{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:27:50Z","timestamp":1783405670411,"version":"3.54.6"},"reference-count":32,"publisher":"Knowledge E DMCC","issue":"6","content-domain":{"domain":["knepublishing.com"],"crossmark-restriction":true},"short-container-title":["IJRM"],"abstract":"<jats:p>Background: Endometriosis is a disease that affects women throughout their sexual life. Sexual health is, therefore, a major concern for these women.\r\nObjective: This study aimed to assess the effects of the sensate focus technique and position changing on the sexual function of women with deep-infiltrating endometriosis 3-6 months after surgery.\r\nMaterials and Methods: This clinical trial study was performed on 80 women with deep endometriosis, aged 18-45 yr, who were referred to the endometriosis clinic of Avicenna fertility center, Tehran, Iran for follow-up after surgery from January to September 2021. They were divided randomly into 2 groups. In the intervention group, 2-hr virtual training sessions were held and the control group only completed the questionnaires without any intervention. Sexual function was evaluated after 4 and 8 wk.\r\nResults: 8 wk after the intervention, the mean score of sexual function in the intervention group was significantly improved (p &lt; 0.001). The mean total score of sexual function in the pre-intervention period reached from 24.16 to 28.31 in 4 wk after the intervention and 29.85 8 wk after the intervention The mean score of sexual pain during the follow-up periods was significantly improved in the intervention group (p &lt; 0.001).\r\nConclusion: Sensate focus technique and sexual position changing improved sexual function in women with deep endometriosis after surgery.\r\nKey words: Endometriosis, Sexual dysfunction, Dyspareunia.<\/jats:p>","DOI":"10.18502\/ijrm.v21i6.13638","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T11:20:55Z","timestamp":1690197655000},"page":"509-520","update-policy":"https:\/\/doi.org\/10.18502\/knecrossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Effects of sensate focus technique and position changing on sexual function of women with deep-infiltrating endometriosis after surgery: A clinical trial study"],"prefix":"10.18502","volume":"21","author":[{"given":"Parisa","family":"Tajik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadab","family":"Shahali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roya","family":"Padmehr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7770","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"243422","doi-asserted-by":"crossref","unstructured":"Zargar Shoushtari Sh, Afshari P, Abedi P, Tabesh H. The effect of face-to-face with telephone-based counseling on sexual satisfaction among reproductive aged women in Iran. J Sex Marital Ther 2015; 41: 361\u2013 367.","DOI":"10.1080\/0092623X.2014.915903"},{"key":"243423","unstructured":"Rasouli SS, Golparvar M, Ramezani MA, Hasani J. [Comparison of the effectiveness of iranian sexual satisfaction training package and masters & johnson\u2019s approach on marital quality of married people]. J Psychological Sci 2020; 15: 101\u2013110. (in Persian)"},{"key":"243424","doi-asserted-by":"crossref","unstructured":"Thomas HN, Thurston RC. A biopsychosocial approach to women\u2019s sexual function and dysfunction at midlife: A narrative review. Maturitas 2016; 87: 49\u2013 60.","DOI":"10.1016\/j.maturitas.2016.02.009"},{"key":"243425","doi-asserted-by":"crossref","unstructured":"McCool ME, Zuelke A, Theurich MA, Knuettel H, Ricci C, Apfelbacher Ch. Prevalence of female sexual dysfunction among premenopausal women: A systematic review and meta-analysis of observational studies. Sex Med Rev 2016; 4: 197\u2013212.","DOI":"10.1016\/j.sxmr.2016.03.002"},{"key":"243426","unstructured":"Ghiasi A, Keramat A. Prevalence of sexual dysfunction among reproductive-age women in Iran: A systematic review and meta-analysis. J Midwif Reprod Health 2018; 6: 1296\u20131304."},{"key":"243427","doi-asserted-by":"crossref","unstructured":"Barbara G, Pifarotti P, Facchin F, Cortinovis I, Dridi D, Ronchetti C, et al. Impact of mode of delivery on female postpartum sexual functioning: Spontaneous vaginal delivery and operative vaginal delivery vs cesarean section. J Sex Med 2016; 13: 393\u2013401.","DOI":"10.1016\/j.jsxm.2016.01.004"},{"key":"243428","doi-asserted-by":"crossref","unstructured":"Abrao MS, Petraglia F, Falcone T, Keckstein J, Osuga Y, Chapron C. Deep endometriosis infiltrating the recto-sigmoid: critical factors to consider before management. Hum Reprod Update 2015; 21: 329\u2013 339.","DOI":"10.1093\/humupd\/dmv003"},{"key":"243429","doi-asserted-by":"crossref","unstructured":"Wolthuis AM, Meuleman Ch, Tomassetti C, D\u2019Hooghe T, van Overstraeten AdB, D\u2019Hoore A. Bowel endometriosis: colorectal surgeon\u2019s perspective in a multidisciplinary surgical team. World J Gastroenterol 2014; 20: 15616\u201315623.","DOI":"10.3748\/wjg.v20.i42.15616"},{"key":"243430","doi-asserted-by":"crossref","unstructured":"Lagana AS, Vitale SG, Granese R, Palmara V, Ban Frangez H, Vrtacnik-Bokal E, et al. Clinical dynamics of Dienogest for the treatment of endometriosis: from bench to bedside. Exp Opin Drug Metab Toxicol 2017; 13: 593\u2013596.","DOI":"10.1080\/17425255.2017.1297421"},{"key":"243431","doi-asserted-by":"crossref","unstructured":"Bazot M, Darai E. Diagnosis of deep endometriosis: Clinical examination, ultrasonography, magnetic resonance imaging, and other techniques. Fertil Steril 2017; 108: 886\u2013894.","DOI":"10.1016\/j.fertnstert.2017.10.026"},{"key":"243432","doi-asserted-by":"crossref","unstructured":"Lagana AS, Vitale SG, Trovato MA, Palmara VI, Rapisarda AMC, Granese R, et al. Full-thickness excision versus shaving by laparoscopy for intestinal deep infiltrating endometriosis: Rationale and potential treatment options. BioMed Res Int 2016; 2016: 3617179.","DOI":"10.1155\/2016\/3617179"},{"key":"243433","doi-asserted-by":"crossref","unstructured":"Mishra VV, Nanda S, Gandhi K, Aggarwal R, Choudhary S, Gondhali R. Female sexual dysfunction in patients with endometriosis: Indian scenario. J Hum Reprod Sci 2016; 9: 250\u2013253.","DOI":"10.4103\/0974-1208.197687"},{"key":"243434","doi-asserted-by":"crossref","unstructured":"Di Donato N, Montanari G, Benfenati A, Monti G, Bertoldo V, Mauloni M, et al. Do women with endometriosis have to worry about sex? Eur J Obstet Gynecol Reprod Biol 2014; 179: 69\u201374.","DOI":"10.1016\/j.ejogrb.2014.05.022"},{"key":"243435","doi-asserted-by":"crossref","unstructured":"Fritzer N, Haas D, Oppelt P, Renner St, Hornung D, W\u00f6lfler M, et al. More than just bad sex: Sexual dysfunction and distress in patients with endometriosis. Eur J Obstet Gynecol Reprod Biol 2013; 169: 392\u2013396.","DOI":"10.1016\/j.ejogrb.2013.04.001"},{"key":"243436","doi-asserted-by":"crossref","unstructured":"Di Donato N, Montanari G, Benfenati A, Monti G, Leonardi D, Bertoldo V, et al. Sexual function in women undergoing surgery for deep infiltrating endometriosis: A comparison with healthy women. J Fam Plann Reprod Health Care 2015; 41: 278\u2013283.","DOI":"10.1136\/jfprhc-2014-100993"},{"key":"243437","unstructured":"Ahmadnia E, Haseli A, Karamat A. [Therapeutic interventions conducted on improving women\u2019s sexual satisfaction and function during reproductive ages in Iran: A systematic review]. J Mazandaran Univ Med Sci 2017; 27: 146\u2013162. (in Persian)"},{"key":"243438","unstructured":"Banaei M, Tork Zahrani Sh, Pormehr-Yabandeh A, Ozgoli G, Azad M. Investigating the impact of counseling based on PLISSIT model on sexual intimacy and satisfaction of breastfeeding women. Int J Pharm Res Allied Sci 2016; 5: 489\u2013499."},{"key":"243439","doi-asserted-by":"crossref","unstructured":"Linschoten M, Weiner L, Avery-Clark C. Sensate focus: A critical literature review. Sex Relat Ther 2016; 31: 230\u2013247.","DOI":"10.1080\/14681994.2015.1127909"},{"key":"243440","doi-asserted-by":"crossref","unstructured":"Avery-Clark C, Weiner L, Adams-Clark AA. Sensate focus for sexual concerns: An updated, critical literature review. 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Identifying preoperative factors associated with nonresponders in women undergoing comprehensive surgical treatment for endometriosis. 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