Treatment of Female Sexual Pain Disorders: A Systematic Review

Al-Abbadey, Miznah; Liossi, Christina; Curran, Natasha; Schoth, Daniel E.; Graham, Cynthia A.

doi:10.1080/0092623x.2015.1053023

Cited by 23 publications

(16 citation statements)

References 91 publications

(107 reference statements)

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“…Women with PVD are sometimes offered a vestibulectomy, in which the mucous membrane of the vagina, the hymen, and some glands in the area are removed [54,[61][62][63]; and 4.…”

Section: Search Strategymentioning

confidence: 99%

New Insights about Chronic Pelvic Pain Syndrome (CPPS)

Grinberg

Sela

Nissanholtz-Gannot

2020

IJERPH

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Background: Chronic pelvic pain syndrome (CPPS) is one of the common diseases in urology and gynecology. CPPS is a multifactorial disorder where pain may originate in any of the urogynecological, gastrointestinal, pelvic musculoskeletal, or nervous systems. The symptoms of CPPS appear to result from an interplay between psychological factors and dysfunction in the immune, neurological, and endocrine systems. The aim of this article was to present new insight about CPPS in order to raise awareness of nursing and medical staff in the identification and diagnosis of the syndrome and to promote an appropriate treatment for each woman who suffers from CPPS. Methods: A literature review about the factors associated with CPPS and therapeutic interventions for CPPS was conducted. Results: CPPS represents a chronic pain syndrome that combines anatomic malfunction of the pelvic floor muscles with malfunction of pain perception linked with psychological and cognitive factors. Conclusions: The therapeutic interventions in CPPS cases should, consequently, follow a multidisciplinary approach.

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“…Women with PVD are sometimes offered a vestibulectomy, in which the mucous membrane of the vagina, the hymen, and some glands in the area are removed [54,[61][62][63]; and 4.…”

Section: Search Strategymentioning

confidence: 99%

New Insights about Chronic Pelvic Pain Syndrome (CPPS)

Grinberg

Sela

Nissanholtz-Gannot

2020

IJERPH

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“…However, conceptualizations of Vulvodynia still largely adhere to a coarse dualistic distinction, with pain seen as either medical or psychological in nature. Reflecting this, treatment for Vulvodynia has primarily included pharmacotherapy, surgery or psychotherapy (Flanagan et al, 2015). A recent systematic review of medical treatments for Vulvodynia suggests low success rates in general, and optimal therapies remain elusive (Klann et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Psychosocial factors associated with pain and sexual function in women with Vulvodynia: A systematic review

Chisari

Monajemi

Scott

et al. 2020

European Journal of Pain

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Background and objective: Vulvodynia is a prevalent chronic vulval pain condition affecting 10%-28% of women, and significantly impacting their health and quality of life. It is currently poorly understood and biomedical treatments achieve only modest benefits for pain and sexual functioning. A wider psychosocial conceptualization of this condition may improve outcomes. There is currently no coherent understanding of how psychosocial factors may contribute to outcomes in Vulvodynia. The aim of this review is to identify and systematically review psychosocial factors associated with pain and sexual outcomes and to inform a psychosocial model of Vulvodynia. Databases and data treatment: Observational/experimental studies reporting on the association between psychosocial factors and pain/sexual outcomes in adult women with Vulvodynia were eligible. Two reviewers independently conducted eligibility screening, data extraction and quality assessment. Twenty-one studies were included, all focused on women with Provoked Vestibulodynia (PVD). Most of the studies were low-to-medium quality. Results/Conclusion: A range of general/pain-related distress and avoidance processes, and sex/intimacy avoidance or engagement processes were significantly associated with pain, sexual functioning or sexual distress and sexual satisfaction, supporting the role of a psychosocial approach to PVD. Depression, anxiety, catastrophizing, pain-anxiety, pain acceptance, body-exposure anxiety, attention to sexual cues, partner hostility and solicitousness, self-efficacy and penetration cognitions are highlighted as potentially important treatment targets in PVD. Due to the limited data available, developing a psychosocial model was not possible. Directions for future research include examining the replicability and generalizability of the factors identified, exploring differences/similarities across Vulvodynia subsets and testing tailored theoretically based treatments. Significance: The systematic review highlights the role of psychosocial factors associated with pain and sexual functioning in Vulvodynia. The review findings reveal that Vulvodynia presents both similar and unique cognitive, behavioural and interpersonal features compared to other chronic pain conditions. There may be important roles for negative sexual cues, body image-related factors during intercourse, partner factors, selfefficacy beliefs and penetration cognitions, in relation to pain and sexual functioning. This is an open access article under the terms of the Creat ive Commo ns Attri butio n-NonCo mmercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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“…Wide ranges reflect significant heterogeneity in methodologies of prevalence studies 4. The underlying conditions are often difficult to diagnose and treat,2, 5, 6 and the aetiological factors are complex, and poorly understood. Partly because of this, sexual pain disorders are often overlooked or badly managed, significantly exacerbating patient distress 7.…”

Section: Introductionmentioning

confidence: 99%

Painful sex (dyspareunia) in women: prevalence and associated factors in a British population probability survey

Mitchell

Geary

Graham

et al. 2017

BJOG

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ObjectiveTo estimate the prevalence of painful sex among women in Britain, and to explore associated sexual, relationship and health factors that should be considered in assessment.DesignMulti‐stage, clustered and stratified population probability sample survey, using computer‐assisted self‐interview. Sample frame was the British Postcode Address File.SettingParticipants interviewed at home between 2010 and 2012.SampleA total of 15 162 adults aged 16–74 years (8869 women). Data reported from 6669 sexually active women.MethodsAge‐adjusted logistic regressions to examine associations between painful sex and indicators of sexual, relational, mental and physical health.Main outcome measurePhysical pain as a result of sex for ≥3 months in the past year, plus measures of symptom severity.ResultsPainful sex was reported by 7.5% (95% CI 6.7–8.3) of sexually active women, of whom one‐quarter experienced symptoms very often or always, for ≥6 months, and causing distress. Reporting painful sex was strongly associated with other sexual function problems, notably vaginal dryness (age adjusted odds ratio 7.9; 6.17–10.12), anxiety about sex (6.34; 4.76–8.46) and lacking enjoyment in sex (6.12; 4.81–7.79). It was associated with sexual relationship factors [such as not sharing same level of interest in sex (2.56; 1.97–3.33)], as well as with adverse experiences such as non‐volitional sex (2.17; 1.68–2.80). Associations were also found with measures of psychological and physical health, including depressive symptoms (1.68; 1.28–2.21).ConclusionPainful sex is reported by a sizeable minority of women in Britain. Health professionals should be supported to undertake holistic assessment and treatment which takes account of the sexual, relationship and health context of symptoms.Tweetable abstractPainful sex—reported by 7.5% of women in Britain—is linked to poorer sexual, physical, relational and mental health.

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Treatment of Female Sexual Pain Disorders: A Systematic Review

Cited by 23 publications

References 91 publications

New Insights about Chronic Pelvic Pain Syndrome (CPPS)

New Insights about Chronic Pelvic Pain Syndrome (CPPS)

Psychosocial factors associated with pain and sexual function in women with Vulvodynia: A systematic review

Painful sex (dyspareunia) in women: prevalence and associated factors in a British population probability survey

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