Endometriosi e sessualità

Endometriosi e sessualità

Endometriosi e sessualità Endometriosi colpisce la donna 6 volte Endometriosis and sexuality The perception is biased Numerous articles describe sexual problems in women with endometriosis. The perception of a causal relationship between endometriosis and sexuality and pain during intercourse however is highly biased and more often wrong than right. The 6 insults to the sexual life of women with endometriosis and the 6 mistakes Pain during intercourse due to endometriosis It is well established, and clinically obvious that a deep endometriosis nodule between vagina, uterus and bowel can cause severe pain during intercourse. It also is clear that cystic ovarian endometriosis, especially when situated low in the pouch of Douglas can cause pain during intercourse (1-4). Also typical lesions in the utero-sacral ligaments can cause discomfort. This pain is reproduced by clinical exam and during ultrasound (5) otherwise the diagnosis is wrong. This obviously affects endometriosis and sexuality. Mistake 1 : A frequent mistake is the conclusion that pain during intercourse is caused by endometriosis when in a women with subtle or typical endometriosis, the pain during intercourse cannot be reproduced during gynaecological exam or transvaginal ultrasound exam. It is highly unlikely that this pain is caused by endometriosis. Pain during intercourse not due to endometriosis There are many other reasons for pain during intercourse such as introital pain, hymenal pain, pain in the episiotomy scar or in another vaginal scar, pain due to a retro-flected uterus and sometimes adenomyosis. In addition pain the abdominal wall, and sceletal pain (sacro ileac joint) after intercourse are often described as sexual pain. Mistake 2 : not performing a thorough exam to...

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