Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
Division of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 13, Bologna, Italy.
Arch Gynecol Obstet. 2024 Oct;310(4):2091-2100. doi: 10.1007/s00404-024-07643-7. Epub 2024 Jul 25.
To evaluate the prevalence of deep and superficial dyspareunia in women with diagnosis of endometriosis. Secondly, to assess the temporal relation between deep and superficial dyspareunia in women reporting both symptoms (concomitant dyspareunia) and the impact on quality of life (QoL) and sexual function.
This is a cross-sectional cohort study that included fertile women with diagnosis of endometriosis. Enrolled subjects reported pain symptoms including dyspareunia and its temporal onset and completed two one-time validated questionnaires regarding sexual function (Female Sexual Function Index) and QoL (International QoL Assessment SF-36).
Among the 334 enrolled patients, 75.7% (95%) reported dyspareunia. Women were divided into four groups according to the presence and type of dyspareunia: isolated superficial dyspareunia (6.3%), isolated deep dyspareunia (26.0%), concomitant dyspareunia (43.4%) and no dyspareunia (24.3%). Women with concomitant dyspareunia reported higher NRS scores than women with isolated dyspareunia or no dyspareunia (P ≤ 0.001). The majority of women with concomitant dyspareunia (56.6%) reported that deep dyspareunia developed before superficial dyspareunia. Women with concomitant dyspareunia reported worse QoL and worse sexual function than women with isolated dyspareunia or without dyspareunia (P ≤ 0.001).
Dyspareunia is a common symptom in women with endometriosis, with many reporting concomitant deep and superficial dyspareunia. Concomitant dyspareunia can significantly impact sexual function and quality of life (QoL). Therefore, it is crucial to investigate dyspareunia thoroughly and differentiate between its types to tailor effective therapeutic strategies.
评估诊断为子宫内膜异位症的女性中深部和浅部性交痛的患病率。其次，评估同时报告深部和浅部性交痛的女性（同时性交痛）中这两种症状之间的时间关系，以及对生活质量（QoL）和性功能的影响。
这是一项横断面队列研究，纳入了诊断为子宫内膜异位症的生育期女性。纳入的受试者报告了疼痛症状，包括性交痛及其发病时间，并完成了两个一次性的关于性功能（女性性功能指数）和 QoL（国际 QoL 评估 SF-36）的验证问卷。
在 334 名入组患者中，75.7%（95%）报告有性交痛。根据性交痛的存在和类型，女性被分为四组：单纯浅部性交痛（6.3%）、单纯深部性交痛（26.0%）、同时性交痛（43.4%）和无性交痛（24.3%）。同时有性交痛的女性比仅有性交痛或无性交痛的女性报告的 NRS 评分更高（P ≤ 0.001）。大多数同时有性交痛的女性（56.6%）报告深部性交痛先于浅部性交痛出现。同时有性交痛的女性比仅有性交痛或无性交痛的女性报告 QoL 更差，性功能更差（P ≤ 0.001）。
性交痛是子宫内膜异位症女性的常见症状，许多女性报告同时有深部和浅部性交痛。同时性交痛会显著影响性功能和生活质量（QoL）。因此，彻底调查性交痛并区分其类型以制定有效的治疗策略至关重要。
