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首页> 外文期刊>The journal of sexual medicine >Pain, psychosocial, sexual, and psychophysical characteristics of women with primary vs. secondary provoked vestibulodynia.
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Pain, psychosocial, sexual, and psychophysical characteristics of women with primary vs. secondary provoked vestibulodynia.

机译：原发性与继发性前庭性躁狂的女性的疼痛，心理，性和心理生理特征。

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INTRODUCTION: Women with provoked vestibulodynia (PVD), a common cause of dyspareunia, are typically considered a homogeneous group. However, research suggests that differences on some factors (e.g., medical history, pain characteristics, psychological functioning, treatment response) exist based upon whether the pain was present at first intercourse (primary PVD: PVD1) or developed at some later point (secondary PVD: PVD2). AIMS: The purpose of this study was to examine differences in demographic variables, pain characteristics, psychosocial and psychosexual adjustment, and pain sensitivity between women with PVD1 and PVD2. METHODS: Twenty-six women suffering from PVD (13 with PVD1 and 13 with PVD2) completed a screening assessment, a standardized gynecological examination, an interview, questionnaires, and a quantitative sensory testing session. MAIN OUTCOME MEASURES: These included pain ratings during the gynecological examination and interview, scores on measures of psychosocial/sexual functioning (e.g., Short Form-36 [SF-36] Health Survey, Female Sexual Function Index), and thresholds and pain ratings during thermal sensory testing over the dominant forearm and vulvar vestibule. RESULTS: The women with PVD1 were more likely to be nulliparous, but they were not significantly different from the women with PVD2 on other demographic variables or in their pain ratings during the gynecological examination. The women with PVD1 reported lower levels of social and emotional functioning and heightened anxiety surrounding body exposure during sexual activity, and they also displayed lower heat pain tolerance over the forearm and lower heat detection and pain thresholds at the vulvar vestibule than the women with PVD2. CONCLUSIONS: The findings from this study support previous research indicating that women with PVD1 and PVD2 differ in a number of domains. Further research is needed to confirm and elaborate on these findings.
机译：简介：诱发性前庭不速动（PVD）是性交困难的常见原因，通常被视为同质人群。但是，研究表明，某些因素（例如病史，疼痛特征，心理功能，治疗反应）存在差异，这取决于疼痛是在第一次性交时出现（原发性PVD：PVD1）还是在后来的某个时点发展（继发性PVD） ：PVD2）。目的：本研究的目的是研究PVD1和PVD2妇女之间的人口统计学变量，疼痛特征，心理社会和心理适应以及疼痛敏感性的差异。方法：26名患有PVD的妇女（13名患有PVD1，13名患有PVD2）完成了筛查评估，标准化的妇科检查，访谈，问卷调查和定量感官测试。主要观察指标：这些指标包括妇科检查和访谈时的疼痛等级，社会心理/性功能指标的得分（例如，Short Form-36 [SF-36]健康调查，女性性功能指数），以及阈值和疼痛等级对前臂和外阴前庭进行热感测。结果：患有PVD1的女性更可能是未产妇，但在其他人口统计学变量或妇科检查期间的疼痛等级方面，与患有PVD2的女性没有明显差异。患有PVD1的女性在性活动期间报告的社交和情感功能水平较低，周围暴露的焦虑加剧，并且与患有PVD2的女性相比，他们在前臂上的热痛耐受性较低，在外阴前庭的热量检测和疼痛阈值较低。结论：这项研究的结果支持以前的研究，表明患有PVD1和PVD2的女性在许多领域都存在差异。需要进一步的研究来证实和阐述这些发现。

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