Analysis of preoperative and postoperative quality of life, sexual function, and sleep in patients with endometriosis: a prospective cohort study

Arch Gynecol Obstet. 2023 Jan;307(1):113-120. doi: 10.1007/s00404-022-06562-9. Epub 2022 Apr 22.


Purpose: Endometriosis affects the quality of life, sleep, and sexual life of patients due to pain. This study compared the scores of endometriosis patients in these three areas before and after surgery.

Methods: Patients between the ages of 18 and 60 with a prediagnosis of endometriosis were enrolled. Postoperative histopathological diagnosis of endometriosis was confirmed in all patients. This study included 56 patients who completed pre- and postoperative (three months) evaluation of quality scale questionnaires: a visual analog scale for pelvic pain, the Pittsburgh Sleep Quality Index, Morningness-Eveningness Questionnaire, Endometriosis Health Profile-30 Questionnaire, and Female Sexual Function Index were administered prior to and 3 months after each patient's surgery.

Results: Among the 56 female patients included in this study, statistically significant improvement was observed in pain scores, quality of life, sexual function, and sleep of all patients regardless of endometriosis stage.

Conclusion: Endometriosis is a disease that progresses, with increasing pain scores; it has negative effects on the quality of life, sexual function, and sleep of patients. Surgical or medical treatment can be performed considering the complaints and fertility status of the patients.

Keywords: Endometriosis; Quality of life; Quality of sleep; Sexual function.

MeSH terms

  • Adolescent
  • Adult
  • Endometriosis* / complications
  • Endometriosis* / surgery
  • Female
  • Humans
  • Middle Aged
  • Pelvic Pain / surgery
  • Prospective Studies
  • Quality of Life
  • Sleep
  • Surveys and Questionnaires
  • Young Adult