The impact goes beyond physical pain and can compromise relationships and mental health

São Paulo, May 2026 – World Endometriosis Day, observed on May 7, draws attention to this disease that affects about 1 in 10 women of reproductive age, yet is still surrounded by misinformation and delayed diagnosis. Although often associated with severe cramping and infertility, endometriosis also has a significant impact on sex life and relationships.

Scientific studies show that between 30% and 50% of women with endometriosis report pain during sexual intercourse, a condition known as dyspareunia, according to a review published in the journal BMC Women’s Health. In many cases, this impact is even more widespread: up to 80% of patients say the disease impairs their sex lives, and more than half avoid intercourse due to pain, according to research in the *International Journal of Environmental Research and Public Health*. In addition, the study also shows that 67% of women avoid sexual intercourse because of pain, and 68% report significant sexual distress.

“Pain during intercourse is not normal and needs to be investigated. Many women live with this symptom for years without a diagnosis, which affects not only their bodies but also their self-esteem and emotional bonds,” explains Dr. Kátia Piton Serra, a gynecologist and professor at São Leopoldo Mandic.

Dyspareunia, as pain during sexual intercourse is known, may be associated with more serious underlying conditions and is often accompanied by other symptoms, such as chronic pelvic pain, bowel changes, and fatigue. Over time, recurring pain can have a significant emotional impact, directly interfering with how a woman experiences her own sexuality.

“When the pain becomes recurrent, it’s common for the brain to start anticipating this discomfort, creating a cycle of avoidance and anxiety. This can affect sexual desire, the connection with a partner, and even trigger episodes of anxiety or depression,” explains Dr. Letícia Amici, a psychiatrist and professor at São Leopoldo Mandic.

According to experts, the treatment of endometriosis must go beyond managing physical symptoms. “A multidisciplinary approach is essential, one that includes psychological support and, in some cases, sex therapy. Care must be comprehensive, taking into account the patient’s overall quality of life,” emphasizes the gynecologist.

Warning signs that should not be ignored

• Pain during sexual intercourse
• Intense, debilitating cramping
• Pelvic pain outside the menstrual period
• Changes in bowel or bladder function during the menstrual cycle

Early diagnosis is essential to prevent the disease from progressing and to reduce its impact on patients’ personal and emotional lives and relationships.

About São Leopoldo Mandic

Ranked for 15 consecutive years as one of the top ten institutions of higher education in the country according to the Ministry of Education’s General Course Index (IGC), São Leopoldo Mandic College in Campinas boasts a faculty of professors with doctoral degrees and extensive scientific publications, all graduates of the finest educational institutions in Brazil and abroad. Equipped with state-of-the-art laboratories, fully-fledged dental clinics, and practical training opportunities at affiliated hospitals and Primary Health Care Units, the institution offers students hands-on experience in the Dentistry and Medicine programs starting in the first year, as well as research activities and community service. It features realistic simulation labs, modern diagnostic and training resources, and an innovation hub, all of which serve both undergraduate and graduate programs. It also runs outreach projects such as the “Barco da Saúde” (Health Boat), which brings medical and dental care to underserved communities. São Leopoldo Mandic College is part of the Mandic Group, which has nine other graduate campuses throughout Brazil and one in Portugal. The Group also includes three additional undergraduate medical schools, located in the cities of Araras, São Paulo; Limeira, São Paulo; and the Sertão School of Medicine (FMS) in Arcoverde, Pernambuco.

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InPress Porter Novelli – mandic@inpresspni.com.br