Purpose of Review Dyspareunia could influence negatively the sexuality of pre- and postmenopausal women. Genital pain can be cause for disturbing sexual desire. We conducted a review to describe interventions to address dyspareunia. Recent Findings We reviewed 64 articles, based on studies concerning definitions of dyspareunia, genital sexual pain, different causes in pre/postmenopausal women, physical examination, management by age groups, and current/novel therapies. Evidence was drawn from systematic reviews of randomized controlled trials, clinical controlled studies, and case-control-studies, and from non-systematic reviews. Summary All included studies showed a significant reduction of dyspareunia after specific treatment. Women who received hormonal or non-hormonal medication, or physical therapy, had a better quality of sexual life. Hormonal and physical therapies show faster efficacy than non-hormonal therapies. In addition, pharmacological, psychological, and sexological integrated therapies seem to be more effective than single treatments.

Dyspareunia in Women: Updates in Mechanisms and Current/Novel Therapies

Caruso, Salvatore
Primo
Conceptualization
;
2019-01-01

Abstract

Purpose of Review Dyspareunia could influence negatively the sexuality of pre- and postmenopausal women. Genital pain can be cause for disturbing sexual desire. We conducted a review to describe interventions to address dyspareunia. Recent Findings We reviewed 64 articles, based on studies concerning definitions of dyspareunia, genital sexual pain, different causes in pre/postmenopausal women, physical examination, management by age groups, and current/novel therapies. Evidence was drawn from systematic reviews of randomized controlled trials, clinical controlled studies, and case-control-studies, and from non-systematic reviews. Summary All included studies showed a significant reduction of dyspareunia after specific treatment. Women who received hormonal or non-hormonal medication, or physical therapy, had a better quality of sexual life. Hormonal and physical therapies show faster efficacy than non-hormonal therapies. In addition, pharmacological, psychological, and sexological integrated therapies seem to be more effective than single treatments.
2019
Dyspareunia Endometriosis Estrogen therapy Female sexual disorders Genital sexual pain Genitourinary syndrome Hormonal-non hormonal therapies Ospemifene
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/361505
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