دورية أكاديمية
"The sound of silence" Giving voice to endometriosis-related positional dyspareunia.
| العنوان: | "The sound of silence" Giving voice to endometriosis-related positional dyspareunia. |
|---|---|
| المؤلفون: | Merli CEM; Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda, 12, 20122, Milan, Italy. camillamerli@hotmail.com., Cetera GE; Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda, 12, 20122, Milan, Italy., Caia C; Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda, 12, 20122, Milan, Italy.; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy., Facchin F; Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy., Vercellini P; Gynecology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Commenda, 12, 20122, Milan, Italy.; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. |
| المصدر: | Archives of gynecology and obstetrics [Arch Gynecol Obstet] 2024 Mar; Vol. 309 (3), pp. 887-893. Date of Electronic Publication: 2023 Sep 09. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 8710213 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0711 (Electronic) Linking ISSN: 09320067 NLM ISO Abbreviation: Arch Gynecol Obstet Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Berlin : Springer Verlag Original Publication: München : Springer International, c1987- |
| مواضيع طبية MeSH: | Dyspareunia*/etiology , Dyspareunia*/therapy , Endometriosis*/complications, Female ; Humans ; Pelvic Pain ; Sexual Behavior ; Sexual Partners |
| مستخلص: | Deep dyspareunia is one of the main symptoms of endometriosis. It appears to be submerged by a two-way disconnection between patients and their physicians. The aim of our review is to provide clear, ready-to-use advice on how to manage deep dyspareunia overcoming the gap in communication. Sexual history should always be taken as part of routine health care in these regards, using a patient-centered approach. An educational pelvic examination, which actively includes patients in the identification of painful areas, may prove useful to improve patients' understanding of their condition. Correlating painful pelvic areas with sexual positions and inviting patients to adopt alternative positions may represent a simple but extremely effective coping strategy to mitigate pain. Revealing and explaining to partners the nature of the pain is essential to allow them to take part in shared research of coping mechanisms, empowering the couple to make choices and changes. Couples who do not feel comfortable talking about intimacy by themselves may find that including a psychotherapist or a sexual therapist, may be a good way to start communication. Investigating and managing dyspareunia during medical encounters is a medical and ethical duty all healthcare practitioners should pursue. (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Communication; Deep dyspareunia; Dyspareunia; Endometriosis |
| تواريخ الأحداث: | Date Created: 20230909 Date Completed: 20240216 Latest Revision: 20240223 |
| رمز التحديث: | 20240224 |
| DOI: | 10.1007/s00404-023-07205-3 |
| PMID: | 37689593 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1432-0711 |
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| DOI: | 10.1007/s00404-023-07205-3 |