title: Quality of sex life in endometriosis patients with deep dyspareunia before and after laparoscopic treatment.
abstract: OBJECTIVE
  The present work aims at showing how dyspareunia linked to endometriosis can affect the life of fertile age women and how surgical treatment of endometriosis can relieve painful symptoms and consequently improve sex and social life.
  
  
  METHODS
  From a cohort of 320 women with a clinical and instrumental diagnosis of pelvic endometriosis, 67 patients were selected. These patients had deep dyspareunia that underwent laparoscopic surgical treatment. All the patients had filled out a pre- and post-surgery questionnaire.
  
  
  RESULTS
  Six months after laparoscopic treatment, a significant reduction of dyspareunia was recorded, per VAS scores. A statistically significant improvement in sex life was observed between the pre- and post-surgical condition: in particular, an increased number of coituses and of non-difficult coituses, a higher number of patients who declared that pain did not negatively affect sexual pleasure and of patients achieving orgasm.
  
  
  CONCLUSIONS
  The quality of the sex life in patients with endometriosis and dyspareunia showed significant improvement 6 months after laparoscopic treatment. In view of the diagnostic delay characterizing this disease and confirmed by our results, it is essential to involve a multidisciplinary team to assess all the signs and symptoms of endometriosis that may appear in a women of fertile age. This clinical approach is able to ensure a treatment that is as personalized as possible and an appropriate follow-up also with the objective of preserving reproductive performance.
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Lukic
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy. matilde.diproperzio@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Di Properzio
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: De Carlo
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Nobili
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Schimberni
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Bianchi
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Prestigiacomo
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Moscarini
authors.affiliation: Department of Surgical and Medical Sciences and Translational Medicine, Faculty of Medicine and Psicology, "Sapienza", University of Rome, Sant'Andrea Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Caserta
mesh_terms: D000328:Adult; D003075:Coitus; D057210:Delayed Diagnosis; D004414:Dyspareunia / Q000209:etiology* / Q000523:psychology; D004715:Endometriosis / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D009948:Orgasm; D017699:Pelvic Pain / Q000209:etiology / Q000601:surgery*; D011788:Quality of Life; D012725:Sexual Behavior; D020018:Sexual Dysfunctions, Psychological / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Chronic pelvic pain; Dyspareunia; Endometriosis; Female sexual disorders; Quality of sex life