title: [Female sexuality after surgical treatment of symptomatic deep pelvic endometriosis].
abstract: OBJECTIVE
  The aim of this study is to assess the impact on sexuality of the surgical treatment in patients with symptomatic deep pelvic endometriosis.
  
  
  METHODS
  The design is a single-center cohort prospective study including all patients with symptomatic pelvic endometriosis and regular sexual activity who underwent surgery between October 2009 and September 2010. Sexual function was evaluated by the "Brief Index of Sexual Functioning for Women" (BISF-W) questionnaire translated and validated in French, including a global evaluation by the Composite Score (CS). Pain symptoms related to endometriosis were evaluated by the Visual Analog Scale (VAS) and the simple Verbal Rating Scale (VRS). Questionnaires were answered before surgery. A standardized mid and long-term postoperative follow-up was performed to compare sexuality and pain symptoms.
  
  
  RESULTS
  Twenty women were included in the study. Mean follow-up was 23.3 months. When compared to a French reference population, global preoperative sexual function was significatively deteriorated (CS=14.3±10.8 vs 32.2±12.6; P<0.001), especially for arousal, frequency of sexual activity, pleasure and orgasm. Significant improvements in sex life were observed after surgery at the long-term follow-up (CS=33.0±11.7 vs 14.3±10.8; P=0.02). and sexual function was similar to the reference population (CS=33.0±11.7 vs 32.2±12.6; P=0.806). At the mid-follow-up, a significant improvement in the intensity of dysmenorrhoea, non-cyclic pelvic pain, dyspareunia and bowel symptoms were observed on the VAS. At the long-term follow-up, dysmenorrhoea and dyspareunia were significatively ameliorated. Pelvic pain recurrence related to endometriosis was 13.3%.
  
  
  CONCLUSIONS
  Surgical management of deep pelvic endometriosis in symptomatic patients improves sexual life at the long term follow-up. Deep dyspareunia pain decreases significantly, although other conditions are involved in the improvement of sexual function.
authors.affiliation: Service d'obstétrique et de chirurgie gynécologique, centre hospitalier Lyon-Sud, 165 chemin du Grand-Revoyet, Pierre-Bénite cedex, France. neajdubuisson@yahoo.fr
authors.forename: J
authors.initials: J
authors.lastname: Dubuisson
authors.forename: M
authors.initials: M
authors.lastname: Pont
authors.forename: P
authors.initials: P
authors.lastname: Roy
authors.forename: F
authors.initials: F
authors.lastname: Golfier
authors.forename: D
authors.initials: D
authors.lastname: Raudrant
mesh_terms: D000291:Adnexal Diseases / Q000150:complications* / Q000601:surgery*; D000328:Adult; D015331:Cohort Studies; D004412:Dysmenorrhea / Q000628:therapy; D004414:Dyspareunia / Q000628:therapy; D004715:Endometriosis / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000628:therapy; D017699:Pelvic Pain / Q000628:therapy; D011247:Pregnancy; D011446:Prospective Studies; D012735:Sexual Dysfunction, Physiological / Q000209:etiology / Q000628:therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome