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Evaluating the Link Between Self-Reported Endometriosis and Female Sexual Dysfunction.

Juliana M Kling1, Summer Ghaith2, Taryn Smith3

  • 1Division of Women's Health Internal Medicine, Mayo Clinic, Scottsdale/Phoenix, AZ, USA; Mayo Clinic Women's Health, Rochester, MN, USA.

The Journal of Sexual Medicine
|August 15, 2022
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Summary
This summary is machine-generated.

Endometriosis increases the risk of female sexual dysfunction (FSD) but only in premenopausal women. Healthcare providers should assess sexual function in premenopausal women with endometriosis.

Keywords:
EndometriosisFemale sexual dysfunctionMenopausePelvic pain

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Area of Science:

  • Reproductive Medicine
  • Women's Health
  • Sexual Health

Background:

  • Endometriosis is associated with an increased risk of female sexual dysfunction (FSD).
  • Understanding this association is crucial for women's health and quality of life.

Purpose of the Study:

  • To evaluate the relationship between self-reported endometriosis and FSD.
  • To stratify this association based on menopausal status.

Main Methods:

  • Cross-sectional analysis of sexually active women (aged 18-90) from 2015-2021.
  • FSD determined by combined Female Sexual Function Index and Female Sexual Distress Scale-Revised scores.
  • Multivariable logistic regression models adjusted for various demographic, clinical, and psychosocial factors.

Main Results:

  • 57.2% of women met criteria for FSD; 8.7% reported endometriosis.
  • Women with endometriosis were more likely to have FSD, but this was significant only in premenopausal women (OR 2.30-2.74).
  • The association between endometriosis and FSD was not significant in peri- or postmenopausal women.

Conclusions:

  • The risk of FSD associated with endometriosis is dependent on menopausal status.
  • Endometriosis significantly increases FSD odds exclusively in premenopausal women.
  • Healthcare providers should consider evaluating sexual function in premenopausal women diagnosed with endometriosis.