Vulvar vestibulitis: Pathophysiology and management

Graziottin, Alessandra; Giovannini, Niccolò; Bertolasi, Laura; Bottanelli, Mara

doi:10.1007/s11930-004-0034-z

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…Regarding female sexual pain disorders, some women uniquely experience vulvar and vaginal atrophy (i.e., degeneration of the vulvovaginal tissue), while vulvar vestibulitis (i.e., excessive sensitivity of the vestibule area) characterizes another group of women (e.g., Kao et al, 2012;Meana et al, 1997). Past and/or current STIs may precipitate or aggravate pain severity due to possible hyperactivity of the immune system and the inflammatory response (e.g., Graziottin, Giovannini, Bertolasi, & Bottanelli, 2004).…”

Section: Situational Factorsmentioning

confidence: 99%

When the "Oohs" are Painful, Not Pleasurable: An Investigation of Anodyspareunia Among Gay, Bisexual, and Queer Men

Stratton¹

2023

Preprint

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Recurrent and severe pain during receptive anal penetration, also known as anodyspareunia, is common among gay and bisexual men with prevalence rates ranging from 12.5% to 18%. Despite high prevalence, this is the first study to assess diagnostic criteria for Genito-Pelvic Pain/Penetration Disorder (GPPPD) among gay, bisexual, and queer (GBQ) men, and the first to systematically explore symptom and biopsychosocial profiles, test a cognitive-behavioural (CBT) model of maintaining factors, and explore the treatment barriers among GBM with anodyspaurenia. Overall, 369 Canadian GBM (Mage = 31.26, SDage = 10.85) with and without recurrent and severe pain during receptive anal penetration completed an online self-report questionnaire package. Study hypotheses were examined using descriptive statistics, Kruskal-Wallis H tests, analyses of variances, latent class analyses, structural equation modelling, and chi goodness of fit tests. Almost half of the sample (47.2%) met full criteria for GPPPD, 31.0% met no criteria, and 21.8% met criteria, but reported no distress or interference. Pain at the entrance of the anus, experienced at the moment of penetration, and persisting for five minutes or less was common across groups, whereas pain located inside the anal canal and rectum, experiencing pain during thrusting, and pain persisting for more than five minutes differentiated between GBM with and without a GPPPD diagnosis. GBM with GPPPD reported significantly greater pain catastrophizing, pain-related cognitive and somatic anxiety, pain-related fear, prostate and rectal conditions, and heterosexist harassment, rejection, and discrimination than the other two groups. The fear-avoidance model of sexual pain was partially among GBM with GPPPD. Commonly reported barriers by GBM with GPPPD who did not consult with a health care professional included unhelpful beliefs, shame, and embarrassment. GBM with GPPPD who sought treatment most often reported consulting with a general practitioner. The high proportion of GBM who met full criteria for GPPPD highlights the need for effective interventions and further research regarding anodyspareunia among this population. Implications of the study findings for assessment, diagnosis, treatment, and knowledge transfer and exchange are discussed.

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Section: Situational Factorsmentioning

confidence: 99%

When the "Oohs" are Painful, Not Pleasurable: An Investigation of Anodyspareunia Among Gay, Bisexual, and Queer Men

Stratton¹

2023

Preprint

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“…2 The disorder being generalized (with every partner and in every situation) or situational, specifically precipitated by partner-related or contextual factors, which should be specified [13,26]. Situational prob-lems usually rule out medical factors that tend to affect the sexual response with a more generalized effect [53,71]. 3 The disorder being lifelong (from the very first sexual experience) or acquired after months or years of satisfying sexual interaction.…”

Section: Clinical Historymentioning

confidence: 99%

Classification, Etiology, and Key Issues in Female Sexual Disorders

Graziottin¹,

Dennerstein²,

Alexander³

et al. 2006

Standard Practice in Sexual Medicine

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Women's sexuality is multifactorial, rooted in biological, psychosexual and context-related factors. The latter include couple dynamics, family and sociocultural issues and developmental factors. Sexuality is also multisystemic. In men and women, a physiologic response requires the integrity of the hormonal, vascular, nervous, muscular, connective and immune systems: a fact too often overlooked in women, until recently. This chapter summarizes the leading characteristics of women's sexuality, to give a comprehensive view of the key factors in sexual health. The most updated classification is presented, with a focus on descriptors essential to qualify the disorders with a few questions.Two concise paragraphs on ethical, legal and moral issues and on optimal referral are presented.

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Pelvic floor dysfunction and evidence-based physical therapy

2007

Evidence-Based Physical Therapy for the Pelvic Floor

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Vulvar vestibulitis: Pathophysiology and management

Cited by 5 publications

References 23 publications

When the "Oohs" are Painful, Not Pleasurable: An Investigation of Anodyspareunia Among Gay, Bisexual, and Queer Men

When the "Oohs" are Painful, Not Pleasurable: An Investigation of Anodyspareunia Among Gay, Bisexual, and Queer Men

Classification, Etiology, and Key Issues in Female Sexual Disorders

Pelvic floor dysfunction and evidence-based physical therapy

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