Endometriosis Symptomatology, Dyspareunia, and Sexual Distress Are Related to Avoidance of Sex and Negative Impacts on the Sex Lives of Women with Endometriosis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Procedure
2.3. Materials
2.3.1. Endometriosis Symptomatology
2.3.2. The Biberoglu and Behrman Scale (B&B)
2.3.3. The Female Sexual Distress Scale-Revised (FSDS-R)
2.3.4. Avoidance of Sex and Impact on Sex Life
2.4. Statistical Analysis
3. Results
3.1. Descriptives
3.2. Bivariate Correlations
3.3. Multivariate Logistic Regression Models
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics (n = 2060) | Mean ± SD | Range |
Age in years | 30.49 ± 7.25 | 18–62 |
Age of diagnosis | 24.65 ± 6.53 | 10–49 |
Age of onset of symptoms | 16.85 ± 5.54 | 8–45 |
Delay in diagnosis (years) | 7.78 ± 6.20 | 0–40 |
Years with a diagnosis | 5.54 ± 5.88 | 0–36 |
Sexually active (n = 2054) | Frequency | Percent |
Yes | 1958 | 95.3% |
No | 96 | 4.7% |
Sex per month (n = 1796) | Mean ± SD | Range |
Sexual intercourse episodes per month | 5.52 ± 5.81 | 0–50 |
Sexual Distress (n = 1691) | Mean ± SD | Range |
FSDS-R | 25.84 ± 13.74 | 0–52 |
Avoidance of sex (n = 1744) | Frequency | Percent |
Yes | 1177 | 67.5% |
No | 567 | 32.5% |
Perceived negative impact on sex (n = 1652) | Frequency | Percent |
Yes | 1327 | 80.3% |
No | 325 | 19.7% |
Sexual orientation (n = 2057) | Frequency | Percent |
Heterosexual | 1844 | 89.6% |
Gay/lesbian | 47 | 2.3% |
Bisexual | 134 | 6.5% |
Other | 32 | 1.6% |
Relationship status (n = 2058) | Frequency | Percent |
Single | 381 | 18.5% |
Dating | 102 | 5.0% |
Committed relationship | 489 | 23.8% |
Married | 785 | 38.1% |
De facto | 272 | 13.2% |
Divorced | 26 | 1.3% |
Widowed | 3 | 0.1% |
Age | Years with a Diagnosis | Symptom Frequency | Dyspareunia | Sexual Distress | Avoidance of Sex | Perceived Negative Impact on Sex Life | |
---|---|---|---|---|---|---|---|
Age | - | ||||||
Years with a diagnosis | 0.43 ** | - | |||||
Symptom frequency | −0.14 ** | 0.01 | - | ||||
Dyspareunia | −0.14 ** | −0.04 | 0.37 ** | - | |||
Sexual distress | −0.12 ** | −0.05 * | 0.32 ** | 0.53 ** | - | ||
Avoidance of Sex | −0.01 | −0.03 | 0.28 ** | 0.46 ** | 0.50 ** | - | |
Perceived Negative Impact on Sex Life | 0.08 ** | −0.01 | 0.27 ** | 0.44 ** | 0.49 ** | 0.61 ** | - |
Avoidance of Sex | |||
Variables | OR (95% CI) | adjOR (95% CI) | Sig |
Age | 0.99 (0.98–1.01) | 1.04 (1.04–1.06) | p = 0.001 |
Years with a diagnosis | 0.99 (0.98–1.01) | 0.98 (0.95–1.00) | p = 0.08 |
Symptom frequency | 1.20 (1.16–1.23) | 1.07 (1.03–1.12) | p = 0.002 |
Dyspareunia | 3.74 (3.20–4.37) | 2.39 (1.99–2.88) | p = 0.000 |
Sexual distress | 1.10 (1.09–1.12) | 1.08 (1.07–1.09) | p = 0.000 |
Nagelkerke R2 = 0.42 for full model | |||
Perceived Negative Impact on Sex Life | |||
Variables | OR (95% CI) | adjOR (95% CI) | Sig |
Age | 0.97 (0.96–0.99) | 1.01 (0.98–1.04) | p = 0.37 |
Years with a diagnosis | 0.99 (0.97–1.01) | 0.99 (0.96–1.02) | p = 0.47 |
Symptom frequency | 1.23 (1.18–1.27) | 1.07 (1.02–1.13) | p = 0.01 |
Dyspareunia | 4.80 (3.95–5.85) | 2.76 (2.18–3.50) | p = 0.000 |
Sexual distress | 1.14 (1.12–1.15) | 1.11 (1.09–1.13) | p = 0.000 |
Nagelkerke R2 = 0.49 for full model |
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Privitera, G.; O’Brien, K.; Misajon, R.; Lin, C.-Y. Endometriosis Symptomatology, Dyspareunia, and Sexual Distress Are Related to Avoidance of Sex and Negative Impacts on the Sex Lives of Women with Endometriosis. Int. J. Environ. Res. Public Health 2023, 20, 3362. https://doi.org/10.3390/ijerph20043362
Privitera G, O’Brien K, Misajon R, Lin C-Y. 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. 2023; 20(4):3362. https://doi.org/10.3390/ijerph20043362
Chicago/Turabian StylePrivitera, Georgia, Kerry O’Brien, RoseAnne Misajon, and Chung-Ying Lin. 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, no. 4: 3362. https://doi.org/10.3390/ijerph20043362