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CC BY 4.0 · Rev Bras Ginecol Obstet 2020; 42(02): 090-095
DOI: 10.1055/s-0040-1708091
Original Article
Quality of Life/Endometriosis
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Quality of Life in Women with Deep Endometriosis: A Cross-Sectional Study

Qualidade de vida de mulheres com endometriose profunda: Estudo de corte transversal
Daniela Angerame Yela 
1   Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade de Campinas, Campinas, SP, Brazil
,
Iuri de Paula Quagliato 
1   Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade de Campinas, Campinas, SP, Brazil
,
Cristina Laguna Benetti-Pinto 
1   Department of Gynecology and Obstetrics, School of Medical Sciences, Universidade de Campinas, Campinas, SP, Brazil
› Author Affiliations
Further Information

Publication History

21 August 2019

13 January 2020

Publication Date:
30 March 2020 (online)

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Abstract

Objective To describe clinical and sociodemographic characteristics of women with deep infiltrating endometriosis (DIE) and assess their quality of life (QOL) during 6 months of medical treatment.

Methods A descriptive cross-sectional study of 60 women diagnosed with DIE either by surgery or image methods (ultrasound or magnetic resonance), who received clinical treatment for at least 6 months in the Universidade de Campinas, Campinas, state of São Paulo, Brazil. Both the SF-36 and the EHP-30 questionnaires were used to assess the quality of life.

Results The mean age of the patients was 37.7 ± 6.0 years old, with 50% presenting dysmenorrhea; 57% dyspareunia; and 50% chronic pelvic pain. The SF-36 and the EHP-30 revealed impaired quality of life. In the SF-36, the worst domains were limitation due to emotional aspects (40.2 ± 43.1) and self-esteem and disposition (46.1 ± 24.8), whereas in the EHP-30 they were social well-being (50.3 ± 30.6); infertility (48.0 ± 36.3); and sexual intercourse (54.0 ± 32.1).

Conclusion Although clinically treated, women with deep endometriosis present impairment in different domains of quality of life regardless of the questionnaire used for evaluation.

Resumo

Objetivo Descrever características clínicas e sociodemográficas de mulheres com endometriose profunda infiltrativa e avaliar sua qualidade de vida dentro de 6 meses de tratamento clínico.

Métodos Estudo de corte transversal descritivo com 60 mulheres em seguimento ambulatorial na Universidade de Campinas, Campinas, SP, Brasil, com endometriose profunda infiltrativa diagnosticada por cirurgia ou métodos de imagem (ultrassonografia ou ressonância magnética), em tratamento clínico há pelo menos 6 meses. Para avaliar a qualidade de vida, foram utilizados os questionários SF-36 e EHP-30.

Resultados A média etária das mulheres foi de 37,7 ± 6,0 anos; 50% delas apresentaram dismenorreia, 57% dispareunia e 50% dor pélvica crônica. O SF-36 e o EHP-30 mostraram comprometimento da qualidade de vida destas mulheres. No SF-36, os piores domínios foram os aspectos emocionais (40,2 ± 43,1) e a autoestima e disposição (46,1 ± 24,8), enquanto que no EHP-30 foram o bem-estar social (50,3 ± 30,6), a infertilidade (48,0 ± 36,3) e as relações sexuais (54,0 ± 32,1).

Conclusão Embora tratadas clinicamente, as mulheres com endometriose profunda apresentaram comprometimento em diferentes domínios da qualidade de vida independente do questionário utilizado para avaliação.

Keywords

endometriosis - quality of life - pelvic pain - dysmenorrhea

Palavras-chave

endometriose - qualidade de vida - dor pélvica - dismenorreia

Contributors

All of the authors contributed with the project and data interpretation, the writing of the article, the critical review of the intellectual content, and with the final approval of the version to be published.


 

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