Abstract
Aim of the study was to investigate the effect of an educational intervention on quality of life and sexual function in women with endometriosis. Design: Quasi experimental time series research design. Setting: obstetrics and gynecology outpatient clinic affiliated to Benha University Hospital and Benha teaching Hospital. Sample: A purposive sample of 138 women diagnosed with endometriosis was eligible in the study and assigned equally into study and control groups. Tools for data collection: A structured interviewing questionnaire, Endometriosis Health Profile Questionnaire-30 and Sexual Health Outcomes in Women Questionnaire. Results: There was no statistically significant difference between both groups regarding demographic and obstetrical characteristics (p ˃ 0.05). Before implementation of educational intervention, the mean scores of total EHP-30 and SHOW-Q showed impaired quality of life and sexual function in the both groups (p ˃ 0.05). After one and two months of educational intervention implementation, mean total score of EHP-30 was significantly lowered in the study group compared with the control group. The mean scores of satisfaction, orgasm, and desire subscales were significantly higher in study group compared with control group. Whereas, the mean score of the pelvic problem interference subscale was significantly lower in study group compared with control group (p ≤ 0.001). Conclusion: The educational intervention about endometriosis has significant effect on the improvement of women's quality of life and sexual function. Recommendation: Provide health educational program for women with endometriosis to improve quality of life as well as sexual function.
Highlights
Endometriosis is one of the most common gynecological diseases and is defined as a chronic disorder characterized by the ectopic presence of functional endometrial tissue, glands, and stroma outside the uterine cavity (Greene et al 2016)
This study aimed to investigate the effect of an educational intervention on quality of life and sexual function in women with endometriosis
The finding of the current study revealed that the mean age of the study and control groups was 32.29 ±2.58 and 31.54 ± 2.91 years respectively
Summary
Endometriosis is one of the most common gynecological diseases and is defined as a chronic disorder characterized by the ectopic presence of functional endometrial tissue, glands, and stroma outside the uterine cavity (Greene et al 2016). Endometriosis affects approximately 10% of child bearing women. Endometriosis is of considerable importance both directly in terms of its potentially negative impact on women affected by the condition and indirectly on healthcare systems and society (Culley et al 2013; Ferreira et al 2016). Endometriosis affects women of reproductive age with various signs and symptoms as; chronic pelvic pain, infertility, dysmenorrhea, dyspareunia, abdominal pain, fatigue, sexual dysfunction, dysuria, dysphasia and loss of healthy and active body conditions (Montanari et al 2013). Endometriosis can be staged I-IV (I-minimal, II-mild, III-moderate, and IV severe) according to the American Society of Reproductive Medicine, based on; the location, extent, and depth of endometrial implants, a presence and severity of adhesions and size of ovarian endometriom (Giuliani, 2016)
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