Halici Belfin Nur Arici, Aktoz Fatih, Kabakci Meric, Kiran Gurkan, Ozcan Pinar
Faculty of Medicine, Department of Obstetrics and Gynecology, Bezmialem University, Istanbul, Turkey.
Department of Obstetrics and Gynecology, VKV American Hospital, Istanbul, Turkey.
Arch Gynecol Obstet. 2023 Jan;307(1):113-120. doi: 10.1007/s00404-022-06562-9. Epub 2022 Apr 22.
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.
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.
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.
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.
子宫内膜异位症因疼痛影响患者的生活质量、睡眠和性生活。本研究比较了子宫内膜异位症患者手术前后在这三个方面的评分。
纳入年龄在18至60岁之间、预诊断为子宫内膜异位症的患者。所有患者术后经组织病理学确诊为子宫内膜异位症。本研究纳入了56例完成术前和术后（三个月）质量量表问卷评估的患者：在每位患者手术前和术后3个月，分别使用盆腔疼痛视觉模拟量表、匹兹堡睡眠质量指数、晨型-夜型问卷、子宫内膜异位症健康概况-30问卷和女性性功能指数。
在本研究纳入的56例女性患者中，无论子宫内膜异位症处于何阶段，所有患者的疼痛评分、生活质量、性功能和睡眠均有统计学意义的改善。
子宫内膜异位症是一种会进展的疾病，疼痛评分会增加；它对患者的生活质量、性功能和睡眠有负面影响。可根据患者的主诉和生育状况进行手术或药物治疗。
