ArticleBMC women's health2020
Influential factors on sexual function in infertile women with endometriosis: a path analysis.
Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Impact of combined oral contraceptives and progestin-only pills on psychological and sexual well-being of women with endometriosis: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2026Pooled it
- Understanding the impact of endometriosis on women's life: an integrative review of systematic reviews.BMC women's health · 2024Pooled it
- Quality of life in women with endometriosis in Portugal: a cross-sectional study on the roles of social support and sexual satisfaction.Health psychology report · 2026Article
- Experiences related to sexual function among women with endometriosis: perspectives of women and healthcare providers in Iran.Reproductive health · 2025Article
- Non-menstrual pelvic symptoms and women's quality of life: a cross-sectional observational study.PloS one · 2025Observational
- Sleep disorders in patients with endometriosis; a cross-sectional study.BMC women's health · 2024Article
- A comprehensive interventional program to improve the sexual function of women with endometriosis: a mixed-methods protocol study.Reproductive health · 2024Article
- Association between depression and endometriosis using data from NHANES 2005-2006.Scientific reports · 2023Article
- Sexual function and sexual satisfaction in individuals undergoing infertility: A systematic review.International journal of reproductive biomedicine · 2023Review
- New Understanding of Diagnosis, Treatment and Prevention of Endometriosis.International journal of environmental research and public health · 2022Review
- Endometriosis and Sexual Functioning: How Much Do Cognitive and Psycho-Emotional Factors Matter?International journal of environmental research and public health · 2022Article
- The State of Health and the Quality of Life in Women Suffering from Endometriosis.Journal of clinical medicine · 2022Review
- Endometriosis-A Multifaceted Problem of a Modern Woman.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndometriosis have a negative influence on women's sexual life. The aim of the current study was to test a conceptual model considering the interrelated role of anxiety, depression, sleep quality, physical activity, BMI, stage of endometriosis, the intensity of dyspareunia and pelvic pain on sexual function (SF) in infertile women with endometriosis. Also test the mediating role of sleep quality, anxiety, and depression.
methodIn the present cross-sectional study, 220 infertile women with a laparoscopically confirmed endometriosis were recruited. Data were collected using a socio-demographic checklist, Female Sexual Function Index (FSFI), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), Visual Analog Scale (VAS).
resultsWe found that anxiety, depression, sleep quality, BMI, level of education, stage of endometriosis, and dyspareunia have a direct effect on women's SF. In our study, sleep quality, anxiety, pelvic pain, and depression were the four major mediators that the higher scores lead to a decrease in the SF of endometriosis patients. The intensity of pelvic pain with an effect on sleep quality (SQ) and dyspareunia change women's SF. The lower level of physical activity, and higher BMI with indirect effect thorough anxiety, and SQ can worsen SF. Also, a higher level of anxiety leads to poor SQ and depression. Anxiety with both direct and indirect effect impress women's SF.
conclusionIt seems that the main risk factors for sexual dysfunction in women with endometriosis are higher rates of anxiety, depression, poor sleep quality, pelvic pain, and dyspareunia. In the care of women with endometriosis, not only laparoscopy and medical treatment should be performed but also psychotherapeutic and psychosexual help should be offered.
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