Effective interventions on sexual problems in women with endometriosis: A narrative review

سال انتشار: 1396
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 422

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شناسه ملی سند علمی:

ISERB03_128

تاریخ نمایه سازی: 11 خرداد 1397

چکیده مقاله:

Background: Endometriosis as a gynecological problem shows symptoms such as chronic pain, dysmenorrhea, and pain during urination and infertility. One of the most important problems encompasses sexual problems that affect marital relationships and people’s quality of life. The aim of this review article was reviewing the effective interventions on sexual problems in women with endometriosis.Methods: In this study, researchers searched Basic databases Google Scholar and then search the more specific database such as MEDLINE (via PubMed), Science Direct, and Springer. With keywords of endometriosis, chronic pelvic pain, sexual problems, therapeutic intervention, studies from 2000 to 2016 were extracted. The study population were people with the diagnosis of endometriosis with different degrees of pain. In the first phase searching, 157 articles were extracted and after reading the title and abstracts and full texts, finally 23 articles were chosen for writing the current review article.Result: Finally, the findings were organized in 2 categories and three subcategories. First category included biologic therapy (1): hormonal therapy with OCP, Cyproterone acetate, progesterone (progestin), NSAID, gonadotropin-releasing hormone agonist therapy, (2): Complementary therapies included acupuncture, massage therapy and yoga, (3): Surgical treatments included laparoscopy and second category (psychological treatments) encompass (CBT), couples counseling, group therapy based on overcoming negative automatic thoughts.Conclusion: Of biological interventions, only it is not clear whether NSAID therapy improves pain or not. Other biological factors such as gonadotropin-releasing hormone agonist therapy and complementary therapies, had a positive effect on people s sexual satisfaction. Laparoscopic treatments with follow-up period of 6 to 12 month, have an improvement role in dyspareunia, and with 2-5 follow up period have a positive effect on sexual function, pleasure, and dyspareunia, quality of sexual life and frequency of intercourse, too. Since endometriosis is dependent on biological and psychological factors, benefits of multidimensional approaches are effective in improving the sex life of women.

نویسندگان

Maryam Hajizade Valokolaee

Student Research Committee, Mazandaran University of Medical Sciences, Nasibeh Nursing and Midwifery Faculty, Sari, Iran

Maedeh Rezaei

Student Research Committee, Mazandaran University of Medical Science, Nasibeh Nursing and Midwifery Faculty, Sari, Iran

Forouzan Elyadi

Psychiatry and Behavioral Research Center, Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran