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Hum. Reprod. Advance Access published online on December 20, 2006
Human Reproduction, doi:10.1093/humrep/del465
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Deep dyspareunia and sex life after laparoscopic excision of endometriosis

S. Ferrero1, L.H. Abbamonte, M. Giordano, N. Ragni and V. Remorgida

Department of Obstetrics and Gynaecology, San Martino Hospital and University of Genoa, Genoa, Italy

1 To whom Correspondence should be addressed at: Department of Obstetrics and Gynaecology, San Martino Hospital, University of Genoa, Largo R. Benzi 1, 16132, Genoa, Italy. E-mail: simone.ferrero{at}fastwebnet.it

BACKGROUND: Among subjects with endometriosis and deep dyspareunia (DD), those with endometriosis of the uterosacral ligament (USLE) have the most severe impairment of sexual function. This study examines the effect of laparoscopic excision of endometriosis on DD and quality of sex life.

METHODS: This observational cohort prospective study included 68 women with endometriosis suffering DD (intensity of pain≥6 on a 10-cm visual analogue scale). Patients underwent laparoscopic full excision of endometriosis. Following surgery, they were asked to use nonhormonal contraception devices. Before surgery, at 6- and at 12-month follow-up, patients answered a self-administered questionnaire based on the Sexual Satisfaction Subscale of the Derogatis Sexual Functioning Inventory.

RESULTS: At 6- and 12-month follow-up, women with and without USLE had significant improvement in DD. Subjects with USLE reported increased variety in sex life, increased frequency of intercourse, more satisfying orgasms with sex, relaxing more easily during sex and being more relaxed and fulfilled after sex. Similar improvements were observed among women without USLE; however, for some variables statistical significance was not reached.

CONCLUSIONS: Surgical excision of endometriosis improves not only DD but also the quality of sex life.

Key words: deep dyspareunia/endometriosis/laparoscopy/sex life/uterosacral ligament


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