1997
DOI: 10.1016/s0029-7844(98)80136-1
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Biopsychosocial Profile of Women With Dyspareunia

Abstract: As an undifferentiated group, women with dyspareunia have more physical pathology, psychologic distress, sexual dysfunction, and relationship problems. However, this pattern of differences appears to vary depending on the presence and type of physical findings evident on examination. Dyspareunia is a heterogeneous disorder requiring comprehensive gynecologic and psychosocial assessment to determine differentiated treatment strategies.

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Cited by 225 publications
(184 citation statements)
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“…STIs are a known direct cause of genital pain34 and although this may explain the association we found, it is also possible that previous experience of an STI leads some individuals to associate sex with disease, possibly engendering difficulties with arousal, and in turn, leading to painful sex 2. In contrast to previous research,7, 12, 31 we did not find an association of pain with frequency of intercourse. It has been suggested that some women simply endure their symptoms in order to continue having sex with their partner2, 35 and our inclusion of women with milder symptoms (compared with clinical samples) may have resulted in a higher proportion of women who continue to have sex despite their symptoms.…”
Section: Discussioncontrasting
confidence: 99%
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“…STIs are a known direct cause of genital pain34 and although this may explain the association we found, it is also possible that previous experience of an STI leads some individuals to associate sex with disease, possibly engendering difficulties with arousal, and in turn, leading to painful sex 2. In contrast to previous research,7, 12, 31 we did not find an association of pain with frequency of intercourse. It has been suggested that some women simply endure their symptoms in order to continue having sex with their partner2, 35 and our inclusion of women with milder symptoms (compared with clinical samples) may have resulted in a higher proportion of women who continue to have sex despite their symptoms.…”
Section: Discussioncontrasting
confidence: 99%
“…Our data confirm the strong link between pain and impaired sexual function found in the literature 2, 7, 12, 31. The relationship context of pain is beginning to receive more attention,7 but evidence of the link between sexual pain and relationship adjustment and satisfaction is equivocal 32.…”
Section: Discussionsupporting
confidence: 85%
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“…Specifically, controlled studies have shown that they report significantly less sexual desire, arousal and satisfaction, more difficulty reaching orgasm, as well as lower frequencies of intercourse and more negative attitudes toward sexuality than pain-free controls [12]. Research conducted in laboratory settings indicates that there are no significant differences between women with vulvovaginal pain and non afflicted women relative to their physiological level of sexual arousal when exposed to an erotic stimulus, although women with pain tend to report more negative feelings toward the stimulus [13][14][15].…”
Section: A Psychological Sexual and Relationship Consequencesmentioning
confidence: 99%
“…As for mental health, several controlled studies involving clinical samples and using a wide variety of measures of depressive symptomatology have shown that women with vulvovaginal pain have higher depression scores than pain-free controls [16,25,27,28], although three other controlled studies were unable to detect such a difference [12,13,29]. These contradictory findings could be attributed to the use of community samples in the latter studies, which typically report less distress.…”
Section: A Psychological Sexual and Relationship Consequencesmentioning
confidence: 99%