Evaluation of quality of life and sexual satisfaction in women suffering from chronic pelvic pain with or without endometriosis.

INTRODUCTION Chronic pelvic pain (CPP) is one of the most frequent symptoms in women of reproductive age. This is an enigmatic clinical condition that results from the complex interactions of physiological and psychological factors with direct impact on the social, marital, and professional lives of women. AIM To evaluate the quality of life and sexual satisfaction of women who suffer from CPP with or without endometriosis. METHOD Forty-nine patients who had been diagnosed with endometriosis and 35 patients with CPP diagnosed with another gynecological condition, all 84 of whom were treated at the Chronic Pelvic Pain and Endometriosis Clinic at Universidade Federal de São Paulo (UNIFESP) from January to July of 2008. The controls were 50 healthy women from the Family Planning Clinic at UNIFESP. MAIN OUTCOME MEASURES World Health Organization Quality of Life Assessment-Bref (WHOQOL-BREF) quality of life questionnaire and the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). RESULTS No statistically significant differences were observed between the groups with CPP symptoms, in either the results from the WHOQOL-BREF or in the GRISS questionnaire. In both questionnaires, differences were observed when the two groups of symptomatic women were compared with the group of healthy women. CONCLUSION CPP caused by endometriosis or other gynecological conditions leads to a significant reduction of quality of life and sexual satisfaction.

[1]  Y. Binik,et al.  History of sexual and physical abuse in women with dyspareunia: association with pain, psychosocial adjustment, and sexual functioning. , 2010, The journal of sexual medicine.

[2]  J. Rust,et al.  The GRISS: A psychometric instrument for the assessment of sexual dysfunction , 1986, Archives of sexual behavior.

[3]  R. Barbieri,et al.  Diagnosis and management of chronic pelvic pain. , 2002, The Urologic clinics of North America.

[4]  Bruno Saciloto,et al.  [Factors related to frequency of sexual activity of postmenopausal women]. , 2006, Revista da Associacao Medica Brasileira.

[5]  R. Edelmann,et al.  Short term psychological outcome of surgical intervention for endometriosis , 1993, British journal of obstetrics and gynaecology.

[6]  Francesca Esposito,et al.  Quality of sex life in women with endometriosis and deep dyspareunia. , 2005, Fertility and sterility.

[7]  A. Mounsey,et al.  Diagnosis and management of endometriosis. , 2006, American family physician.

[8]  Guilherme Bergmann Borges Vieira,et al.  Aplicação da versão em português do instrumento de avaliação de qualidade de vida da Organização Mundial da Saúde (WHOQOL-100) , 1999 .

[9]  M. Botteman,et al.  Health-Related Quality of Life Burden for Women With Endometriosis: A Literature Review , 2006 .

[10]  F. J. C. Reis,et al.  Abordagem da dor pélvica crônica em mulheres , 2006 .

[11]  E. Denny,et al.  A clinical overview of endometriosis: a misunderstood disease. , 2007, British journal of nursing.

[12]  V. F. do Amaral,et al.  Depressive symptoms, anxiety, and quality of life in women with pelvic endometriosis. , 2009, European journal of obstetrics, gynecology, and reproductive biology.

[13]  Heloisa Junqueira Fleury,et al.  Aspectos diagnósticos e terapêuticos das disfunções sexuais femininas , 2006 .

[14]  M. Broder,et al.  The Appropriateness of Recommendations for Hysterectomy , 2000, Obstetrics and gynecology.

[15]  Carlos Alberto Petta,et al.  [Evaluation of the frequency of depression in patients with endometriosis and pelvic pain]. , 2002, Revista da Associacao Medica Brasileira.

[16]  John D. Huber,et al.  "Just relax": physicians' experiences with women who are difficult or impossible to examine gynecologically. , 2009, The journal of sexual medicine.

[17]  L. Bahamondes,et al.  Quality of life in Brazilian women with endometriosis assessed through a medical outcome questionnaire. , 2004, The Journal of reproductive medicine.

[18]  M. Kuppermann,et al.  Chronic Pelvic Pain: Prevalence, Health‐Related Quality of Life, and Economic Correlates , 1996, Obstetrics and gynecology.

[19]  Manish Latthe,et al.  WHO systematic review of prevalence of chronic pelvic pain: a neglected reproductive health morbidity , 2006, BMC public health.

[20]  E. Yeni,et al.  The prevalence of sexual dysfunction and associated risk factors in women with chronic pelvic pain: a cross-sectional study , 2006, Archives of Gynecology and Obstetrics.

[21]  Max O. Curtis,et al.  A multidisciplinary approach to self care in chronic pelvic pain. , 2007, British journal of nursing.

[22]  D. Cramer,et al.  The epidemiology of endometriosis. , 2003, Progress in clinical and biological research.

[23]  B. Gillespie,et al.  Psychosocial and sexual functioning in women with vulvodynia and chronic pelvic pain. A comparative evaluation. , 2000, The Journal of reproductive medicine.

[24]  M. Abrão,et al.  Time elapsed from onset of symptoms to diagnosis of endometriosis in a cohort study of Brazilian women. , 2003, Human reproduction.

[25]  E. Denny,et al.  Endometriosis-associated dyspareunia: the impact on women's lives , 2007, Journal of Family Planning and Reproductive Health Care.

[26]  P. Spinhoven,et al.  Sexual functioning in women with chronic pelvic pain: the role of anxiety and depression. , 2010, The journal of sexual medicine.

[27]  W. Söllner,et al.  Chronic Pelvic Pain and Previous Sexual Abuse , 2000, Obstetrics and gynecology.

[28]  S. Horn,et al.  Psychosocial and economic impact of chronic pelvic pain. , 2000, Bailliere's best practice & research. Clinical obstetrics & gynaecology.

[29]  J. Rock,et al.  Pain recurrence: A quality of life issue in endometriosis , 1995, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[30]  K. Zondervan,et al.  Chronic Pelvic Pain in Women in New Zealand: Comparative Well-Being, Comorbidity, and Impact on Work and Other Activities , 2006, Health care for women international.

[31]  M. Power,et al.  Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment , 1998 .

[32]  Jennifer Gunter,et al.  Chronic Pelvic Pain: An Integrated Approach to Diagnosis and Treatment , 2003, Obstetrical & gynecological survey.

[33]  D. Barlow,et al.  Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database , 1999, British journal of obstetrics and gynaecology.

[34]  K. Vincent.  Chronic pelvic pain in women , 2009, Postgraduate medical journal.

[35]  Gelbaya Ta,et al.  Focus on Primary Care: Chronic Pelvic Pain in Women , 2001, Obstetrical & gynecological survey.

[36]  N. Phillips.  Female sexual dysfunction: evaluation and treatment. , 2000, American family physician.

[37]  F. Howard.  Chronic Pelvic Pain , 2003, Obstetrics and gynecology.

[38]  M. P. Fleck,et al.  Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref" , 2000 .

[39]  M. Teixeira,et al.  Avaliação funcional do doente com dor crônica , 2001, Revista de Medicina.