Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6169102 | Best Practice & Research Clinical Obstetrics & Gynaecology | 2014 | 9 Pages |
Abstract
Vulvovaginal pain problems are major health concerns in women of childbearing age. Controlled studies have shown that vulvovaginal pain can adversely affect women and their partners' general psychological well-being, relationship adjustment, and overall quality of life. These women have significantly lower levels of sexual desire, arousal, and satisfaction, as well as a lower intercourse frequency than normal controls. They also report more anxiety and depression, in addition to more distress about their body image and genital self-image. Empirical studies indicate that specific psychological and relationship factors may increase vulvovaginal pain intensity and its psychosexual sequelae. Randomized clinical trials have shown that psychosexual interventions, namely cognitive-behavioral therapy (CBT), are efficacious in reducing vulvovaginal pain and improving associated psychosexual outcomes. Women reporting significant psychological, sexual, and/or relationship distress should be referred for psychosexual treatment. A multimodal approach to care integrating psychosexual and medical management is thought to be optimal.
Keywords
Related Topics
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Medicine and Dentistry
Obstetrics, Gynecology and Women's Health
Authors
Sophie (Associate Professor), Wendy M. (Associate Professor), Marc (Associate Professor, Associate Physician),