School of Arts and Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
BMC Womens Health. 2023 Apr 6;23(1):164. doi: 10.1186/s12905-023-02323-1.
Endometriosis is a complex disease that affects approximately 10% of women of childbearing age. It is characterized by the presence of endometrial-like tissue outside the uterus and often results in symptoms such as pelvic pain and infertility. This condition may disturb mental health and decrease both the mental and physical health related quality of life of women. The aim of this study was to assess the emotional state and the intimate relational aspect of life in Lebanese women living with endometriosis.
This is a case-control study that included 317 women (65 participants with endometriosis and 252 controls (1:3 ratio)). Participants completed an online survey that included questions related to endometriosis, Sexual Satisfaction Scale for Women, Couple Satisfaction Index, Perceived Partner Responsiveness Scale and the Depression, Anxiety and Stress Scale.
A significantly higher mean sexual satisfaction score was found in women without endometriosis compared to those with endometriosis (90.83 vs. 83.42; p = 0.006). No significant difference was found in terms of couple satisfaction, depression, anxiety, stress, and perceived partner responsiveness between the two groups. Higher couple satisfaction (Beta = 1.30) and perceived partner responsiveness (Beta = 0.16) were significantly associated with higher sexual satisfaction, whereas higher depression (Beta=-1.70) and having endometriosis compared to not (Beta=-6.51) were significantly associated with lower sexual satisfaction.
This study validated the link between endometriosis and sexual satisfaction and invalidated the association between endometriosis and emotional state, as well as couple satisfaction and perceived partner responsiveness. Greater sexual satisfaction was, however, linked to greater perceived partner responsiveness and greater couple satisfaction, as well as decreased signs of depression, anxiety, and stress. More research is warranted to better understand how Lebanese women are coping with the disease and how clinicians may help them further.
子宫内膜异位症是一种影响大约 10%育龄妇女的复杂疾病。其特征是子宫外存在类似子宫内膜的组织，常导致盆腔疼痛和不孕等症状。这种情况可能会干扰心理健康，降低女性的身心健康相关生活质量。本研究旨在评估黎巴嫩子宫内膜异位症患者的情绪状态和亲密关系生活方面。
这是一项病例对照研究，纳入了 317 名女性（65 名子宫内膜异位症患者和 252 名对照者（1:3 比例））。参与者完成了一项在线调查，其中包括与子宫内膜异位症、女性性满意度量表、夫妻满意度指数、感知伴侣反应量表和抑郁、焦虑和压力量表相关的问题。
无子宫内膜异位症的女性性满意度评分明显高于有子宫内膜异位症的女性（90.83 对 83.42；p=0.006）。两组间夫妻满意度、抑郁、焦虑、压力和感知伴侣反应无显著差异。夫妻满意度越高（Beta=1.30）和感知伴侣反应越高（Beta=0.16），性满意度越高，而抑郁程度越高（Beta=-1.70）和患有子宫内膜异位症（Beta=-6.51）与性满意度越低显著相关。
本研究验证了子宫内膜异位症与性满意度之间的联系，否定了子宫内膜异位症与情绪状态以及夫妻满意度和感知伴侣反应之间的关联。然而，更大的性满意度与更大的感知伴侣反应和更大的夫妻满意度相关，以及减少抑郁、焦虑和压力的迹象。需要进一步研究以更好地了解黎巴嫩妇女如何应对这种疾病，以及临床医生如何进一步帮助她们。
