Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach

Abstract Genito-pelvic pain/penetration disorder (GPPPD) can be an extremely bothersome condition for patients, and a tough challenge for professionals regarding its assessment and treatment. The goal of the present paper is to review the etiology, assessment, and treatment of GPPPD, especially focu...

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Main Authors: Ana Dias-Amaral, André Marques-Pinto
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2018-12-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/pdf/rbgo/v40n12/0100-7203-rbgo-40-12-00787.pdf
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author Ana Dias-Amaral
André Marques-Pinto
author_facet Ana Dias-Amaral
André Marques-Pinto
author_sort Ana Dias-Amaral
collection DOAJ
description Abstract Genito-pelvic pain/penetration disorder (GPPPD) can be an extremely bothersome condition for patients, and a tough challenge for professionals regarding its assessment and treatment. The goal of the present paper is to review the etiology, assessment, and treatment of GPPPD, especially focusing on the cognitive aspects of the disease and cognitive-behavioral treatment options, through a non-systematic review of articles indexed to the Medline, Scopus and Web of Science databases, using the following MeSH queries: pelvic pain; dyspareunia; vaginismus; vulvodynia; and cognitive therapy. Altogether, 36 articles discussing the etiology, diagnosis and management of GPPPD were selected. We provide an overview of GPPPD based on biological, psychological and relational factors, emphasizing the last two. We also summarize the available medical treatments and provide strategies to approach the psychological trigger and persisting factors for the patient and the partner. Professionals should be familiarized with the factors underlining the problem, and should be able to provide helpful suggestions to guide the couple out of the GPPPD fear-avoidance circle.
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spelling doaj.art-07318160b5ab490aa50b3500350c79d02022-12-21T21:20:03ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032018-12-01401278779310.1055/s-0038-1675805Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall ApproachAna Dias-AmaralAndré Marques-PintoAbstract Genito-pelvic pain/penetration disorder (GPPPD) can be an extremely bothersome condition for patients, and a tough challenge for professionals regarding its assessment and treatment. The goal of the present paper is to review the etiology, assessment, and treatment of GPPPD, especially focusing on the cognitive aspects of the disease and cognitive-behavioral treatment options, through a non-systematic review of articles indexed to the Medline, Scopus and Web of Science databases, using the following MeSH queries: pelvic pain; dyspareunia; vaginismus; vulvodynia; and cognitive therapy. Altogether, 36 articles discussing the etiology, diagnosis and management of GPPPD were selected. We provide an overview of GPPPD based on biological, psychological and relational factors, emphasizing the last two. We also summarize the available medical treatments and provide strategies to approach the psychological trigger and persisting factors for the patient and the partner. Professionals should be familiarized with the factors underlining the problem, and should be able to provide helpful suggestions to guide the couple out of the GPPPD fear-avoidance circle.http://www.scielo.br/pdf/rbgo/v40n12/0100-7203-rbgo-40-12-00787.pdfdyspareuniavaginismusvulvodyniacognitive therapybehavioral therapy
spellingShingle Ana Dias-Amaral
André Marques-Pinto
Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach
Revista Brasileira de Ginecologia e Obstetrícia
dyspareunia
vaginismus
vulvodynia
cognitive therapy
behavioral therapy
title Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach
title_full Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach
title_fullStr Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach
title_full_unstemmed Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach
title_short Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach
title_sort female genito pelvic pain penetration disorder review of the related factors and overall approach
topic dyspareunia
vaginismus
vulvodynia
cognitive therapy
behavioral therapy
url http://www.scielo.br/pdf/rbgo/v40n12/0100-7203-rbgo-40-12-00787.pdf
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