Vaginal plethysmography in women with dyspareunia

Wouda, Jan; Hartman, P.; Bakker, Riksta M.; Bakker, Jan O.; Wiel, H.B.M. van de; Schultz, Willibrordus Weijmar

doi:10.1080/00224499809551927

Cited by 76 publications

(68 citation statements)

References 4 publications

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“…Sexual satisfaction is lower in women with dyspareunia compared to control women (Danielsson, Sloberg, & Wilman, 2000;Wouda et al, 1998). In terms of partner responses, higher solicitousness could be interpreted by women as greater partner sensitivity to their pain, Mediation in Couples with PVD 8 resulting in higher sexual satisfaction.…”

Section: Introductionmentioning

confidence: 97%

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

et al. 2012

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Provoked vestibulodynia (PVD) is a chronic, recurrent vulvo-vaginal pain condition affecting 12% of the general population, and is associated with sexual dysfunction, psychological distress, and reduced quality of life. There is growing interest in the role of interpersonal variables in PVD, which have been widely neglected. In a sample of 175 couples, the present study examined the mediating roles of partner and participant catastrophizing and self-efficacy in the association between solicitous partner responses and pain intensity, and that of dyadic adjustment in the association between solicitous and negative partner responses and sexual satisfaction. Couples completed measures of partner responses, catastrophizing, self-efficacy, dyadic adjustment, and depression. Women also completed measures of pain, sexual satisfaction, and sexual function. Controlling for depression and solicitousness perceived by the other member of the couple, catastrophizing and self-efficacy partially mediated the association between higher solicitous responses and higher pain during intercourse, accounting for 26% and 25% of the variance in this association for woman and partner-perceived responses, respectively.For both women and partners, only pain catastrophizing was a unique mediator. Controlling for depression, sexual function and partner-perceived responses, dyadic adjustment partially mediated the association between higher participant-perceived solicitous responses and higher sexual satisfaction, and between higher participant-perceived negative responses and lower sexual satisfaction, accounting for 26% of the variance in each association. The current findings suggest that catastrophizing and dyadic adjustment may constitute a route by which partner responses exacerbate pain and increase or decrease sexual satisfaction in PVD couples.

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Section: Introductionmentioning

confidence: 97%

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

et al. 2012

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“…Existing evidence suggests that sexual satisfaction of women with dyspareunia is lower in comparison with control women (Danielsson et al, 2000;Wouda et al, 1998 Lease, & Ellison, 2004;Byers & Demmons, 1999). Women who are sexually dissatisfied may seek sexual expression through means independent of intercourse with a primary partner, such as self-stimulation or extra-pair sexual activity (Bridges et al, 2004;Davidson & Moore, 1994).…”

Section: Introductionmentioning

confidence: 99%

“…For instance, the expectation of pain may result in self-monitoring during sexual activity, and self-monitoring is known to inhibit the sexual response (Dove & Wiederman, 2000; Van den Hout & Barlow, 2000). Indeed, women with dyspareunia may experience lower sexual desire (Meana et al, 1997;Reissing et al, 2003), arousal (e.g., Reissing et al, 2003Wouda et al, 1998), and lubrication (Nunns & Mandal, 1997;Van Lankveld, Weijenborg, ter Kuile, 1996). In a sample of women with vulvar pain, the impaired sexual …”

Section: Introductionmentioning

confidence: 99%

“…Existing evidence suggests that sexual satisfaction of women with dyspareunia is lower in comparison with control women (Danielsson et al, 2000;Wouda et al, 1998). Sexual satisfaction in healthy women is positively associated with young age, liberal attitudes toward sexuality, frequency of sexual intercourse (Renaud & Byers, 1997), relationship satisfaction (Lawrance & Byers, 1995;Sprecher, 2002), low discrepancy in sexual desire between partners (Davies, Katz, & Jackson, 1999), minimal cognitive distraction during sexual activity (Dove & Wiederman, 2000), self-disclosure, and masturbation (Byers & Demmons, 1999;Haavio-Mannila & Kontula, 1997;Sprecher & McKinney, 1993).…”

Section: Introductionmentioning

confidence: 99%

“…When Evidence supports many of these interpretations. Women with dyspareunia have selfreported more negative feelings surrounding sexual activity (Nunns & Mandal, 1997;Wouda et al, 1998), less sexual pleasure (Reissing, Binik, Khalifé, Cohen, & Amsel, 2003), more feelings of depression about sexuality (Gates & Galask, 2001), and negative sexual attitudes (Meana et al, 1997). Furthermore, one's sexual schema can be influenced by a number of sexual experiences, including age of sexual intercourse debut (Haavio-Mannila & Kontula, 1997;Sprecher, Barbee, & Schwartz, 1995), early non-intercourse sexual experience (Davis & Lay-Yee, 1999), number of sexual partners, exclusivity within a sexual relationship (Waite & Joyner, 2001), and importance of sex (Byers, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Genital Pain in Young Women

2007

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Despite the high prevalence of genital pain in healthy young adult women, limited research has addressed genital pain during intercourse using contemporary models of multidimensional sexual function. The objectives of this study were threefold: (1) to identify differences in sexual functioning in women who experience genital pain compared to pain free women; (2) to identify predictors of sexual functioning in women with and without genital pain; and (3) to identify predictors of sexual satisfaction in women with and without genital pain. Sexually active female undergraduates (n = 651) were administered the Female Sexual Function Index and the Derogatis Sexual Functioning Inventory. We evaluated the sexual factors that impact the sexual function of women with any pain (including high and low pain groups) versus women with no history of pain. Women with genital pain reported greater rates of sexual dysfunction as compared to pain-free women; however, sexual functioning in the high versus low pain groups was distinguished primarily by vaginal lubrication. Women in the high pain group showed negative correlations between domains of sexual satisfaction and genital pain frequency and intensity that were not found in the low pain group. For pain-free women, intercourse played a strong role in sexual satisfaction, whereas non-intercourse sexual behavior was central to sexual satisfaction in women who reported pain. The evaluation of levels of genital pain may provide insight into the mechanisms underlying the impairment of sexual function, sexual behavior, and sexual satisfaction. KeywordsGenital pain; Dyspareunia; Female sexual dysfunction; Sexual satisfaction; Sexual communication IntroductionContemporary models of female sexual response reflect the intercept of multiple dimensions of sexuality (Basson, 2001). Whereas sexual desire and arousal have often been the focus of these revised conceptualizations of sexual function, little attention has been given to the impact of different levels of genital pain (but see Abarbanel, 1978). This omission is surprising in light of the 15-20% of the female population aged 18-29 who experience dyspareunia (Laumann, Paik, & Rosen, 1999;Mercer et al., 2003). Dyspareunia is defined as the experience of pain during sexual intercourse and/or nonsexual pain with vaginal penetration (Binik, 2005). The symptom of pain in dyspareunia may be caused by multiple disease states, including underlying infection, allergies, muscle tension, hormone NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript deregulation, genital abnormalities, endometriosis or tissue damage following pelvic injury or surgery (Basson et al., 2004). Although women with dyspareunia may have pain with localized or generalized genital contact, the most common type of dyspareunia is Vulvar Vestibulitis Syndrome (VVS, also known as vestibulodynia), or pain concentrated at the vaginal vestibule (Friedman, 1995).In addition to the physical pain, dyspareunia may result in a cascade of psychological, s...

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