Sexual Function of Patients with Deep Endometriosis after Surgical Treatment: A Systematic Review

Graziele Vidoto Cervantes, Paulo Ayroza Ribeiro, Mariana Carpenedo Tomasi, Daniela Farah, Helizabet Salomão Abdalla Ayroza Ribeiro
Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2023 · vol. 45(11) , pp. e729–e744 · doi:10.1055/s-0043-1772596 · PMID:38029775 · W4389117161
review OA: diamond CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This systematic review of 20 studies found that laparoscopic surgery is effective in improving sexual function and reducing dyspareunia in women with deep infiltrating endometriosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This systematic review evaluated the impact of surgical treatment on sexual function and dyspareunia in women with deep infiltrating endometriosis, using preoperative-versus-postoperative comparative studies with standardized, validated questionnaires. Searches in PubMed, EMBASE, LILACS, and Web of Science (to December 2022) identified 20 studies, predominantly involving videolaparoscopic excision, with risk of bias assessed via the Newcastle-Ottawa scale or Cochrane tools for randomized trials. The authors report that no meta-analysis was possible because of substantial heterogeneity across studies, including differences in surgical approaches and outcome measures, although the included studies were selected based on the same general focus on sexual quality of life. This paper is centrally about endometriosis — it systematically reviews how surgery affects sexual function and dyspareunia in patients with deep endometriosis.

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Abstract

OBJECTIVE: To review the current state of knowledge on the impact of the surgical treatment on the sexual function and dyspareunia of deep endometriosis patients. DATA SOURCE: A systematic review was conducted in accordance with the Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines. We conducted systematic searches in the PubMed, EMBASE, LILACS, and Web of Science databases from inception until December 2022. The eligibility criteria were studies including: preoperative and postoperative comparative analyses; patients with a diagnosis of deep endometriosis; and questionnaires to measure sexual quality of life. STUDY SELECTION: Two reviewers screened and reviewed 1,100 full-text articles to analyze sexual function after the surgical treatment for deep endometriosis. The risk of bias was assessed using the Newcastle-Ottawa scale for observational studies and the Cochrane Collaboration's tool for randomized controlled trials. The present study was registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration CRD42021289742). DATA COLLECTION: General variables about the studies, the surgical technique, complementary treatments, and questionnaires were inserted in an Microsoft Excel 2010 (Microsoft Corp., Redmond, WA, United States) spreadsheet. SYNTHESIS OF DATA: We included 20 studies in which the videolaparoscopy technique was used for the excision of deep infiltrating endometriosis. A meta-analysis could not be performed due to the substantial heterogeneity among the studies. Classes III and IV of the revised American Fertility Society classification were predominant and multiple surgical techniques for the treatment of endometriosis were performed. Standardized and validated questionnaires were applied to evaluate sexual function. CONCLUSION: Laparoscopic surgery is a complex procedure that involves multiple organs, and it has been proved to be effective in improving sexual function and dyspareunia in women with deep infiltrating endometriosis.

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Condition tags

mesh:D004414mesh:D004715endometriosisdie_deep_infiltratingdyspareunia

MeSH descriptors

Dyspareunia Dyspareunia Dyspareunia Dyspareunia Dyspareunia Dyspareunia Dyspareunia Dyspareunia Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Female Female Female

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (41)

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