Dyspareunia

Wabrek, Alan J.; Wabrek, Carolyn J.

doi:10.1080/00926237508405293

Cited by 6 publications

(3 citation statements)

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“…Wabrek believes it to be '...perhaps the most common cause of sexual difficulties' [25]. Munsick has quoted a Dickinson study in which 4% of 4100 married women had a complaint of dyspareunia, 73% of whom had a physical cause [14].…”

Section: Introductionmentioning

confidence: 98%

Dyspareunia in Pregnancy

Reamy

White

1985

Journal of Psychosomatic Obstetrics & Gynecology

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Most of the literature on dyspareunia has dealt with non-pregnant women. Steege and Jelovsek [24], in a cross-sectional study of obstetric registrants, determined that 'dyspareunia is experienced infrequently during pregnancy' but did not look at 'pelvic pain during sexual relations' prior to pregnancy to assess a change in incidence.Fifty-two married gravidae were queried periodically after (retrospectively) obtaining prepregnancy data including information on dyspareunia. During the 4 pregnancy testing periods both the percentage of women reporting painful coitus and the consistency of the discomfort on repeated coitus increased as the pregnancies progressed. By the third trimester 12% of the women were experiencing painful intercourse more than half the time. Additionally 40% were apareunic. Correlations were found between dyspareunia and happiness about being pregnant, anxiety about the pregnancy, and the perceived attractiveness to the husband. As hypothesized, significant associations were also found between dyspareunia and sexual desire, coital frequency, orgasm and sexual satisfaction. In general, painful intercourse did not correlate with demographic variables. The positive correlations of dyspareunia and pregnancy were clustered in the second trimester, the trimester which, in several respects, most closely approximates the non-pregnant state. Although Perkins has indicated that pregnancy itself may be the most important or overriding variable influencing sexuality in pregnancy, it may have a less global effect on psychosexual variables during the mid-trimester so that statistically significant associations emerge at this time.

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Section: Introductionmentioning

confidence: 98%

Dyspareunia in Pregnancy

Reamy

White

1985

Journal of Psychosomatic Obstetrics & Gynecology

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“…Este trastorno solo era reservado a las relaciones sexuales dolorosas de la mujer pero actualmente se conoce también la dispareunia masculina y que se define como dolor genital o pélvico, recurrente o persistente con actividad sexual, o disfunción sexual que está presente durante tres meses o más 6 . En los hombres, la dispareunia se refiere a la sensación de dolor intenso en el pene o también puede presentarse menos frecuentemente en el prepucio, los testículos, uretra y glándula prostática; antes, durante o después del coito 7 . En la mayoría de los casos está relacionado con la presencia de dolor en la eyaculación; asimismo, puede estar asociado, durante la fase de excitación, con la erección, o durante el coito con la penetración.…”

Section: Introductionunclassified

Dispareunia masculina

Valerio¹

2019

An Fac med

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La dispareunia masculina es un síntoma poco conocido, pero con gran impacto en la calidad de vida de los hombres que lo padecen. Existe escasa investigación sobre este tema en comparación con su contraparte femenina. En su etiología se presenta una amplia variedad de patologías con predominancia de componentes orgánicos, por lo que es importante conocer y entender las causas para el oportuno tratamiento. Para el diagnóstico de la dispareunia, una adecuada historia, anamnesis, y examen físico, son fundamentales para orientar a su posterior evolución y manejo del trastorno mediante las nuevas opciones de tratamiento que se cuenta en la actualidad, donde es de utilidad el abordaje individualizado y teniendo en cuenta otros factores emocionales y socio-culturales. En esta revisión, se expone un enfoque sobre la frecuencia, diagnóstico, evaluación y tratamiento de este síntoma bastante complejo, que en algunas oportunidades puede tener repercusión en las relaciones interpersonales.

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“…Thus, the closed compartment between the prepuce and the clitoris can become irritated, erythematous, or infected. 4 Any of these changes can be associated with a persistent foreign body sensation (described as similar to grains of sand in the eye), balanitis, discomfort, hypersensitivity, clitorodynia sexual pain disorder, and even persistent genital arousal disorder (PGAD). The exact cause of the clitoral adhesion in a specific patient usually cannot be identified.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris

Aerts

Rubin²,

Randazzo³

et al. 2018

Sexual Medicine

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IntroductionThe glans clitoris is covered by a prepuce that normally moves over the glans surface and can be retracted beyond the corona. Clitoral adhesions, ranging from mild to severe, occur when preputial skin adheres to the glans. Physical examination consistent with clitoral adhesions is based on the inability to visualize the entire glans corona. In this closed compartment, the space underneath the adherent prepuce and clitoris can become irritated, erythematous, or infected and can result in sexual dysfunction.AimTo determine the prevalence of clitoral adhesions in a sexual medicine practice and assess risk factors associated with clitoral adhesions.MethodsThis research involved retrospective examinations of vulvoscopy photographs taken from August 2007 to December 2015. Clitoral adhesions were considered absent when preputial retraction enabled full glans corona visualization. The study group consisted of women with mild, moderate, or severe clitoral adhesions based on more than 75%, 25% to 75%, or less than 25% glans clitoris exposure without full corona visualization, respectively. 2 independent reviewers evaluated photographs; a 3rd analyzed study group health record data.Main Outcome MeasurePrevalence of severity of clitoral adhesions.ResultsOf the 1,261 vulvoscopy photographs, 767 (61%) were determined adequate for assessment and 614 photographs represented individual patients. The study group with clitoral adhesions consisted of 140 women (23%) of whom 44%, 34%, and 22% demonstrated mild, moderate, and severe clitoral adhesions, respectively. In the study group, 14% presented with clitorodynia. Risk factors included a history of sexual pain, yeast infection, urinary tract infection, blunt perineal or genital trauma, lichen sclerosus, low calculated free testosterone, and other sexual dysfunctions including persistent genital arousal disorder.ConclusionWomen with sexual dysfunction should routinely undergo clitoral physical examination. If the glans corona is not fully visualized, then clitoral adhesions should be suspected. Education, counseling, and/or referral for sexual pain management should be considered.Aerts L, Rubin RS, Randazzo M, et al. Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris. Sex Med 2018;6:115–122.

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Dyspareunia

Cited by 6 publications

References 0 publications

Dyspareunia in Pregnancy

Dyspareunia in Pregnancy

Dispareunia masculina

Retrospective Study of the Prevalence and Risk Factors of Clitoral Adhesions: Women's Health Providers Should Routinely Examine the Glans Clitoris

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