Research Article

Evaluating the Impact of Dienogest on Quality of Life in Turkish Patients with Endometriosis: A Clinical Study

Volume: 16 Number: 4 October 1, 2025
EN

Evaluating the Impact of Dienogest on Quality of Life in Turkish Patients with Endometriosis: A Clinical Study

Abstract

Purpose This study aimed to evaluate the effectiveness of dienogest in alleviating the negative effects associated with endometriosis in Turkish patients. The impact of the treatment on health-related quality of life (HRQoL) was assessed using the validated Turkish version of the Endometriosis Health Profile-30 (EHP-30) questionnaire. Methods A total of 119 patients with a confirmed diagnosis of endometrioma characterized by a unilocular cyst with homogeneous ground-glass echogenicity were included in this study, conducted at a tertiary care center. All participants were prescribed or already have been prescribed a continuous regimen of 2 mg/day dienogest for symptom control. Each patient completed the core section of the EHP-30 questionnaire twice: before treatment initiation and after a defined treatment period. Results A significant improvement was observed in total EHP-30 scores (from 96.92 to 52.03, p < .001). Notable improvements were also found in the pain (p < .001), self-image (p < .001), and emotional well-being (p < .001) subdomains. Changes in EHP-30 scores were not found to be significantly correlated with treatment duration, reduction in endometrioma size, or changes in CA125 levels. Conclusion Dienogest significantly improves quality of life even with short-term use and stands out as an effective treatment option for endometriosis.

Keywords

References

  1. 1. Chapron C, Marcellin L, Borghese B, et al. Rethinking mechanisms, diagnosis and management of endometriosis. Nat Rev Endocrinol. 2019;15(11):666-82. Epub 20190905. doi: 10.1038/s41574-019- 0245-z. PubMed PMID: 31488888.
  2. 2. Vitale SG, Capriglione S, Peterlunger I, et al. The Role of Oxidative Stress and Membrane Transport Systems during Endometriosis: A Fresh Look at a Busy Corner. Oxid Med Cell Longev. 2018;2018:7924021. Epub 20180321. doi: 10.1155/2018/7924021. PubMed PMID: 29743986; PubMed Central PMCID: PMC5883985.
  3. 3. Parasar P, Ozcan P, Terry KL. Endometriosis: Epidemiology, Diagnosis and Clinical Management. Curr Obstet Gynecol Rep. 2017;6(1):34-41. Epub 20170127. doi: 10.1007/s13669-017-0187-1. PubMed PMID: 29276652; PubMed Central PMCID: PMC5737931.
  4. 4. Koninckx PR, Fernandes R, Ussia A, et al. Pathogenesis Based Diagnosis and Treatment of Endometriosis. Front Endocrinol (Lausanne). 2021;12:745548. Epub 20211125. doi: 10.3389/ fendo.2021.745548. PubMed PMID: 34899597; PubMed Central PMCID: PMC8656967.
  5. 5. Laganà AS, La Rosa VL, Rapisarda AMC, et al. Anxiety and depression in patients with endometriosis: impact and management challenges. Int J Womens Health. 2017;9:323-30. Epub 20170516. doi: 10.2147/ ijwh.S119729. PubMed PMID: 28553145; PubMed Central PMCID: PMC5440042.
  6. 6. Jia SZ, Leng JH, Shi JH, et al. Health-related quality of life in women with endometriosis: a systematic review. J Ovarian Res. 2012;5(1):29. Epub 20121018. doi: 10.1186/1757-2215-5-29. PubMed PMID: 23078813; PubMed Central PMCID: PMC3507705.
  7. 7. Grundström H, Gerdle B, Alehagen S, et al. Reduced pain thresholds and signs of sensitization in women with persistent pelvic pain and suspected endometriosis. Acta Obstet Gynecol Scand. 2019;98(3):327-36. Epub 20181230. doi: 10.1111/aogs.13508. PubMed PMID: 30472739.
  8. 8. Marques A, Bahamondes L, Aldrighi JM, et al. Quality of life in Brazilian women with endometriosis assessed through a medical outcome questionnaire. J Reprod Med. 2004;49(2):115-20. PubMed PMID: 15018440.

Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Research Article

Early Pub Date

September 15, 2025

Publication Date

October 1, 2025

Submission Date

April 1, 2025

Acceptance Date

June 24, 2025

Published in Issue

Year 2025 Volume: 16 Number: 4

EndNote
Bıldacı TB, Ozgunayer Atmaca Y, Ata C, Atlıhan U, Avşar HA, Erkılınç S (October 1, 2025) Evaluating the Impact of Dienogest on Quality of Life in Turkish Patients with Endometriosis: A Clinical Study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 16 4 534–539.