Purpose

Endometriosis and infertility are associated with impaired partnership and sexuality of the patients, but also of their male partners. Also, endometriosis is one of the most common causes of infertility, resulting in a large overlap of both pathologies. The aim of this study was to determine the association of different predictors of partnership and sexual satisfaction and dyadic effects in couples with endometriosis and infertility.

Methods

A cross-sectional study was conducted with n = 62 women with endometriosis and n = 46 partners, including a total of n = 44 couples, some of whom were affected by infertility. The questionnaire included items on partnership, sexuality, depression, social support, and desire for a child. Multiple linear regression and the actor-partner-interdependence-model were used for analysis.

Results

Significant dyadic effects only occurred in couples with both endometriosis and infertility. Depression showed a significant negative actor effect in men for partnership satisfaction and a negative actor and partner effect in women for sexuality satisfaction (p < .05). For women, social support showed a significant positive actor effect for partnership satisfaction (p < .05), age showed a significant actor and partner effect for sexuality satisfaction (p < .05).

Conclusion

The results show a significant association of endometriosis and infertility with partnership and sexuality satisfaction. Infertility could be a decisive factor. However, the large overlapping of both endometriosis und infertility in many couples support the importance of further studies to differentiate between the both effects.

Trial registration

German Clinical Trials Register DRKS00014362 on the 29.03.2018.

中文翻译：

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受子宫内膜异位症和不孕症影响的夫妇的伴侣关系和性满意度的预测因素以及二元效应

目的

子宫内膜异位症和不孕症与患者及其男性伴侣的伴侣关系和性行为受损有关。此外，子宫内膜异位症是不孕症最常见的原因之一，导致两种病理有很大的重叠。本研究的目的是确定伴侣关系和性满意度的不同预测因素以及患有子宫内膜异位症和不孕症的夫妇的二元效应之间的关联。

方法

一项横断面研究对 62 名患有子宫内膜异位症的女性和 46 名伴侣进行了一项横断面研究，其中总共包括 44 对夫妇，其中一些夫妇患有不孕症。调查问卷包括关于伴侣关系、性行为、抑郁、社会支持和对孩子的渴望等项目。使用多元线性回归和行动者-伙伴-相互依赖模型进行分析。

结果

显着的二元效应仅发生在同时患有子宫内膜异位症和不孕症的夫妇中。抑郁症对男性的伴侣满意度具有显着的负面行为者效应，对女性的性满意度具有显着的负面行为者和伴侣效应（p < .05）。对于女性来说，社会支持对伙伴关系满意度表现出显着的积极演员效应（p < .05），年龄对性满意度表现出显着的演员和伴侣效应（p < .05）。

结论

结果表明，子宫内膜异位症和不孕症与伴侣关系和性满意度存在显着相关性。不孕不育可能是一个决定性因素。然而，许多夫妇中子宫内膜异位症和不孕症的大量重叠支持了进一步研究以区分这两种影响的重要性。

试用注册

德国临床试验于 2018 年 3 月 29 日注册 DRKS00014362。