[Psychology and sexology are essential, from diagnosis to comprehensive care of endometriosis]

Gynecol Obstet Fertil. 2016 Jun;44(6):363-7. doi: 10.1016/j.gyobfe.2016.03.017. Epub 2016 May 20.
[Article in French]

Abstract

Endometriosis, defined by the presence of endometrial tissue outside the uterine cavity, is a common but often under diagnosed pathology. The clinical manifestations are varied (chronic pelvic pain, urinary or gastrointestinal symptoms) and can sometimes be very frustrated, delaying the diagnosis. This delay in diagnosis can be a high source of stress responsible for an important psychological impact in these patients, having a sense of misunderstanding and neglect of the medical profession. This climate of stress and anxiety can cause alteration of behavior including sexual disorders. In addition, endometriosis can be revealed as part of an infertility evaluation, and the patient and the couple can already be affected by this situation. The clinical and psychological impact of endometriosis inevitably leads to an impairment of patient's quality of life and sexuality. The objective of this article is to show the psychological consequences of endometriosis and its impact on sexuality, in order to highlight this essential aspect for a comprehensive care of patients.

Keywords: Douleur pelvienne; Endometriosis; Endométriose; Fertility; Fertilité; Pelvic pain; Psychologie; Psychology; Sexuality; Sexualité.

MeSH terms

  • Endometriosis / diagnosis
  • Endometriosis / psychology*
  • Endometriosis / therapy
  • Female
  • Humans
  • Infertility, Female
  • Pelvic Pain
  • Quality of Life
  • Sexology*
  • Sexuality / psychology*