Document Detail

Dyspareunia and vulvar disease.
MedLine Citation:
PMID:  9839263     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the presence and frequency of contributing factors in functional dyspareunia and if these factors differ between patients with an epithelial disorder and those with apparently healthy genitalia. STUDY DESIGN: A psychologist assessed patients reporting dyspareunia at a vulvar diseases clinic by using a structured interview questionnaire, the Beck Depression Inventory, and the Spielberger State/Trait Anxiety Inventory. The questionnaire topics included sexual behavior, stresses and coping. Data were divided into two groups based on patients' functional diagnosis or epithelial disorder. RESULTS: Both groups recorded high levels of trauma-producing sexual behavior. Such behavior included unlubricated, unaroused and undesired sex. High levels of psychological and coping difficulties were also seen. Differences between the groups were seen in undesired sex, capacity to cope, stress factors coincidental with symptom onset and distress at the time of interview. CONCLUSION: Due to the high frequency of factors contributing to dyspareunia, such factors should be address regardless of the diagnosis. In all such patients it is recommended that a sexual and stress history be taken and counseling be considered.
M G Marin; R King; G J Dennerstein; S Sfameni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  43     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1999-02-08     Completed Date:  1999-02-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  952-8     Citation Subset:  IM    
Dermogynaecology Clinic, Mercy Hospital for Women, Melbourne, Australia.
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MeSH Terms
Adaptation, Psychological
Arousal / physiology*
Chronic Disease
Diagnosis, Differential
Dyspareunia / etiology*
Medical History Taking
Psychiatric Status Rating Scales
Risk Factors
Sexual Dysfunctions, Psychological / complications*,  diagnosis*
Vulvar Diseases / complications*,  diagnosis

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