DOWNLOAD ~ Combined Physical and Psychosexual Therapy for Provoked Vestibulodynia--an Evaluation of a Multidisciplinary Treatment Model (Report) ~ by The Journal of Sex Research ~ Book PDF Kindle ePub Free

eBook details

• Title: Combined Physical and Psychosexual Therapy for Provoked Vestibulodynia--an Evaluation of a Multidisciplinary Treatment Model (Report)
• Author : The Journal of Sex Research
• Release Date : January 01, 2008
• Genre: Health & Fitness,Books,Health, Mind & Body,
• Pages : * pages
• Size : 241 KB

Description

Provoked vestibulodynia, formerly known as vulvar vestibulitis syndrome, is currently defined as a pain disorder confined to the vaginal opening with hypersensitivity to mechanical stimuli such as touch, pressure, and vaginal penetration (Moyal-Barracco & Lynch, 2004). It is the most frequent cause of superficial dyspareunia in young women (Harlow, Wise, & Stewart, 2001 ). The symptoms interfere with the patient's sexual function and psychological well-being, and the impact the disease has on the affected women may increase over time. Many affected women become sexually abstinent and often describe loss of sexual desire, which has usually accelerated as the symptoms become manifest (Graziottin & Brotto, 2004; Reissing, Khalife, Cohen, & Amsel, 2003; Van Lankveld, Weijenborg, & ter Kuile, 1996). Signs of anxiety and depression are also common features in the patients, but studies on involved psychological factors have not reached consistent results. Some studies report that women with vestibulodynia have higher rates of depression and anxiety than controls (Gates & Galask, 2001; Nylander-Lundqvist & Bergdahl, 2003). It is not clear, however, whether these differences reflect the cause or effect of the disease (Green & Hetherton, 2005; Meana, Binik, Khalife, & Cohen, 1997b; Van Lankveld et al., 1996). Hypertonicity of the pelvic floor has been proposed to be an important factor for the maintenance of pain, and an increased tension of the pelvic floor is often found during a gynecological examination (Abramov, Wolman, & David, 1994; Reissing, Binik, Khalife, Cohen & Amsel, 2004; Reissing, Lord, Binik, & Khalife, 2005). Interventions to restore the function of the pelvic floor muscles using EMG-biofeedback or physiotherapy are also generally recommended (Bergeron et al., 2002; Danielsson, Torstensson, Brodda-Jansen, & Bohm-Starke, 2006; Glazer, Rodke, Swencionis, Hertz, & Young, 1995; Graziottin & Brotto, 2004; Haefner et al., 2005; Rosenbaum, 2005).

PDF Books "Combined Physical and Psychosexual Therapy for Provoked Vestibulodynia--an Evaluation of a Multidisciplinary Treatment Model (Report)" Online ePub Kindle