title: [Psychology and sexology are essential, from diagnosis to comprehensive care of endometriosis].
abstract: Endometriosis, defined by the presence of endometrial tissue outside the uterine cavity, is a common but often under diagnosed pathology. The clinical manifestations are varied (chronic pelvic pain, urinary or gastrointestinal symptoms) and can sometimes be very frustrated, delaying the diagnosis. This delay in diagnosis can be a high source of stress responsible for an important psychological impact in these patients, having a sense of misunderstanding and neglect of the medical profession. This climate of stress and anxiety can cause alteration of behavior including sexual disorders. In addition, endometriosis can be revealed as part of an infertility evaluation, and the patient and the couple can already be affected by this situation. The clinical and psychological impact of endometriosis inevitably leads to an impairment of patient's quality of life and sexuality. The objective of this article is to show the psychological consequences of endometriosis and its impact on sexuality, in order to highlight this essential aspect for a comprehensive care of patients.
authors.affiliation: Service de gynécologie médico-chirurgicale, hôpital Jeanne-de-Flandre, CHU, 59037 Lille cedex, France.
authors.forename: A
authors.initials: A
authors.lastname: Leroy
authors.affiliation: Service de gynécologie médico-chirurgicale, hôpital Jeanne-de-Flandre, CHU, 59037 Lille cedex, France; Université de Lille, faculté de médecine, 59000 Lille, France.
authors.forename: H
authors.initials: H
authors.lastname: Azaïs
authors.affiliation: Service de gynécologie médico-chirurgicale, hôpital Jeanne-de-Flandre, CHU, 59037 Lille cedex, France; Université de Lille, faculté de médecine, 59000 Lille, France.
authors.forename: C
authors.initials: C
authors.lastname: Garabedian
authors.affiliation: Service d'orthogénie et médecine du couple, hôpital Jeanne-de-Flandre, CHU, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Bregegere
authors.affiliation: Service de gynécologie médico-chirurgicale, hôpital Jeanne-de-Flandre, CHU, 59037 Lille cedex, France; Université de Lille, faculté de médecine, 59000 Lille, France.
authors.forename: C
authors.initials: C
authors.lastname: Rubod
authors.affiliation: Service d'orthogénie et médecine du couple, hôpital Jeanne-de-Flandre, CHU, avenue Eugène-Avinée, 59037 Lille cedex, France. Electronic address: francis.collier@chru-lille.fr.
authors.forename: F
authors.initials: F
authors.lastname: Collier
mesh_terms: D004715:Endometriosis / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007247:Infertility, Female; D017699:Pelvic Pain; D011788:Quality of Life; D044347:Sexology; D019529:Sexuality / Q000523:psychology*
keywords: Douleur pelvienne; Endometriosis; Endométriose; Fertility; Fertilité; Pelvic pain; Psychologie; Psychology; Sexuality; Sexualité