Sexual function and quality of life in patients affected by deep infiltrating endometriosis: current evidence and future perspectives


Endometriosis is one of the most common gynecological diseases and has an incidence of approximately 6%-10% in women of reproductive age. Deep infiltrating endometriosis (DIE) is considered the most aggressive form of endometriosis and is defined as a lesion that penetrates for more than 5 mm under the peritoneal surface. It has been demonstrated that DIE is associated with pelvic pain symptoms, and the intensity of pain is correlated with the depth of infiltration. Other symptoms are dysmenorrhea, deep dyspareunia, and painful defecation and urination. These symptoms are strongly associated with a significant reduction of the quality of life and a marked impairment of sexual function in the affected women. Therefore, a multidisciplinary approach and psychological support for women affected by DIE appear mandatory in order to reduce the impact of the disease on quality of life and sexual function as much as possible.

J Endometr Pelvic Pain Disord 2017; 9(4): 270 - 274

Article Type: POINT OF VIEW



Salvatore Giovanni Vitale, Valentina Lucia La Rosa, Amerigo Vitagliano, Marco Noventa, Federica Maria Laganà, Antonino Ardizzone, Agnese Maria Chiara Rapisarda, Milan M. Terzic, Sanja Terzic, Antonio Simone Laganà

Article History


Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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  • Unit of Gynecology and Obstetrics, Department of Human Pathology in Adulthood and Childhood “G. Barresi,” University of Messina, Messina - Italy
  • Unit of Psychodiagnostics and Clinical Psychology, University of Catania, Catania - Italy
  • Department of Woman and Child Health, University of Padua, Padua - Italy
  • School of Psychology, University of Messina, Messina - Italy
  • Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania - Italy
  • Department of Medicine, Nazarbayev University, School of Medicine, Astana - Kazakhstan
  • Department of Gynecology, National Research Center of Mother and Child Health, University Medical Center, Astana - Kazakhstan

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