Qualitative Study: Therapeutic Group as Treatment for Women with Primary Genito-Pelvic Pain

Fanganiello, Ana Luiza Silva; Bentes, Lívia Maria Neves; Macri, Lilian; Silva, Ivaldo; Santana, M.C. Tinajero; Embiruçu, Teresa

doi:10.1016/j.jsxm.2017.04.579

Cited by 1 publication

(2 citation statements)

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Section: Discussionmentioning

confidence: 99%

“…We elaborated the patient care steps based on the multidisciplinary therapy program developed by Brotto et al 11 and on our experience in the Sexuality Sector 75 of the Gynecology Department of the Federal University of São Paulo-UNIFESP. Initially, the sexual functioning of women complaining of vulvar and/or sexual pain will be assessed with the FSFI.…”

Section: Patient Care Flowmentioning

confidence: 99%

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Individualized multidisciplinary therapy for vulvodynia

Penteado,

Bonduki,

de Araújo

et al. 2023

J of Obstet and Gynaecol

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ObjectiveThe main objective of this review was to develop strategies for individualizing multidisciplinary therapy for vulvodynia.MethodsWe conducted two literature searches; the first one focused on clinical trials assessing vulvodynia treatments published after the recommendations of the expert committee of the Fourth International Consultation on Sexual Medicine. The second search targeted studies identifying predictive factors and mediators of vulvodynia treatments, published from the earliest date to October 2022.ResultsBased on data from 55 relevant studies, we developed models of individualized multidisciplinary therapy targeting groups of women less responsive to multidisciplinary therapy (characterized by women with higher vulvar pain intensity, impaired sexual functioning, and vulvodynia secondary subtype) and to physical therapy, as an isolated treatment (characterized by women with increased pelvic floor muscle tone and vulvodynia primary subtype). Each individualized multidisciplinary therapy model comprises three components: psychotherapy, medical care, and physical therapy. These components provide distinct therapeutic modalities for distinct subgroups of women with vulvodynia; the women subgroups were identified according to the characteristics of women, the disease, partners, and relationships. Additionally, for women with provoked vestibulodynia who exhibit less benefits from vestibulectomy (such as those with higher levels of erotophobia, greater vulvar pain intensity, and the primary subtype) and encounter resistance to individualized multidisciplinary therapy, we suggest additional conservative treatments before performing vestibulectomy.ConclusionOur study is a pioneer in the development of models that allow the individualization of multidisciplinary therapy for vulvodynia and represents a significant advance in the clinical practice of gynecologists, physiotherapists, and psychologists.

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Section: Discussionmentioning

confidence: 99%

Section: Patient Care Flowmentioning

confidence: 99%