Psychosexual aspects of vulvovaginal pain
Article [Accepted Manuscript]
Is part ofBest Practice & Research: Clinical Obstetrics & Gynaecology ; vol. 28, no 7
- Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles
- Université de Montréal. Faculté des arts et des sciences. Département de psychologie
Vulvovaginal pain problems are major health concerns in women of childbearing age. Controlled studies have shown that vulvovaginal pain can adversely affect women and their partners’ general psychological well-being, relationship adjustment and overall quality of life. These women have significantly lower levels of sexual desire, arousal, and satisfaction, as well as a lower intercourse frequency than normal controls. They also report more anxiety and depression, in addition to more distress about their body image and genital self-image. Empirical studies indicate that specific psychological and relationship factors may increase vulvovaginal pain intensity and its psychosexual sequelae. Randomized clinical trials have shown that psychosexual interventions, namely cognitive-behavioral therapy (CBT), are efficacious in reducing vulvovaginal pain and improving associated psychosexual outcomes. Women reporting significant psychological, sexual and/or relationship distress should be referred for psychosexual treatment. A multimodal approach to care integrating psychosexual and medical management is thought to be optimal.
Bergeron, S., Likes, W.M., & Steben, M. (2014, octobre). Psychosexual aspects of vulvovaginal pain. Best Practice & Research Clinical Obstetrics and Gynaecology, 28, 991–999.