Abstract：
BACKGROUND: Endometriosis affects approximately 10% of women and is associated with a range of symptoms including pelvic pain, abnormal bleeding, and painful sexual intercourse. However, very little is known about the relationship between endometriosis-related symptoms and sex.
METHODS: Women with a diagnosis of endometriosis (n = 2060; mean age = 30 years) completed a questionnaire measuring the frequency of endometriosis symptoms, dyspareunia, sexual distress, avoidance of sex, and the perceived negative impact of endometriosis symptoms on sex life.
RESULTS: In bivariate and multivariate logistic regression models with avoidance of sex and perceived negative impact of endometriosis symptoms on sex life as DVs, higher endometriosis symptom frequency, dyspareunia, and sexual distress were associated with greater avoidance of sex and higher perceived negative impact of endometriosis symptoms on sex life. With a two- and three-fold increase in the odds of avoiding sex and reporting a negative impact of endometriosis on sex lives, respectively, for each point increase in dyspareunia. Similarly, there was a 7% to 11% increase in avoidance of sex and the negative impact of endometriosis on sex lives, per one-point increase in symptom frequency and sexual distress.
CONCLUSIONS: The results highlight the considerable impacts of endometriosis symptomatology on women\'s sex lives and wellbeing. Better medical and counselling services may be needed to ameliorate the negative impact of endometriosis on women\'s sex lives.
METHODS: Women with a diagnosis of endometriosis (n = 2060; mean age = 30 years) completed a questionnaire measuring the frequency of endometriosis symptoms, dyspareunia, sexual distress, avoidance of sex, and the perceived negative impact of endometriosis symptoms on sex life.
RESULTS: In bivariate and multivariate logistic regression models with avoidance of sex and perceived negative impact of endometriosis symptoms on sex life as DVs, higher endometriosis symptom frequency, dyspareunia, and sexual distress were associated with greater avoidance of sex and higher perceived negative impact of endometriosis symptoms on sex life. With a two- and three-fold increase in the odds of avoiding sex and reporting a negative impact of endometriosis on sex lives, respectively, for each point increase in dyspareunia. Similarly, there was a 7% to 11% increase in avoidance of sex and the negative impact of endometriosis on sex lives, per one-point increase in symptom frequency and sexual distress.
CONCLUSIONS: The results highlight the considerable impacts of endometriosis symptomatology on women\'s sex lives and wellbeing. Better medical and counselling services may be needed to ameliorate the negative impact of endometriosis on women\'s sex lives.
摘要：
背景：子宫内膜异位症影响约10％的女性，并伴有一系列症状，包括盆腔疼痛，异常出血,痛苦的性交.然而,关于子宫内膜异位症相关症状与性别之间的关系知之甚少。
方法：诊断为子宫内膜异位症的女性（n=2060；平均年龄=30岁）填写了一份测量子宫内膜异位症症状频率的问卷，性交困难,性困扰,避免性行为,以及子宫内膜异位症症状对性生活的负面影响。
结果：在避免性行为和认为子宫内膜异位症症状对性生活的负面影响的双变量和多变量逻辑回归模型中，子宫内膜异位症症状频率较高，性交困难,性困扰与更多的避免性行为和更高的子宫内膜异位症症状对性生活的负面影响相关。避免性行为和报告子宫内膜异位症对性生活的负面影响的几率增加了两倍和三倍，分别,每增加一个点的性交困难。同样，避免性行为和子宫内膜异位症对性生活的负面影响增加了7%至11%，症状频率和性困扰每增加1分。
结论：结果强调了子宫内膜异位症症状学对女性性生活和健康的重要影响。可能需要更好的医疗和咨询服务来改善子宫内膜异位症对女性性生活的负面影响。
方法：诊断为子宫内膜异位症的女性（n=2060；平均年龄=30岁）填写了一份测量子宫内膜异位症症状频率的问卷，
结果：在避免性行为和认为子宫内膜异位症症状对性生活的负面影响的双变量和多变量逻辑回归模型中，
结论：结果强调了子宫内膜异位症症状学对女性性生活和健康的重要影响。
