• Grazielly Karen Silva, Cristina Laguna Benetti-Pinto, and Daniela Angerame Yela.
• Universidade Estadual de Campinas, School of Medical Sciences, Department of Gynecology and Obstetrics - Campinas (SP), Brazil.
• Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (9): e20230241e20230241.

ObjectiveThe aim of this study was to associate the degree of infiltration of rectovaginal septum endometriosis with dyspareunia and sexual function.MethodsA cross-sectional study was carried out with 127 women followed up at a tertiary hospital from March 2021 to March 2022. The women's sociodemographic and clinical conditions and dyspareunia were evaluated. The sexual function was evaluated by the Female Sexual Function Index.ResultsA total of 53 women with type I, 37 with type II, and 37 with type III rectovaginal septum endometriosis were evaluated. The women had a mean age of 38.76±6.63 years and a mean body mass index of 27.62±5.11 kg/m2. The mean time of diagnosis of endometriosis was 6.94±4.98 years. On average, the study participants engaged in sexual activity/intercourse 1.88±1.25 times per week. There was no difference between the dyspareunia score (p=0.822) and sexual function (p=0.174) according to the types of rectovaginal septum endometriosis. Overall, 93.7% of the women with endometriosis had sexual dysfunction. There was no correlation between the degree of rectovaginal septum endometriosis infiltration with dyspareunia (r=0.05; p=0.55) or sexual function (r=0.07; p=0.39).ConclusionWomen with endometriosis have impaired sexual function, regardless of the degree of endometriosis infiltration.

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