Biopsychosocial factors associated with quality of life in women with endometriosis: a review article

Abstract

Objective: To analyze the evidence on biopsychosocial factors associated with quality of life in women with endometriosis. Material and methods: A scoping review with qualitative narrative synthesis was conducted following the recommendations of the PRISMA-ScR statement. A bibliographic search was performed in the PubMed, SciELO, Scopus, and Google Scholar databases, including studies published in English and Spanish between 2022 and 2026. After the identification, selection, and eligibility assessment process, 30 articles that met the established criteria were included. Results: In the biological domain, the main findings were related to fatigue, dysmenorrhea, chronic pelvic pain, dyspareunia, and infertility, which affect daily functioning. In the psychological domain, high levels of anxiety, depression, stress, emotional distress, and decreased self-esteem were identified. In the social domain, limitations in family and couple relationships, reduced work productivity, absenteeism, and difficulties in participating in social activities were observed. Conclusions: The quality of life of women with endometriosis is fully influenced by the interaction of psychological, biological, and social factors, requiring a multidisciplinary approach to improve their well-being and healthcare.management