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
Summary
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.
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.
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