Women's sexual pain disorders.
Women's sexual pain disorders.
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女性性交疼痛障碍。
DOI：
10.1111/j.1743-6109.2009.01631.x
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Achtrari,Chahin
中科院分区：
文献类型：
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作者：
vanLankveld,JacquesJDM;Granot,Michal;WeijmarSchultz,WillibrordCM;Binik,YitzchakM;Wesselmann,Ursula;Pukall,CarolineF;Bohm-Starke,Nina;Achtrari,Chahin
目的更新2004年第二届国际性医学咨询会议发表的有关女性性疼痛障碍诊断和治疗的科学证据。方法从第三届国际咨询会议邀请6个国家的8名研究人员和临床医生组成一个专家委员会，对有关女性性疼痛障碍的病因学、病因、诊断和治疗的科学证据进行回顾和分级。主要结果衡量专家意见建立在循证医学文献、分级的基础上广泛的内部委员会讨论、公开陈述和辩论。结果建议对内科病史、性病史和心理社会史进行全面评估以进行诊断和处理。确定了全身和重点盆腔生殖器检查的适应症。对女性性疼痛障碍的循证评估建议进行了综述。结论应继续努力，对女性性疼痛障碍的最佳评估和管理进行研究和科学报告，包括多学科方法。
IntroductionWomen’s sexual pain disorders include dyspareunia and vaginismus and there is need for state-of-the-art information in this area.AimTo update the scientific evidence published in 2004, from the 2nd International Consultation on Sexual Medicine pertaining to the diagnosis and treatment of women’s sexual pain disorders.MethodsAn expert committee, invited from six countries by the 3rd International Consultation, was comprised of eight researchers and clinicians from biological and social science disciplines, for the purpose of reviewing and grading the scientific evidence on nosology, etiology, diagnosis, and treatment of women’s sexual pain disorders.Main Outcome MeasureExpert opinion was based on grading of evidence-based medical literature, extensive internal committee discussion, public presentation, and debate.ResultsA comprehensive assessment of medical, sexual, and psychosocial history is recommended for diagnosis and management. Indications for general and focused pelvic genital examination are identified. Evidence-based recommendations for assessment of women’s sexual pain disorders are reviewed. An evidence-based approach to management of these disorders is provided.ConclusionsContinued efforts are warranted to conduct research and scientific reporting on the optimal assessment and management of women’s sexual pain disorders, including multidisciplinary approaches.