Does Endometriosis Affect Relationships, Sex, and Emotional Well-being? Doctor Shares Inputs

Endometriosis is a painful gynecological disease in which tissue similar to the uterine lining grows outside the uterus. A chronic condition, its symptoms are heavy or irregular vaginal bleeding, excruciating pain, and fatigue, among others. As per experts, getting pregnant also becomes difficult, and no available cure means it keeps coming back if not properly contained through treatment. All this means that endometriosis has the potential to affect various facets of the woman's life, including intimate relationships and emotional well-being. Dr. Smeet Patel, endometriosis specialist, Mayflower Women’s Hospital, Ahmedabad, shares more.

How Endometriosis Affects Relationships

Dr. Patel says, "Among the many distressing symptoms of endometriosis, dyspareunia, or painful intercourse, is one of the most challenging and disruptive...For women suffering from this condition, physical intimacy can become a source of dread rather than pleasure, placing a heavy emotional strain on both them and their partners."

When the sexual needs are not getting fulfilled, "the impact goes beyond the bedroom," he adds. Since the man may not be able to comprehend the emotional and physical upheaval his partner is going through, he may feel rejected or frustrated. The woman may feel the same because of expectations, further widening the emotional gap, Dr. Patel highlights.

That aside, women suffering from endometriosis "may also grapple with feelings of inadequacy, guilt, or fear that they are letting their partner down, causing them to withdraw emotionally. The psychological toll can be overwhelming, as it impacts self-esteem and can lead to anxiety and depression," adds the doctor.

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A 2021 Study Underlines How Endometriosis Impacts Relationships

The same observations were underlined in a 2021 study titled Psychological Morbidity in Endometriosis: A Couple’s Study, points out Dr. Patel. As per the research, "women who experience painful intercourse due to dyspareunia reported lower sexual satisfaction and a decreased frequency of sexual activity. This reduction in intimacy is strongly associated with heightened psychological morbidity, which in turn affects the mental health of both the individual with endometriosis and their partner. As intimacy diminishes, emotional disconnect can set in, leaving both partners feeling isolated and misunderstood."

Moreover, the study underlined that many women "with this condition report constant feelings of anxiety about their future, as they face an unpredictable cycle of flare-ups and ongoing pain." This results in depression coupled with confusion and vulnerability due to a lack of clear remedy.

"Partners may also struggle with their emotional well-being, finding it difficult to support someone living with chronic pain while dealing with their feelings of helplessness," the study stated.

Dr. Patel concludes that the ramifications of endometriosis clearly go beyond the physical pain. "It is one that deeply affects emotional well-being and relationships. Open communication between partners is essential for navigating these challenges, and greater awareness is needed to foster understanding and compassion for those living with this invisible illness."

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