背景:性疼痛对个体有深远的影响,不管他们的性取向或性别认同,影响女性的次数比男性多.它对性功能和人际关系都有不利影响。尽管流行,女性的性疼痛往往得不到解决和治疗。各种潜在的原因导致性疼痛,有时涉及多种因素。我们探索治疗方案,并提供有关导致女性性疼痛的4种常见疾病的评估和管理的临床见解。在这篇文章中,我们用“女性”这个词来表示顺性女性。
目的:我们的目的是强调性疼痛最常见的临床情况,并就每种情况进行全面的讨论。改善患者护理和治疗性疼痛的结果。
方法:我们对文献和临床病例进行了全面回顾,以探讨女性性疼痛的各种原因和管理策略。我们系统地搜索了PubMed等数据库,谷歌学者,和相关医学期刊。我们包括同行评审的文章,案例研究,以及2000年至2023年之间发表的临床试验。此外,我们分析了我们学术机构临床实践中的真实案例。
结果:我们的综述确定了导致女性性疼痛的各种因素,从激素失衡到影响泌尿生殖系统的神经增生和炎症。每种情况都应单独处理,以提供相应的最佳管理策略。
结论:女性性疼痛的治疗需要一种综合的方法来解决这种疾病的多因素性质。患者教育和咨询在性疼痛的管理中起着至关重要的作用,授权个人倡导自己的健康和福祉。医疗保健提供者和患者之间的合作可以提高我们对这种复杂疾病的理解和管理。
BACKGROUND: Sexual pain has a profound impact on individuals, regardless of their sexual orientation or gender identity, and affects women more often than men. It adversely affects both sexual function and interpersonal relationships. Despite its prevalence, sexual pain in women often remains unaddressed and untreated. Various underlying causes contribute to sexual pain, sometimes involving multiple factors. We explore treatment options and offer clinical insights into the evaluation and management of 4 common conditions which cause sexual pain in women. In this article, we use the term \"women\" to indicate cisgender women.
OBJECTIVE: Our aim is to highlight the most common clinical scenarios of sexual pain and provide comprehensive discussions on each, to improve patient care and outcomes in the management of sexual pain.
METHODS: We conducted a comprehensive review of literature and clinical cases to explore the various causes and management strategies for sexual pain in women. We systematically searched databases such as PubMed, Google Scholar, and relevant medical journals. We included peer-reviewed articles,
case studies, and clinical trials published between 2000 and 2023. Additionally, we analyzed real-life cases from our clinical practice at our academic institution.
RESULTS: Our review identified various factors contributing to sexual pain in women, ranging from hormonal imbalances to neuroproliferative and inflammatory conditions affecting the genitourinary system. Each
case should be approached individually to offer optimal management strategies accordingly.
CONCLUSIONS: The management of sexual pain in women requires a comprehensive approach that addresses the multifactorial nature of the condition. Patient education and counseling play a crucial role in the management of sexual pain, empowering individuals to advocate for their own health and well-being. The collaboration between healthcare providers and patients can improve our understanding and management of this complex condition.