Assessment of sleep quality in women with endometriosis in Bangladesh

Abstract

Endometriosis is a chronic gynecological condition affecting approximately 10% of women of reproductive age worldwide. Emerging evidence suggests a strong correlation between endometriosis and poor sleep quality, which can significantly impact a patient’s overall health and well-being. However, no such studies have been conducted in Bangladesh. This research addresses a critical gap by exploring sleep quality in Bangladeshi women diagnosed with endometriosis. A cross-sectional descriptive study was conducted from June 2024 to October 2025 at Kurmitola General Hospital in Dhaka, Bangladesh. A total of 401 reproductive-aged women (15–45 years), among whom 201 were clinically diagnosed with endometriosis and confirmed by ultrasonography or laparoscopy, were recruited based on availability. Data were gathered using a structured questionnaire developed in consultation with three gynecologists, including demographic details, clinical symptoms, and the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed using SPSS version 27, employing independent t-tests, Chi-square tests, and, with a P-value < .05, considered statistically significant. Based on the data, a significant number of women with endometriosis experience poor sleep quality. The mean global PSQI (Pittsburgh Sleep Quality Index) score indicated an overall poor sleep quality. Specific areas affected include increased sleep latency (mean = 2.06 ± 1.03) and reduced sleep duration and efficiency. Moreover, symptoms such as dyspareunia, dysmenorrhea, excessive bleeding, and pelvic pain were significantly associated with poor sleep quality. These findings suggest a strong link between endometriosis-related symptoms and impaired sleep, highlighting the importance of addressing sleep disturbances in the clinical management of endometriosis.