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However, the odds of infertility concerns increased with severity of superficial dyspareunia (odds ratio = 1.09, 95% CI: 1.02\u20131.16, P = .011); this relationship persisted after adjusting for endometriosis-specific factors, infertility risk factors, reproductive history, and demographic characteristics (adjusted odds ratio [AOR] = 1.14, 95% CI: 1.06\u20131.24, P &amp;lt; .001). Other factors in the model independently associated with increased infertility concerns were previous difficulty conceiving (AOR = 2.09, 95% CI 1.04\u20134.19, P = .038), currently trying to conceive (AOR = 5.23, 95% CI 2.77\u20139.98, P &amp;lt; .001), nulliparity (AOR = 3.21, 95% CI 1.63\u20136.41, P &amp;lt; .001), and younger age (AOR = 0.94, 95% CI: 0.89\u20130.98, P = .005).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Severity of superficial dyspareunia, but not deep dyspareunia, was associated with increased odds of infertility concerns among women with endometriosis. Strengths of the study included the use of a validated measure of infertility concerns and disaggregation of sexual pain into deep and superficial dyspareunia. Limitations included the setting of a tertiary center for pelvic pain, which affects generalizability to fertility clinic and primary care settings. Women experiencing introital dyspareunia, who can have difficulties with achieving penetrative intercourse, may be concerned about their future fertility and should be counselled appropriately.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1016\/j.esxm.2020.01.002","type":"journal-article","created":{"date-parts":[[2020,2,13]],"date-time":"2020-02-13T06:11:48Z","timestamp":1581574308000},"page":"274-281","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":38,"title":["Deep Dyspareunia, Superficial Dyspareunia, and Infertility Concerns Among Women With Endometriosis: A Cross-Sectional Study"],"prefix":"10.1093","volume":"8","author":[{"given":"Kate J.","family":"Wahl","sequence":"first","affiliation":[{"name":"Center for Pelvic Pain and Endometriosis \u00a0 , Vancouver, BC , Canada"},{"name":"BC Women\u2019s Hospital \u00a0 , Vancouver, BC , Canada"},{"name":"School of Population and Public Health \u00a0 \u00a0 , Vancouver, 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