Abstract:
Background Endometriosis is a common gynecological condition in which patients often suffer from painful intercourse and irregular menstruation,leading to reduced quality of sexual life and impaired intimacy. A deeper exploration of the physical,emotional,social,and spiritual dimensions of women's experiences is necessary to provide more effective and comprehensive support for the care of endometriosis patients and their partners. Objective To systematically evaluate the sexual experience and intimate relationship changes of patients with endometriosis,and to provide reference for formulating intervention measures to improve the sexual life quality of patients with endometriosis. Methods PubMed,CINAHL,Web of Science,Embase,The Cochrane were searched for Qualitative studies on the sexual experience of patients with endometriosis in Library,Scopus,PsycINFO,CNKI.cn,Wanfang Database,VIP Database,and Chinese Biomedical Literature database were searched until October 28,2024. The literature was evaluated using JBI evidence-based Health Care Center qualitative research quality evaluation criteria,and meta-integration method was used to summarize and interpret the research results. Results A total of 10 literatures were included,51 themes were extracted,and 10 categories were summarized to form 3 integration results:Poor sexual experiences and different ways of coping;The impact of sex on intimacy in the context of illness distress;and Unmet multiple needs for maintaining healthy sexuality and intimacy. Conclusion Medical workers should pay attention to the painful sexual experience and intimate relationship changes brought by endometriosis patients,pay attention to the positive psychological experience of endometriosis patients and their partners,build a continuous medical support system,guide the establishment of a positive disease coping style,and promote the joint management of the disease by patients and their partners.