Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna)
Dyspareunia, a pain that occurs in response to an attempted vaginalentry or to a sexual intercourse, is a clinical entity that recognizes multifactorial etiology. It may be due to organic diseases or to functional disorders suchas Hypoactive Syndrome Desire Disease (HSDD), vaginismus and provoked vu...
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Format: | Article |
Language: | English |
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Publiediting
2013-09-01
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Series: | Pathos |
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Online Access: | http://www.pathos-journal.com/page_35.html |
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author | Giancarlo Carli, MD Anna Ghizzani, MD |
author_facet | Giancarlo Carli, MD Anna Ghizzani, MD |
author_sort | Giancarlo Carli, MD |
collection | DOAJ |
description | Dyspareunia, a pain that occurs in response to an attempted vaginalentry or to a sexual intercourse, is a clinical entity that recognizes multifactorial etiology. It may be due to organic diseases or to functional disorders suchas Hypoactive Syndrome Desire Disease (HSDD), vaginismus and provoked vulvodynia (PVD). A full history is fundamental for the diagnosis of functional syndromes. For PVD diagnosis, the gynaecologist must also have experience of syndromes of chronic widespread pain of unknownetiology such as fibromyalgia since these syndromes are frequently associated. In PVD local and diffuse hyperalgesia is associated with mechanismsof central sensitization. In PVD there is evidence suggesting local mechanisms of neuropathic nature, although local symptoms consist only in light erythema and oedema. |
first_indexed | 2024-04-12T03:16:55Z |
format | Article |
id | doaj.art-e7c92e827bf94c93a02596c1a1331ef6 |
institution | Directory Open Access Journal |
issn | 1593-2354 1593-2354 |
language | English |
last_indexed | 2024-04-12T03:16:55Z |
publishDate | 2013-09-01 |
publisher | Publiediting |
record_format | Article |
series | Pathos |
spelling | doaj.art-e7c92e827bf94c93a02596c1a1331ef62022-12-22T03:50:06ZengPublieditingPathos1593-23541593-23542013-09-012032326Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna)Giancarlo Carli, MD0Anna Ghizzani, MD1Dipartimento di Biologia Molecolare, Università degli Studi di SienaDipartimento di Scienze Mediche, Chirurgiche e Neuroscienze, Università degli Studi di SienaDyspareunia, a pain that occurs in response to an attempted vaginalentry or to a sexual intercourse, is a clinical entity that recognizes multifactorial etiology. It may be due to organic diseases or to functional disorders suchas Hypoactive Syndrome Desire Disease (HSDD), vaginismus and provoked vulvodynia (PVD). A full history is fundamental for the diagnosis of functional syndromes. For PVD diagnosis, the gynaecologist must also have experience of syndromes of chronic widespread pain of unknownetiology such as fibromyalgia since these syndromes are frequently associated. In PVD local and diffuse hyperalgesia is associated with mechanismsof central sensitization. In PVD there is evidence suggesting local mechanisms of neuropathic nature, although local symptoms consist only in light erythema and oedema.http://www.pathos-journal.com/page_35.htmlDyspareuniavulvodyniafibromyalgianeuropathic paindifferential diagnosis |
spellingShingle | Giancarlo Carli, MD Anna Ghizzani, MD Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna) Pathos Dyspareunia vulvodynia fibromyalgia neuropathic pain differential diagnosis |
title | Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna) |
title_full | Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna) |
title_fullStr | Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna) |
title_full_unstemmed | Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna) |
title_short | Differential diagnosis of sexual pain in women (La diagnosi differenziale del dolore sessuale nella donna) |
title_sort | differential diagnosis of sexual pain in women la diagnosi differenziale del dolore sessuale nella donna |
topic | Dyspareunia vulvodynia fibromyalgia neuropathic pain differential diagnosis |
url | http://www.pathos-journal.com/page_35.html |
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