Vol 95, No 5 (2024)
Research paper
Published online: 2024-01-17

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The impact of endometriosis on the quality of women’s life

Grazyna Baczek1, Marta Mietus2, Julia Klimanek3, Urszula Tataj-Puzyna4, Zofia Sienkiewicz5, Grazyna Dykowska6, Aneta Duda-Zalewska7, Justyna Teliga-Czajkowska1
Pubmed: 38334348
Ginekol Pol 2024;95(5):356-364.

Abstract

Objectives: Endometriosis is a disease that involves the ectopic growth of the endometrial tissue outside the uterine cavity. Its average occurrence is about 10% of women of reproductive age. Making a diagnosis of the disease is commonly long-lasting and ambiguous due to the wide variety and intensity of symptoms.

The aim of the study is to determine factors affecting the quality of life of women struggling with endometriosis.

Material and methods: A cross-sectional study was conducted using a diagnostic survey method with the use of the author's questionnaire and the WHOQOL-BREF questionnaire. The study population included 650 people (group with endometriosis — 361 women and group without endometriosis — 289 women).

Results: In the group of women with endometriosis, the mean age was significantly higher (31.87 vs 24.99). Difficulties with conception were significantly more common (51.67%) in the endometriosis group compared to 5.52% in the non-endometriosis group. In each area, the quality of life of women with endometriosis was significantly lower (p = 0.000). Women with the history of the disease of over 3 years significantly more often complained of dyspareunia (p = 0.048), bladder pain (p = 0.01) and lower back pain (p = 0.029).

Conclusions: Endometriosis significantly reduces women's quality of life. Factors that deteriorate the quality of life of women with endometriosis include severe pain, infertility, dyspareunia and reduced satisfaction in various spheres of life (somatic, mental, social). More research is necessary to improve the quality of life of women with endometriosis.

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References

  1. Ratti M, Lampis A, Ghidini M, et al. MicroRNAs (miRNAs) and Long Non-Coding RNAs (lncRNAs) as New Tools for Cancer Therapy: First Steps from Bench to Bedside. Target Oncol. 2020; 15(3): 261–278.
  2. Marianowski P, Szymusik I, Hibner M, et al. [Proteomics in endometriosis]. Ginekol Pol. 2013; 84(10): 877–881.
  3. Zondervan KT, Becker CM, Koga K, et al. Endometriosis. Nat Rev Dis Primers. 2018; 4(1): 9.
  4. Andysz A, Jacukowicz A, Merecz-Kot D, et al. Endometriosis - The challenge for occupational life of diagnosed women: A review of quantitative studies. Med Pr. 2018; 69(6): 663–671.
  5. Drews K, Barlik M, Łukaszewski T. [Conservative treatment of endometriosis]. Ginekol Pol. 2012; 83(3): 209–213.
  6. Raimondo D, Mabrouk M, Zannoni L, et al. Severe ureteral endometriosis: frequency and risk factors. J Obstet Gynaecol. 2018; 38(2): 257–260.
  7. Roman H, Bubenheim M, Huet E, et al. Conservative surgery versus colorectal resection in deep endometriosis infiltrating the rectum: a randomized trial. Hum Reprod. 2018; 33(1): 47–57.
  8. Mignemi G, Facchini C, Raimondo D, et al. A case report of nasal endometriosis in a patient affected by Behcet's disease. J Minim Invasive Gynecol. 2012; 19(4): 514–516.
  9. Bień A, Rzońca E, Zarajczyk M, et al. Quality of life in women with endometriosis: a cross-sectional survey. Qual Life Res. 2020; 29(10): 2669–2677.
  10. Chen FY, Wang Xi, Tang RY, et al. New therapeutic approaches for endometriosis besides hormonal therapy. Chin Med J (Engl). 2019; 132(24): 2984–2993.
  11. Polak G, Banaszewska B, Filip M, et al. Environmental Factors and Endometriosis. Int J Environ Res Public Health. 2021; 18(21).
  12. Jacko J. Opieka nad pacjentkami z endometriozą – wytyczne ESHRE, Nowy Gabinet Ginekologiczny 2/2022. https://e-ginekologia.pl/index.php/aktualnosci/59-dowiedziono/3489-pacjentki-z-endometrioz%C4%85.html, https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Endometriosis-guideline.
  13. Jaracz K, Kalfoss M, Górna K, et al. Quality of life in Polish respondents: psychometric properties of the Polish WHOQOL-Bref. Scand J Caring Sci. 2006; 20(3): 251–260.
  14. Sims OT, Gupta J, Missmer SA, et al. Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay. Int J Environ Res Public Health. 2021; 18(15).
  15. Surrey E, Soliman AM, Trenz H, et al. Impact of Endometriosis Diagnostic Delays on Healthcare Resource Utilization and Costs. Adv Ther. 2020; 37(3): 1087–1099.
  16. Facchin F, Buggio L, Dridi D, et al. The Subjective Experience of Dyspareunia in Women with Endometriosis: A Systematic Review with Narrative Synthesis of Qualitative Research. Int J Environ Res Public Health. 2021; 18(22).
  17. Warzecha D, Szymusik I, Wielgos M, et al. The Impact of Endometriosis on the Quality of Life and the Incidence of Depression-A Cohort Study. Int J Environ Res Public Health. 2020; 17(10).
  18. Della Corte L, Di Filippo C, Gabrielli O, et al. The Burden of Endometriosis on Women's Lifespan: A Narrative Overview on Quality of Life and Psychosocial Wellbeing. Int J Environ Res Public Health. 2020; 17(13).
  19. Laganà AS, La Rosa VL, Rapisarda AM, et al. Anxiety and depression in patients with endometriosis: impact and management challenges. Int J Womens Health. 2017; 9: 323–330.
  20. Leuenberger J, Kohl Schwartz AS, Geraedts K, et al. Living with endometriosis: Comorbid pain disorders, characteristics of pain and relevance for daily life. Eur J Pain. 2022; 26(5): 1021–1038.
  21. Panel P, Huchon C, Estrade-Huchon S, et al. Bladder symptoms and urodynamic observations of patients with endometriosis confirmed by laparoscopy. Int Urogynecol J. 2016; 27(3): 445–451.
  22. Roman H, Tuech JJ, Huet E, et al. Corrigendum. Excision versus colorectal resection in deep endometriosis infiltrating the rectum: 5-year follow-up of patients enrolled in a randomized controlled trial. Hum Reprod. 2020; 35(3): 736.
  23. Mettler L, Ruprai R, Alkatout I. Impact of medical and surgical treatment of endometriosis on the cure of endometriosis and pain. Biomed Res Int. 2014; 2014: 264653.
  24. Scavone M, Gizzi C, Albi E. Relationship between Symptoms in Women with Endometriosis and Lifestyles: a Qualitative Interview Study. The EuroBiotech Journal. 2020; 4(4): 178–183.
  25. Bourdel N, Chauvet P, Billone V, et al. Systematic review of quality of life measures in patients with endometriosis. PLoS One. 2019; 14(1): e0208464.
  26. Škegro B, Bjedov S, Mikuš M, et al. Endometriosis, Pain and Mental Health. Psychiatr Danub. 2021; 33(Suppl 4): 632–636.