Dyspareunia, Back Pain and Chronic Pelvic Pain: The Importance of This Pain Complex in Gynecological Practice and Its Relation with Grandmultiparity and Pelvic Relaxation

Gürel, Hulusi; Gürel, Sebahat Atar

doi:10.1159/000010152

Cited by 16 publications

(8 citation statements)

References 9 publications

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“…Laumann et al 3 showed differing patterns of dyspareunia across age and demographic groups. However, Gurel and Atar‐Gurel 13 found no correlation between severe dyspareunia and various socio‐demographic factors (i.e. age, parity, income, marital status and education).…”

Section: Discussionmentioning

confidence: 95%

Female sexual dysfunction in Lower Egypt

Elnashar

Ibrahim

Eldesoky

et al. 2007

BJOG

132

111

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Objective The aim of this study was to assess the prevalence and associated factors of female sexual dysfunction (FSD) in Lower Egypt.Design A cross-sectional clinic-/hospital-based survey.Setting Five district medical centres in Dakahlia Governorate: Shirbin, Bilquas, Samblawen, Dekrinis and Mansoura City.Population One thousand married women aged between 16 and 49 years.Methods Data were collected by personal interview in a questionnaire format in addition to physical examination (when allowed).Main outcome measures FSD and associated risk factors.Results The response rate was 93.6%. 68.9% of women had one or more sexual problems; however, 23% of the women with sexual problems were not distressed by these issues. 31.5% of women suffered from dyspareunia. 49.6% of the women had decreased sexual desire, 36% had difficult arousal and 16.9% had anorgasmia (primary and secondary). Marital disharmony, 'hate' and unfavourable socio-economic circumstances were the most common aggravating factors (28.1%) for sexual dysfunction among the participants, followed by pregnancy-related events (15.7%). Most women (84.5%) received no help for their sexual problems. 90.3% of the women were circumcised. Only 7.1% (46 of 645) of women with sexual problems had received treatment, with no real improvement reported in 58.7% (27 of the 46 women).Conclusions FSD is a highly prevalent problem within the scope of this study. Low reporting rates and very low treatment rates were identified in the sample from Lower Egypt.

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Section: Discussionmentioning

confidence: 95%

Female sexual dysfunction in Lower Egypt

Elnashar

Ibrahim

Eldesoky

et al. 2007

BJOG

132

111

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“…A number of studies have reported the prevalence of CPP in women but most of them have used sampling frames such as hospital patients which are unable to provide accurate estimates of the prevalence of CPP in the gen- Chronic pelvic pain in women: an epidemiological perspective Review eral population [20][21][22][23][24][25]. The relatively few populationbased studies have reported prevalence ranging from 6.4% in Mexico [16] to 25.4% in New Zealand [3] (see Table 1).…”

Section: Prevalencementioning

confidence: 99%

Chronic Pelvic Pain in Women: An Epidemiological Perspective

Ayorinde

Macfarlane

Saraswat

et al. 2015

Womens Health (Lond Engl)

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Chronic pelvic pain (CPP) is common in women of reproductive age and has a significant impact on quality of life, work efficiency and healthcare utilization. CPP can be a manifestation of many different, often multifactorial conditions, and in the absence of an identified cause, the management can be particularly challenging. High quality epidemiological studies would improve the understanding of CPP and identify risk factors which may be targeted for the development of appropriate management strategies. This review focuses on what is known about the prevalence, risk factors, individual and societal burden of CPP and outlines important management strategies.

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“…Isometric exercise is useful in achieving co‐contraction of muscles around a joint and improving joint and trunk stability, allowing greater ability to weight bear during sexual activity. Painful intercourse has been associated with trunk and pelvic floor weakness and LBP [64]. In cases of trunk weakness or instability, such as with pubic symphysis separation, sacroiliac dysfunction, or LBP, strengthening exercises should focus on the stabilization of the “core” muscles, including the pelvic floor, diaphragm, transverse abdominals and multifidus [65,66].…”

Section: Systemic Rheumatologic Disordersmentioning

confidence: 99%

Musculoskeletal Pain and Sexual Function in Women

Rosenbaum¹

2010

The Journal of Sexual Medicine

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Introduction Sexual pain disorders refer to conditions of genital pain that interfere with intercourse. They often have a musculoskeletal component related to the pelvic floor and are included in the DSM-IV as sexual dysfunctions. Musculoskeletal pain (MP) that is not essentially genitally based often interferes with sex as well yet is not considered a distinct sexual dysfunction. MP is generally addressed by physiatrists, orthopedists, and rheumatologists who are not traditionally trained in sexual medicine, and therefore, the sexual concerns of women with MP often go unaddressed. Aim The purposes of this review article were to describe how MP is perceived in the literature as affecting sexual function, illustrate how specific MP conditions prevalent in women may affect sexual function, and offer recommendations for clinical practice. Methods PubMed and Medline searches were performed using the keywords “musculoskeletal pain and sex,”“lower back pain and sex,”“arthritis and sex,” and “fibromyalgia and sex”. Main Outcome Measure Review of the peer-reviewed literature. Results Most studies cite fatigue, medication, and relationship adjustment as affecting sexuality much as chronic illness does. While musculoskeletal contributors to genital sexual response and pain are considered relevant to sexual function, little is understood about how MP syndromes specifically affect sexual activity. Conclusion Lack of mobility and MP can restrict intercourse and limit sexual activity, and gender differences are noted in response to pain. Sexual and relationship counseling should be offered as a component of rehabilitative treatment. Physical therapists are uniquely qualified to provide treatment to address functional activities of daily living, including sexual intercourse, and offer advice for modifications in positioning.

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Dyspareunia, Back Pain and Chronic Pelvic Pain: The Importance of This Pain Complex in Gynecological Practice and Its Relation with Grandmultiparity and Pelvic Relaxation

Cited by 16 publications

References 9 publications

Female sexual dysfunction in Lower Egypt

Female sexual dysfunction in Lower Egypt

Chronic Pelvic Pain in Women: An Epidemiological Perspective

Musculoskeletal Pain and Sexual Function in Women

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