Abstract

To describe clinical and sociodemographic characteristics of women with deep infiltrating endometriosis (DIE) and assess their quality of life (QOL) during 6 months of medical treatment. A descriptive cross-sectional study of 60 women diagnosed with DIE either by surgery or image methods (ultrasound or magnetic resonance), who received clinical treatment for at least 6 months in the Universidade de Campinas, Campinas, state of São Paulo, Brazil. Both the SF-36 and the EHP-30 questionnaires were used to assess the quality of life. The mean age of the patients was 37.7 ± 6.0 years old, with 50% presenting dysmenorrhea; 57% dyspareunia; and 50% chronic pelvic pain. The SF-36 and the EHP-30 revealed impaired quality of life. In the SF-36, the worst domains were limitation due to emotional aspects (40.2 ± 43.1) and self-esteem and disposition (46.1 ± 24.8), whereas in the EHP-30 they were social well-being (50.3 ± 30.6); infertility (48.0 ± 36.3); and sexual intercourse (54.0 ± 32.1). Although clinically treated, women with deep endometriosis present impairment in different domains of quality of life regardless of the questionnaire used for evaluation.

Highlights

  • Endometriosis is characterized by the presence of endometriotic tissue beyond the uterine cavity, mainly in the ovaries and other pelvic organs.[1]

  • Conclusion clinically treated, women with deep endometriosis present impairment in different domains of quality of life regardless of the questionnaire used for evaluation

  • We observed that women reported scores of 7.5 Æ 4.9 for dysmenorrhea, 7.4 Æ 4.9 for dyspareunia, 7.2 Æ 4.4 for chronic pelvic pain, 6.6 Æ 4.9 for pain when defecating and 5.7 Æ 0.7 for pain when urinating

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Summary

Introduction

Endometriosis is characterized by the presence of endometriotic tissue beyond the uterine cavity, mainly in the ovaries and other pelvic organs.[1]. The disease was highly relevant in the area of human reproduction, since 50% of patients diagnosed with endometriosis had some fertility disorder, due to chronic inflammation and the formation of pelvic adhesions.[7]

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