Endometriosis is a gynecological condition whose impact extends far beyond the biological realm for those living with the disease. It is a chronic condition present in 2 % to 10 % of women of reproductive age, as well as in 50 % of infertile women (Meuleman et al., 2009)¹. It is not surprising that a gynecological disease has significant consequences on patients' sexual health. Sexual dysfunctions, such as dyspareunia and orgasmic difficulties, are frequently reported in studies documenting the subject (Montanati et al., 2013; Scendei et al., 2005). The entire intimate and marital sphere can be influenced by the presence of this disease, sometimes leading to conflicts between partners and reduced marital satisfaction (Norinho et al., 2020). Medical uncertainty also weighs heavily on the mental health of patients, just like the disease itself. Various mental health disorders are often associated with endometriosis, including anxiety, depression, obsessive-compulsive disorders, and alexithymia (Cavaggioni et al., 2014; Hudelist et al., 2012). This review, therefore, focuses on the impact of endometriosis on mental and sexual health.
¹ We have exclusively used the term 'woman' to remain faithful to the data from the scientific articles presented in this review. However, it should be noted that our organization supports and promotes the inclusion of all individuals with a uterus, regardless of their gender identity, in studies related to endometriosis.
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Cavaggioni, G., Lia, C., Resta, S., Antonielli, T., Benedetti Panici, P., Megiorni, F. & Porpora, M. G. (2014). Are Mood and Anxiety Disorders and Alexithymia Associated with Endometriosis? A Preliminary Study. BioMed Research International. https://doi.org/10.1155/2014/78683
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Montanari, G., Di Donato, N., Benfenati, A., Giovanardi, G., Zannoni, L., Vicenzi, C., Solfrini, S., Mignemi, G., Villa, G., Mabrouk, M., Schioppa, C., Venturoli, S. & Seracchioli, R. (2013). Women with Deep Infiltrating Endometriosis: Sexual Satisfaction, Desire, Orgasm, and Pelvic Problem Interference with Sex. The Journal of Sexual Medicine, 10(6), 1559-1566. https://doi.org/10.1111/jsm.12133
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Vercellini, P., Frattaruolo, M. P., Somigliana, E., Jones, G. L., Consonni, D., Alberico, D. & Fedele, L. (2013). Surgical versus low-dose progestin treatment for endometriosis-associated severe deep dyspareunia II: Effect on sexual functioning, psychological status and health-related quality of life. Human Reproduction, 28(5), 1221-1230. https://doi.org/10.1093/humrep/det041
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Privitera, G., O’Brien, K., Misajon, R. & Lin, C.-Y. (2023). Endometriosis Symptomatology, Dyspareunia, and Sexual Distress Are Related to Avoidance of Sex and Negative Impacts on the Sex Lives of Women with Endometriosis. International Journal of Environmental Research and Public Health, 20(4), 3362. https://www.mdpi.com/1660-4601/20/4/3362
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