Abstract：
:Vulvar vestibulitis syndrome (VVS) is a heterogeneous, multisystemic, and multifactorial disease and is one of the leading causes of dyspareunia in fertile women. As a multisystemic disease, it involves the mucous structure of the vulvar vestibule and the immune, muscular, vascular, and nervous systems, including pain fibers and centers. As a multifactorial disease, its etiology is complex, involving biological, psychosexual, and relational factors. In this article, we discuss the progression of the disease and the impact of an often lengthy delay between the onset of symptoms and a correct diagnosis. Moreover, despite documented improvements from available treatments, VVS becomes a chronic disease unless it is diagnosed early and an integrated, pathophysiologically oriented treatment is offered in an experienced center. Health care providers would therefore benefit from approaching the condition within a pain management framework focused on the woman's chronic pain, the impact on the couple's relationship, and any associated psychological sequelae.
journal_name
J Sex Marital Therjournal_title
Journal of sex & marital therapyauthors
Graziottin A,Brotto LAdoi
10.1080/00926230490258866subject
Has Abstractpub_date
2004-05-01 00:00:00pages
125-39issue
3eissn
0092-623Xissn
1521-0715pii
DBF4ML8UJ15HC8CCjournal_volume
30pub_type
杂志文章,评审abstract：:Psychophysiological diagnostic screening (PDS) was carried out on just over 1000 consecutive patients with erectile dysfunction (ED) during 1995 through 1999. Roughly one-third did not require an intracavernous injection (ICI) because of optimal penile response during visual and tactile penile sexual stimulation. The ...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/009262302317251025
更新日期：2002-01-01 00:00:00
abstract：:The purpose of our studies was to evaluate whether MR imaging could be used to noninvasively observe and measure the sexual arousal response in normal women. We tested the feasibility as well as the reproducibility of rapid, dynamic, serial high-resolution MR imaging of the genital structures during presentation of ne...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/713847132
更新日期：2003-01-01 00:00:00
abstract：:The SSRI antidepressants have emerged as effective new treatment for patients with premature ejaculation whether or not these patients suffer from depression. Clomipramine, fluoxetine, paroxetine, and sertraline seem to be a safe treatment option for patients with premature ejaculation, especially in cases of failed p...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章,评审
doi：10.1080/00926239608404912
更新日期：1996-07-01 00:00:00
abstract：:The aim of this study was to investigate the relationship between intimacy and marital satisfaction of couples in different stages of the family life cycle. The Personal Assessment of Intimacy in Relationships (PAIR) questionnaire (Schaefer & Olson, 1981) and a subscale of the Enriching and Nurturing Relationship Issu...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/009262301750257100
更新日期：2001-05-01 00:00:00
abstract：:This paper, based on a clinical sample of 20 couples and 10 males without partners, presents a cognitive-behavioral model for conceptualizing and treating inhibited sexual desire. Tentative hypotheses and observations are made including: 1) there is a better prognosis if the desire dysfunction is not complicated by an...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926238408405795
更新日期：1984-07-01 00:00:00
abstract：:In this experimental study, 89 participants were allocated to an offending pedophile, nonoffending pedophile, or control video condition. They then watched two short help-seeking video clips of an older male and a younger male (counterbalanced). Judgments about each male were assessed, as were general attitudes toward...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2017.1405300
更新日期：2018-05-19 00:00:00
abstract：:This paper presents a comparison of female incest survivor sex therapy patients and other sex therapy patients. The focus is on family-of-origin dynamics and processes of teaching about sexuality, self-image and resulting interpersonal issues. The study also discusses nonincest survivor and incest survivor sex therapy...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章,评审
doi：10.1080/00926239108404341
更新日期：1991-10-01 00:00:00
abstract：:Although Vaginismus, or an involuntary contraction of the vaginal muscles, is one of the reasons sexual intercourse difficulty is relatively common in Iran, few studies have addressed it. This research is a single-case type (AB) design. Initially, a pretest was taken from all participants. The number of sessions was e...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2019.1610126
更新日期：2019-01-01 00:00:00
abstract：:Women with diabetes are at increased risk of sexual problems. However, this problem is underreported; hence, the need for this study. This was a cross sectional case-controlled study. Seventy-five consenting females with type 2 diabetes mellitus (T2DM) were enrolled from the Diabetes Clinic of the Federal Medical Cent...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2019.1654583
更新日期：2020-01-01 00:00:00
abstract：:The aim was to compare body image concern and gender identities between post-operative transgender and cisgender persons. Participants included 48 transgender persons (25 trans men, 23 trans women) and 48 cisgender persons (24 cismen, 24 ciswomen). The data were collected with Littleton's Body Image Concern Inventory ...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2019.1683665
更新日期：2020-01-01 00:00:00
abstract：:The increasing emphasis on surgical, pharmacological, and mechanical solutions to erectile failure in the past decade has led to a relative neglect of the importance of couples dynamics in both the genesis and maintenance of erectile failure. Yet ignoring such issues compromises the success of sex therapy. Systemic ap...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章,评审
doi：10.1080/00926239108404956
更新日期：1991-07-01 00:00:00
abstract：:A person's sexual status is conventionally defined on the criterion of the external sex organs, and this criterion is presumed to be concordant with the other criteria of sex. When the sex organs are deformed, as in hermaphroditism, or mutilated, their sex role is to some extent affected, whereas all the other manifes...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926238508406072
更新日期：1985-07-01 00:00:00
abstract：:The role of psychological and interpersonal factors in the treatment of erectile dysfunction (ED) with sildenafil or other oral therapies has not been sufficiently investigated. We conducted a pilot study of psychosocial predictors of pharmacotherapy treatment outcome and satisfaction in men with ED and their partners...
journal_title：Journal of sex & marital therapy
pub_type： 临床试验,杂志文章
doi：10.1080/00926230600575314
更新日期：2006-05-01 00:00:00
abstract：:Sexual adverse effects are common with psychotropics. Rational polypharmacy may confound etiology. This case report describes development of ejaculatory inhibition in a male patient with co-morbid psychiatric diagnoses treated with fluoxetine, divalproex sodium, lamotrigine, trazodone, and clonazepam. Detailed psychot...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926230701267860
更新日期：2007-05-01 00:00:00
abstract：:Recent consensus-based characterizations of female sexual dysfunction have emphasized personal distress as an essential component of their definition. To assist researchers and clinicians, we developed a new scale, the Female Sexual Distress Scale, to measure sexually related personal distress in women. In this articl...
journal_title：Journal of sex & marital therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1080/00926230290001448
更新日期：2002-07-01 00:00:00
abstract：:Masochistic sexual activity is potentially dangerous, rarely reported voluntarily, and hard to treat. This article describes a masochist patient who received sexual gratification from being burnt or crushed. Antiandrogen medication, serotonin uptake inhibitor, and psychodynamic psychotherapy along with sexual educatio...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926239808403965
更新日期：1998-10-01 00:00:00
abstract：:There are few models of sex therapy designed specifically for working with relationships in which one or more partners have a history of sexual trauma. The Relationship Shared Values Primer (RSVP) to sex and relationship therapies is a pre-sex therapy psychoeducation with the goal of promoting buy-in and reducing attr...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2020.1716906
更新日期：2020-01-01 00:00:00
abstract：:This study assesses the impact of psychogenic and reflex sexual arousal on women with complete and incomplete spinal cord injuries (SCIs) and explores the effects of SCI on orgasm in women. Thirty women with SCIs and 10 able-bodied women participated in the study. Three individual experiments were conducted over a 3-d...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926239908403974
更新日期：1999-01-01 00:00:00
abstract：:Clients are increasingly seeking professional help related to pornography viewing in the digital age. Given distress is a key reason clients seek help, the purpose of this study was to identify variables associated with it. Drawing from recent literature, we examined the roles of solitary sexual desire, moral incongru...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2020.1822483
更新日期：2020-01-01 00:00:00
abstract：:This paper emphasizes the rapid response of American medical schools to the absence of sex education in their curricula, which has led to diversity of design, strategy, and evaluation of human sexuality courses. It further points out that most such courses are inadequate to teach physicians knowledge and skills that w...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926237608407072
更新日期：1976-04-01 00:00:00
abstract：:Despite efforts of sexuality educators, many college women are uninfluenced by information about risks of contracting a sexually transmitted disease or initiating an unintentional pregnancy. This study used an anonymous questionnaire administered to 438 never-married undergraduate women to investigate the failure of c...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926230050084614
更新日期：2000-07-01 00:00:00
abstract：:This article presents the case report of a 31-year-old patient of mine with both an inflamed prostate gland and, unknown to his doctor, premature ejaculation, both of which were treated successfully by the antibiotic ciprofloxacin. ...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/009262300438760
更新日期：2000-10-01 00:00:00
abstract：:Female sexual function is a multi-faceted psychophysiological construct. The Female Sexual Function Index (FSFI) is considered a "gold standard" self-report instrument that assesses the various aspects of sexual function. However, researchers have recently proposed potential limitations of the FSFI, highlighting the n...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2015.1061078
更新日期：2016-07-03 00:00:00
abstract：:A controlled treatment trial was conducted with couples in which the woman suffered from secondary forms of sexual dysfunction. To test whether marital therapy is helpful in enhancing the effectiveness of symptom-specific therapy for sexual dysfunction, two treatment conditions were compared to a waiting list control ...
journal_title：Journal of sex & marital therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1080/00926238708403892
更新日期：1987-10-01 00:00:00
abstract：:The available evidence concerning sexual side effects of psychiatric drugs suggests that inhibited female orgasm may be associated with the use of hetereocyclic antidepressants, monoamine oxidase inhibitors, benzodiazepines, and neuroleptics. Possible mechanisms of action including anticholinergic, alpha adrenergic bl...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章,评审
doi：10.1080/00926238808403918
更新日期：1988-10-01 00:00:00
abstract：:This study examined the effects of age, education, number of children, employment status, and length of marriage on marital satisfaction. Seven hundred and eighty-seven nonrandomly selected married adults from the Flanders region in Belgium completed the Maudsley Marital Questionnaire (MMQ) (Arrindell, Boelens, & Lamb...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926230600998573
更新日期：2007-01-01 00:00:00
abstract：:Sexual violence against women is an ongoing social problem that carries serious social and health implications. Although a large body of empirical literature has documented the detrimental effects of sexual violence on women's mental health, the great majority of this work is devoid of considering the unique cultural ...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2019.1677836
更新日期：2020-01-01 00:00:00
abstract：:The scope of this article will be a review and brief discussion of recently gathered information on androgens and sexual behavior in men. It will include experimental observations on the covariance between androgens, mainly testosterone, and sexual functioning in normal heterosexual men and studies on sexual dysfuncti...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/00926237608405324
更新日期：1976-10-01 00:00:00
abstract：:This pilot study aimed at fostering resilience among people living with HIV and improving the HIV-negative participants' acceptance of people living with HIV. A group of 75 people living with HIV who were former blood/plasma donors and 36 HIV-negative fellow villagers in rural China participated in the intervention. T...
journal_title：Journal of sex & marital therapy
pub_type： 杂志文章
doi：10.1080/0092623X.2012.668512
更新日期：2014-01-01 00:00:00
abstract：:One hundred thirty-five married individuals evaluated the acceptability of alternative therapeutic formats commonly employed in marital therapy. Distressed and nondistressed spouses were randomly assigned to experimental conditions including two types of educational information (descriptive and group-oriented) present...
journal_title：Journal of sex & marital therapy
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1080/00926239208403405
更新日期：1992-10-01 00:00:00
