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Excision of lesions may improve sexual function.(Gynecology)
CHICAGO -- Laparoscopic excision of endometriotic lesions of the uterosacral ligament improves not only deep dyspareunia but also the quality of patients' sex life, Dr. Simone Ferrero said at the annual meeting of the AAGL (formerly the American Association of Gynecologic Laparoscopists).
Pain during intercourse affects 60%-79% of women with endometriosis who undergo surgery.
Among women who have deep dyspareunia, those with deep infiltrating endometriosis of the uterosacral ligament have the most severe impairment of their sexual function.
The presence of bilateral lesions on the uterosacral ligament does not influence the severity of symptoms, said Dr. Ferrero of San Martino Hospital and the University of Genoa, Italy.
He presented a prospective study in which 64 women with deep dyspareunia were surveyed before surgical excision of endometriotic lesions and 1 year after surgery using a questionnaire based on the sexual satisfaction subscale of the Derogatis Sexual Functioning Inventory, additional questions regarding the characteristics of dyspareunia, the Global Sexual Satisfaction Index, and a 100-mm visual analog scale to measure the intensity of dyspareunia.
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