Analysis of preoperative and postoperative quality of life, sexual function, and sleep in patients with endometriosis: a prospective cohort study

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Halici B. N. A., Aktoz F., Kabakci M., KIRAN G., ÖZCAN P.

ARCHIVES OF GYNECOLOGY AND OBSTETRICS, vol.307, no.1, pp.113-120, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 307 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.1007/s00404-022-06562-9
  • Journal Name: ARCHIVES OF GYNECOLOGY AND OBSTETRICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.113-120
  • Keywords: Endometriosis, Quality of life, Sexual function, Quality of sleep, CHRONIC PELVIC PAIN, LAPAROSCOPIC EXCISION, DEEP DYSPAREUNIA, RECTOVAGINAL POUCH, WOMEN, HEALTH, IMPACT, DYSMENORRHEA, RESECTION, SURGERY
  • Bezmialem Vakıf University Affiliated: Yes

Abstract

Purpose Endometriosis affects the quality of life, sleep, and sexual life of patients due to pain. This study compared the scores of endometriosis patients in these three areas before and after surgery. Methods Patients between the ages of 18 and 60 with a prediagnosis of endometriosis were enrolled. Postoperative histopathological diagnosis of endometriosis was confirmed in all patients. This study included 56 patients who completed pre- and postoperative (three months) evaluation of quality scale questionnaires: a visual analog scale for pelvic pain, the Pittsburgh Sleep Quality Index, Morningness-Eveningness Questionnaire, Endometriosis Health Profile-30 Questionnaire, and Female Sexual Function Index were administered prior to and 3 months after each patient's surgery. Results Among the 56 female patients included in this study, statistically significant improvement was observed in pain scores, quality of life, sexual function, and sleep of all patients regardless of endometriosis stage. Conclusion Endometriosis is a disease that progresses, with increasing pain scores; it has negative effects on the quality of life, sexual function, and sleep of patients. Surgical or medical treatment can be performed considering the complaints and fertility status of the patients.