Interventions for vaginismus

Melnik, Tamara; Hawton, Keith; McGuire, Hugh

doi:10.1002/14651858.cd001760.pub2

Cited by 54 publications

(47 citation statements)

References 57 publications

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“…Counselling by healthcare personnel with regard to gentle self-care of the vulva area and other instructions to address pain is first-line treatment in minimising vulva irritation (Cox and Neville, 2012;Lindstrom and Kvist, 2015;ASCCP, 2016). It has also been shown that pelvic floor physiotherapy, such as biofeedback, electrical stimulation and pelvic floor manipulation, reduces pain in women with vulvodynia (Bergeron et al, 2001;Nunns et al, 2010;Melnik et al, 2012;Murina et al, 2013;Morin et al, 2016). Moreover, psychosexual interventions are effective in reducing vulvar pain and in improving associated psychosexual outcomes for these women and their partners (Bergeron et al, 2014;Davis et al, 2015).…”

Section: Vulvodynia and Its Carementioning

confidence: 99%

Web-based education about vulvodynia and its care among student healthcare staff: A quasi-experimental study

Törnävä

Koivula

Helminen

et al. 2018

Nurse Education in Practice

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Student healthcare providers are the type of primary healthcare professionals who usually have first contact with young women who have problems with intimacy, such as vulvar pain - known as vulvodynia. However, a need to increase healthcare professionals' level of knowledge of vulvodynia and its care has been identified. This study aimed to assess the awareness and knowledge of vulvodynia and its care among student healthcare providers, before and after Web-based education. The study design was national, descriptive and quasi-experimental, and was conducted across Finland. A total of 79 participants completed baseline measurements, 58 completed web-based education and 30 took part in a follow-up survey. A survey instrument called 'Awareness and knowledge of vulvodynia and its care' was developed for this study, and the data were collected using a web-based questionnaire. Descriptive statistical methods were used to evaluate the participants' awareness and knowledge of vulvodynia and its care before and after web-based education. The primary results indicated that the participants' awareness and knowledge of vulvodynia and its care was statistically significantly improved following web-based education.

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Section: Vulvodynia and Its Carementioning

confidence: 99%

Web-based education about vulvodynia and its care among student healthcare staff: A quasi-experimental study

Törnävä

Koivula

Helminen

et al. 2018

Nurse Education in Practice

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“…There has been an increase in the number of treatment studies of sexual pain disorders in the past decade, which is evident by the number of reviews in this area (Landry, Bergeron, Dupuis, & Desrochers, 2008;McGuire & Hawton, 2009;Melnik, Hawton, & McGuire, 2012;Stones, Cheong, & Howard, 2005). Stones et al (2005) reviewed interventions for treating CPP only, and McGuire and Hawton and Melnik et al (2012) reviewed only studies on vaginismus.…”

Section: Rationale For This Reviewmentioning

confidence: 99%

Treatment of Female Sexual Pain Disorders: A Systematic Review

Al-Abbadey

Liossi

Curran

et al. 2015

Journal of Sex & Marital Therapy

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Sexual pain disorders affect women's sexual and reproductive health and are poorly understood. Although many treatments have been evaluated, there is no one "gold standard" treatment. The aim of this systematic review was to investigate what treatments for female sexual pain have been evaluated in clinical studies and their effectiveness. The search strategy resulted in 65 papers included in this review. The articles were divided into the following categories: medical treatments; surgical treatments; physical therapies; psychological therapies; comparative treatment studies; and miscellaneous and combined treatments. Topical and systemic medical treatments have generally been found to lead to improvements in, but not complete relief of, pain, and side effects are quite common. Surgical procedures have demonstrated very high success rates, although there has been variability in complete relief of pain after surgery, which suggests less invasive treatments should be considered first. Physical therapies and psychological therapies have been shown to be promising treatments, supporting a biopsychosocial approach to sexual pain disorders. Although most of the interventions described have been reported as effective, many women still experience pain. A multidisciplinary team with active patient involvement may be needed to optimize treatment outcome.

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“…Desensitisation techniques using graded vaginal dilators is a behavioural therapy technique to reduce anxiety and fear associated with vaginismus, however these techniques have not been adequately evaluated (Melnik et al 2012). New studies of botulinum neuroxin type A (BoNTA) have had promising effects on improving muscle spasm in the hypercontracted pelvic floor (Bhide et al 2013) and may be used more than once (Nesbitt-Hawes et al 2013).…”

Section: Pelvic Floor Dysfunction Pudendal Neuralgia and Vulvodyniamentioning

confidence: 99%

Medicines For Women

Harrison‐Woolrych¹

2015

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Interventions for vaginismus

Cited by 54 publications

References 57 publications

Web-based education about vulvodynia and its care among student healthcare staff: A quasi-experimental study

Web-based education about vulvodynia and its care among student healthcare staff: A quasi-experimental study

Treatment of Female Sexual Pain Disorders: A Systematic Review

Medicines For Women

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