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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Main Authors: Giancarlo Carli, MD, Anna Ghizzani, MD
Format: Article
Language:English
Published: Publiediting 2013-09-01
Series:Pathos
Subjects:
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.
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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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