(HealthDay News) – Women with deep infiltrating endometriosis (DIE) who undergo laparoscopic excision and postoperative combined oral contraceptive (COC) therapy have improved postoperative sexual function, according to a study published online Feb. 9 in The Journal of Sexual Medicine.

Mohamed Mabrouk, MD, of the University of Bologna in Italy, and colleagues conducted a prospective study of 106 women with DIE to evaluate the impact of laparoscopic excision and postoperative COC therapy on sexual function.

The researchers found a significant improvement in the Sexual Health Outcomes in Women Questionnaire (SHOW-Q) domains of pelvic problem interference, sexual satisfaction, and desire (P<0.05), six months after surgery and postoperative COC treatment. Data showed little change in the orgasm area of sexual functioning through laparoscopic management of DIE (P=0.7). There was no significant difference in the SHOW-Q scores for women submitted to intestinal resection or module excision (P>0.05).

“Sexual desire, satisfaction with sex and pelvic problem interference with intercourse are significantly improved after six months from laparoscopic excision of DIE combined with postoperative COC therapy,” the authors write. “No difference in sexual outcomes was detected between patients submitted to intestinal resection and nodule excision.”

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