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: Dagna Kocur[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.
- [Show abstract] [Hide abstract]
ABSTRACT: We propose that localized provoked vestibulodynia (LPV) results from diverse precipitating factors that ultimately establish and maintain neurogenic pain responses. An immune-cell–mediated inflammatory cascade may be the common mechanism through which various triggers establish neurogenic vulvar pain. Distinct etiologies of localized provoked vestibulodynia that manifest through neurogenic pain pathways may include its development subsequent to vulvovaginal infection, its comorbidity with and interstitial cystitis, and the role of sex hormones in triggering vestibulodynia. The medical history, the presence of genetic predisposing factors, the focal pattern and severity of vestibular pain, the pattern of subclinical inflammation along genital tract, and the presence of immune cell mediators and neuronal hyperplasia may provide clues as to the underlying pathophysiology of this perplexing syndrome.J Genit Syst Disor. 01/2014; 3:1-6.
- [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; · 1.27 Impact Factor