Abstract Objective To qualitatively describe the sexual response of patients with endometriosis treated at a reference Sexology center in Ceará, and analyze correlations between the condition and alterations in sexual well-being. Methodology This observational, cross-sectional study was based on clinical data from standardized records and routine intake questionnaires. Data from women treated between January 2021 and May 2025 were included. Exclusion criteria: incomplete records and patients under 18 years of age. Data analysis was performed using REDCap, comparing women diagnosed with endometriosis and those without the disease. Results Of 102 women, 48 had endometriosis and 54 did not. Ages ranged from 19 to 64. The endometriosis group showed reduced spontaneous desire (37.80% vs. 24.44%) but slightly higher maintenance of responsive desire (22.48% vs. 16.30%). These women also reported better vaginal lubrication (29.64% vs. 16.30%). The orgasm was less frequent (14.32% vs. 23.43%) and more often absent (10.23% vs. 10.19%), with lower satisfaction (26.61% vs. 38.70%). Dyspareunia was notably more prevalent, both superficial (36.75% vs. 24.45%) and deep (29.69% vs. 15.28%). No patient with endometriosis reported pain-free intercourse (0.0% vs. 11.20%). Conclusion Endometriosis considerably affects sexual satisfaction, even among patients already receiving sexological care. These findings highlight the importance of individualized management and the role of specialized centers in addressing sexual dysfunction in this population. Financing No conflict.
Britto et al. (Sun,) studied this question.