Alessandra GraziottinAlessandra Graziottin
Condividi su
09/06/2008

Sexual pain disorders: dyspareunia and vaginismus


Graziottin A.
Sexual pain disorders: dyspareunia and vaginismus
in: Porst H. Buvat J. (Eds), ISSM (International Society of Sexual Medicine) Standard Committee Book, Standard practice in Sexual Medicine, Blackwell, Oxford, UK, 2006, p. 342-350

Pain is almost never “psychogenic,” except for pain from grieving. Pain has biological basis, when it is the alerting signal of an impending or current tissue damage from which the body should withdraw it is defined as “nociceptive”. When pain becomes a disease per se, i.e. it is generated within the nerves and nervous centers, it is called “neuropathic”. It is a complex perceptive experience, involving psychological and relational meanings, which may become increasingly important with the chronicity of pain.
Sexual pain disorders – dyspareunia and vaginismus – are very sensitive issues, as the pain involves emotionally charged behaviors: sexual intimacy and vaginal intercourse. Most patients have been denied for years that their pain was real and feel enormously relieved when they finally meet a clinician who trusts their symptoms and commits him/herself to a thorough understanding of the complex etiology of their sexual pain.
Talking with patients about sexual pain disorders requires special attention to the sensitivity of the issue and an empathic attitude to the biological “truth” of pain. This is the basis of a very rewarding clinician-patient relationship and is the basis of an effective therapeutic alliance.

top



Allegati disponibili:
Full text del capitolo


Per gentile concessione di Blackwell Publishing

FAIR USE: Il contenuto di questo lavoro è a libera disposizione per il download, la stampa e la lettura a titolo strettamente personale e senza scopo di lucro. Ogni citazione per finalità didattiche e/o scientifiche dovrà riportare il titolo del documento, il nome dell'autore (o degli autori), i dati del libro o della rivista da cui il lavoro è tratto, e l'indirizzo del sito (www.alessandragraziottin.it).

ATTENZIONE: Ogni terapia va individualizzata e monitorata in ciascuna paziente dal medico specialista esperto nel campo. Queste schede informative non possono in alcun modo sostituirsi al rapporto medico-paziente, né essere utilizzate senza esplicito parere medico.