جستجوی مقالات مرتبط با کلیدواژه « دیسپارونی » در نشریات گروه « پزشکی »

vaginismus and Dyspareunia disorders is important issue in the field of painbecause this type of pain is part of emotional behaviors in marital relationships such as sexual intimacyand vaginal intercourse. The aim of the present study was to investigate the antecedents that lead to theexperience of vaginismus and Dyspareunia in women.

This study was conducted with a qualitative approach and using the method of contractualcontent analysis with inductive method. 9 female participants with vaginismus and Dyspareunia wereselected by purposive sampling method and continued to saturate. After data collection, all interviewswere implemented and reviewed and the main components were extracted. First, the semantic unitswere identified and then turned into psychological expressions. Finally, the general structure was determinedand combined.

In general, thirteen predictive categories were identified using research data analysis. Accordingly,the preceding categories of this experience include incorrect family sex education, incorrect religiousattitude, sexual abuse, phobia, fatigue, lack or insufficiency of sexual awareness, sexual disorders of thespouse, psychological disorders of the spouse, fear of pregnancy, Lack of foreplay, suppression of sexualdesire, previous failed marriage and viewing pornographic images.

The results of this study enrich the previous research literature on the antecedents of thelived experience of vaginismus and dyspareunia. Also, the structure of living experience of vaginismusand Dyspareunia extracted in this study is widely used to develop and implement prevention and treatmentprograms for this disorder.

Dyspareunia or pain during intercourse is one of the problems which some women experience. This problem becomes more severe during pregnancy. Therefore, this study was performed with aim to investigate dyspareunia and its relationship with estrogen changes and sexual dysfunction in pregnant women.

This descriptive cross-sectional study was performed in 2018-2019 on 50 pregnant women referring to obstetrics and gynecology clinics and also clinical psychologists in Mashhad who had dyspareunia as the case group and 50 normal and non-infected pregnant women as the control group. Also, pregnant women were at the interval between the fourth and fifth months of pregnancy. Data collection tool included demographic information, the structured clinical interview measurement tool for disorders I and II and DSM-IV, the standard Female Sexual Function Index sexual performance questionnaire, and disease-related information included in the researcher-made checklist. Data were analyzed using SPSS statistical software (version 16) and Pearson correlation coefficient test. P<0.05 was considered statistically significant.

The results showed that the mean score of total sexual function in the clinical group was 6.84±5.65 and the score of dyspareunia was 5.46±4.22; the scores of the case group were much higher than the control group. Also, the level of estrogen in pregnant women with dyspareunia decreased compared to pregnant women without dyspareunia and was 21.68±12 12.04 in the case group and 36.21±18.12 in the control group that significant difference was found between the two groups in terms of estrogenic changes.

Low estrogen level is effective in causing dyspareunia. Also, the history of dyspareunia was associated with sexual dysfunction; so that the total score of sexual function and estrogen level was lower in the patient group than the normal group. What increases the prevalence of dyspareunia is a history of sexual dysfunction. In general, women in the control group had better score in sexual function and lower score in painful intercourse, and had no particular problem.

Objective (s): of patients has received less attention and most studies focused primarily on infertility، pain، and dyspareunia as main complaints of patients. The aim of this paper was to review the existing body of information on the impact of endometriosis and its medical and surgical treatments on sexual health of patients، providing new insight into the issue، and call attention to this overlooked aspects of women’s life. Using the PRISMA guideline، papers published between 1975 and 2013 on the topic of endometriosis، and its treatments retrieved and with a critical narrative synthesis the effect of disease or its treatments on sexual health of patients were reviewed. In total، 37 papers were found relevant. Of these 32 papers used quantitative methods and 5were qualitative studies. The results showed that dyspareunia was the most common symptom as part of a pain syndrome and not a sexual problem. Sexual well being of patients has been included in the treatment outcomes only in recent years. Pain، frequency of sexual intercourse، sexual function، and satisfaction، and orgasm were the most accounted outcomes. Endometriosis strongly affects sexual and marital relationships and quality of life in women. Therefore، these aspects of patients’ life as well as biological and clinical indicators should be integrated into the health care and the future research.

Episiotomy is one of the most commonly performed procedures in obstetrics approximately 33%of women giving vaginally in 2000 had an episiotomy, but the best technique of episiotomy and its clinical benefits remain largely unknown. The aim of this study is define episiotomy prevalence and its clinical complication in women who gave birth vaginally in academic hospitals in Tehran. This was a prospective longitudinal study of parturient at 1,10, 40 and 90 days post partum.510 primiparous women were followed up, primary outcome was the frequency of perineal pain on days of interview second outcomes were determine effective factors of perineal pain.research data about perineal pain after episiotomy that was conducted at ten academic hospitals in Tehran. This study included 510 primiparous women who gave birth vaginally. Data was collected with interview in 24 h, 10, 40and 90 day after delivery and after collecting information and filling forms, data was analyzed by SPSS11.5 and tests such as chi - square, independent sample T-test and Mann-Whitney. episiotomy was performed in the 97.3%of primiparous women who gave birth vaginally.32.3%of women had midline episiotomy and 67.7%had mediolateral episiotomy. Episiotomy complication included: perineal pain was reported by 96.4%at 24 h, 63%at 10, 25% at 40 and12% at 90 days. dyspareunia in 10, 40 and 90 day after delivery was reported100%, 66%and 31.2%. preneal pain hadsignificantly related with maternal age in tow time, the first day(p<0.023)and the tenth day(p<0.014),the number of steria in the first day(p <0.044),active phase duration in the fourth day (p<0.002). The frequency of preneal pain among the women during the third time of postpartum is equal by foreign research. The number of steria and active phase duration are new influence factor that this survey find and need to more study abut these..

Abstract Episiotomy is one of the most commonly performed procedures in obstetrics; approximately 33%of women giving birth vaginally in 2000 had episiotomy but the best technique of episiotomy and its clinical benefits remain largely unknown. The aim of this study was to determine episiotomy prevalence and its clinical complications in women with vaginal delivery in teaching hospitals in Tehran during 3 months after child birth. This deh1ive study was conducted on 510 primiparous women in teaching hospitals in Tehran. The Data were collected using interviews 1 10 40 and 90 days after delivery and after recorded in special forms. Episiotomy was performed in 97.3 % of primiparous women who gave birth vaginally.32.3 % of women had midline episiotomy and 67.7 % had medio- lateral episiotomy. Episiotomy complications included: perineal pain reported by 96.4 % at one 63 % after 10 days 25 % after 40days and 12 % at three months after birth. Dyspareunia on 10 40 the day and 3 months after delivery was reported to be 100 % 66 %and 31.2 % respectively. The prevalence of Episiotomy is higher here in Iran than that of any other country and prevalence of mediolatral episiotomy is higher than median episiotomy in Iran despite its difficulties. Therefore it seems logical that the prevalence of its complications (preneal pain and dyspareunia) is also higher in Iranian women.

Sexual instinct which is the cause of numerous changes in one’s life could be influenced by numerous factors such as menopause and aging. This study was focused on comparison of women’s sexual functioning disorders before and after menopause. This is an analytic cross sectional study in which data related to before and after menopause sexual activities of 174 married women (living with their spouses), referring to health centers in Isfahan in 2003 was collected and investigated. Data was collected by a self constructed sexual dysfunction inventory in which reliability and validity were reached by content validity and α chorenbach index. Findings were analysed through descriptive and inferential (MC-Nemar) statistics. Findings showed that relative frequency of sexual functioning disorders in productive period was 38% and in menopausal period 72.4%. There was a significant association between sexual functioning disorders before and after menopausal period (P < 0.001). Frequency distribution of sexual functioning disorders in productive period of these women according to severity of disorders were: sexual desire disorder (49/2%), dyspareunia (34/3%), arousal dysfunction (26/8%), orgasmic dysfunction (23/8%), and vaginismus (16/4%). Frequency distribution of sexual functioning disorders in menopausal period of these women were: arousal dysfunction(75/3%), sexual disire disorder (62/6%), orgasmic dysfunction (56/3%), dyspareunia (34/9%) and vaginismus (15/8%). As revealed by the findings of the study,a high percentage of women experience sexual functioning disorders in productive and menopausal periods. Menopause can be a cause to occur, or continue these disorders. The role of health care professinals in conselling and education is emphasized.