polycel as partial ossicular replacement prosthesis: a randomized clinical trial. Iranian Journal of Otorhinolaryngology. 2021;33(116):143. (link)

[26]     Rahbari SV, Hosseinpour H, Karoobi M, Abolghasemi H, Shahabinezhad A, Khosravaniardakani S, et al. Comparison of Shiraz Trauma Transfusion Score (STTS) Potency With Common Scoring Systems for Trauma in Predicting the Short and Long Term Mortality of Injured Patients. 2021. (link)

[27]     Khosravani S, Handjani F, Alimohammadi R, Saki N. Frequency of neurological disorders in bullous pemphigoid patients: a cross-sectional study. International Scholarly Research Notices. 2017;2017.

[28]     Jedariforoughi A. Review article about developments in cancer prevention in public health in recent years. www doctmedico com. 2021.

[29]     Jedariforoughi A, Karimpour F. Reviewing Breast Cancer Prediction with machine learning in recent studies and public health perspectives. https://www doctmedico com/. 2021.

[30]     Jedariforoughi A. Social inequities in caries. Doctmedico journal. 2021;1(2):154-5.