Psychosexual aspects of vulvar vestibulitis.
ABSTRACT To explore the psychological, interpersonal and sexual correlates of vulvar vestibulitis via qualitative and quantitative analysis.
Sixty-nine women diagnosed with vestibulitis were recruited from a vulvar/vaginal disease clinic to complete a comprehensive quantitative and qualitative questionnaire designed to assess general health concerns, mental health, sexual functioning and interpersonal relationships.
The majority of participants reported drastic changes in sexuality associated with the onset of vestibulitis. Upon developing vestibulitis, 88% reported decreased interest in sexual activity, 87% indicated that they were less willing to participate in sexual activity, and 94% maintained that they were less able to participate in sexual activity. High levels of frustration and symptoms of depression also were frequently reported.
Vulvar vestibulitis is associated with significant changes in sexuality, intimate relationships and psychological well-being. When treating women with vestibulitis, medical professionals should consider the psychological and sexual aspects of the disease in addition to physical concerns.
SourceAvailable from: Michael Pascal Hengartner[Show abstract] [Hide abstract]
ABSTRACT: Although dyspareunia has a major impact on sexual and general wellbeing, there are few data on the longitudinal development of its prevalence in representative study groups. Therefore, it was the aim of the present study to fill this gap by evaluating the prevalence of dyspareunia in a representative sample at age 30, 35, 41, and 50. Additional aims were to determine the association between dyspareunia, psychopathological covariates, personality characteristics, and coping resources. Semi-structured interviews with single-item questions on sexual problems in general as well as dyspareunia were used to gain information on 1-year as well as long-time prevalence rates. Psychopathological covariates were explored with the SCL-90-R. The Freiburger Personality Inventory (Freiburger Persönlichkeits Inventar, FPI) assessed personality characteristics. Scales of sense of mastery and self-esteem were used to investigate coping resources. Twelve months prevalence of dyspareunia varied between 4.5 and 6.4 % with a mean of 5.6 % and a long-time risk of 19.3 %. No relation between age and the prevalence rates was found. Dyspareunia was related to psychopathological covariates, especially depression. With respect to personality traits as measured with the FPI only nervousness showed a significant association with dyspareunia, whereas coping resources were unrelated. As dyspareunia is experienced by about 20 % of all women, it represents a frequent sexual problem. Therefore, assessment of dyspareunia should be integrated into primary care of women at any age and diagnostic as well as therapeutic strategies should be based on physiological and psychological factors.Archives of Sexual Behavior 01/2015; DOI:10.1007/s10508-014-0395-y · 3.53 Impact Factor
[Show abstract] [Hide abstract]
ABSTRACT: Abstract The literature on genital and pelvic pain has largely focused on heterosexual women. An online study examined characteristics of vulvar pain in 839 lesbian, bisexual, and heterosexual women aged 18-45 and investigates associations between relationship qualities such as love and communication with participants' perceptions of pain's influence on relationships. Characteristics of vulvar pain were similar across groups. Groups differed in how they perceived pain to impact their relationships, such that better communication for same-sex couples and more love for mixed-sex couples was associated with the perception of their pain as having less of an impact on their relationship functioning. http://www.tandfonline.com/doi/abs/10.1080/0092623X.2014.931315#.U6BEQf2ERVcJournal of Sex and Marital Therapy 06/2014; DOI:10.1080/0092623X.2014.931315 · 1.27 Impact Factor
[Show abstract] [Hide abstract]
ABSTRACT: Introduction. Vulvodynia is a disease consisting in feeling a different level of pain and discomfort in the region of the female genitalia. Studies show that over 12% women can suffer from this disorder. The disease is chronic in its character and, as a result, has a significant impact on women’s psychological situation. The aim of the research was to check the psychological situation and sexual functioning of women with vulvodynia and to verify the hypothesis assuming a different prevalence of vulvodynia depending on the patient psychological gender. Materials and methods. The research was conducted using a proprietary tool for assessing the psychological situation of women and the quality of physician-patient contacts, the Sex Role Inventory (IPP) developed by A. Kuczyńska and Multidimensional Sexuality Questionnaire (MSQ) by W. Snell. The study covered 30 women suffering from vulvodynia (study group) and 30 healthy women (control group). Results. In the group of women suffering from vulvodynia prevailed women with the feminine psychological gender. The study group was generally in worse psychological situation and featured worse contacts with physicians as compared with the control group. The women suffering from vulvodynia featured lower sexuality self-control, higher level of sexual anxiety before sexual intercourses and the fear of sexual relationships. Conclusions. The problems of vulvodynia require further research as the disease changes women’s lives significantly. It has a fundamental impact on sexuality, physical and mental state and self-esteem of the suffering women. Unfortunately, the patients very rarely receive adequate treatment. Therefore, it is necessary to educate medical professionals on the problem of vulvodynia.Seksuologia Polska 01/2012; 10(1):15-20.