Surgery and the use of drugs provided reduced pain scores in patients with endometriosis but nevertheless exhibit disadvantages , such as risk of recurrence and side effects , respectively .
However , improved quality of life in these patients has been obtained with the use of conventional treatment
Endometriosis is a chronic gynecological disease characterized by sustained painful symptoms that are responsible for a decline in the quality of life of sufferers .
Conventional treatment includes surgical and pharmacological therapy aim ing at reducing painful symptoms .
This study aim ed to evaluate pain levels in women with endometriosis , focusing on the influence of conventional treatment in controlling this variable .
Treatment of endometriosis is , therefore , a challenge for gynecologists and patients , as they must select the best therapeutic approach for this disease .
Sexual functioning, quality of life and pelvic pain 12 months after endometriosis surgery including vaginal resection
Objective . To evaluate sexual function , quality of life and pelvic pain after  endometriosis surgery including vaginal resection .  Design . Prospect i ve observational study with 12 months follow up . Setting . Regional central hospital and university hospital . Population . Twenty‐two patients with deep endometriotic nodules in the posterior fornix of the vagina undergoing complete excision of endometriosis , including vaginal resection .  Methods . Sexual functioning was measured with the  McCoy Female Sexuality Question naire , quality of life  with a generic question naire  ( 15D )  and  pain  with a  10‐point visual analog scale  . Question naires were completed before and 12 months after the surgery . Main outcome measures . Changes in sexual function scores , quality ‐of‐life scores and pain . Results . Twelve months after surgery , the sexual satisfaction score was higher ( p= 0.03 ) and the sexual problems score lower ( p= 0.04 ) compared with baseline values . Health‐related quality ‐of‐life scores for discomfort and symptoms ( p= 0.001 ) , distress ( p= 0.04 ) , vitality ( p= 0.03 ) and sexual activity ( p= 0.001 ) , and the overall 15D score ( p < 0.001 ) , were significantly improved . The severity of all studied types of pain was significantly decreased ( p < 0.05 ) . Conclusions . Complete excision of endometriosis , including vaginal resection , seems to offer a significant improvement in sexual functioning , quality of life and pelvic pain in symptomatic patients with deeply infiltrating endometriotic nodules in the posterior fornix of the vagina . This surgery may be associated with complications and adverse new‐onset symptoms , and should be performed only after thorough consultation with the patient
Surgery and the use of drugs provided reduced pain scores in patients with endometriosis but nevertheless exhibit disadvantages , such as risk of recurrence and side effects , respectively .
However , improved quality of life in these patients has been obtained with the use of conventional treatment
Endometriosis is a chronic gynecological disease characterized by sustained painful symptoms that are responsible for a decline in the quality of life of sufferers .
Conventional treatment includes surgical and pharmacological therapy aim ing at reducing painful symptoms .
This study aim ed to evaluate pain levels in women with endometriosis , focusing on the influence of conventional treatment in controlling this variable .
Treatment of endometriosis is , therefore , a challenge for gynecologists and patients , as they must select the best therapeutic approach for this disease .