This CME-designated journal supplement is comprised of three articles that will provide information and strategies regarding best practices as to patient counseling, diagnosis, and treatment of VVA, and its associated dyspareunia
. The goal is to provide women's health clinicians the knowledge and tools they need to optimize the care they provide to their menopausal patients.
symptoms and severity were self-reported, and use of a non-hormonal vaginal lubricant was permitted as needed.
can have organic, sexual, interpersonal, and psychological etiologies, he noted.
However, although 25% of the women reported dyspareunia
, nearly half (44%) did not discuss their symptoms with their HCP.
VVA symptoms can range from mild to severe and include dyspareunia
, vaginal dryness, urinary tract infections and vaginal bleeding associated with sexual activity.
, another prevalent component of GSM, has recently been (re)characterized by the American College of Obstetricians and Gynecologists as "a pain disorder that interferes with sexuality rather than as a sexual disorder characterized by pain." (11) In fact, a recent study of 500 postmenopausal women with vaginal discomfort identified "vaginal dryness" (85%) and "dyspareunia
" (52%) as the most commonly reported complaints.
Posterior colporrhaphy, commonly performed to correct posterior vaginal prolapse, can narrow vaginal caliber and the introitus, potentially causing dyspareunia
. Early description of posterior colporrhaphy technique included plication of the levator ani muscles, which was associated with significant risk of dyspareunia
What were the rates of complications for mesh exposure, pelvic pain, and dyspareunia
? How did the rates of pelvic pain and dyspareunia
compare with native tissue repair.
, and chronic pelvic pain are on a spectrum of painful intercourse; due to marked overlap in symptoms, the DSM-5 combines these into genito-pelvic pain/penetration disorder (GPPD) (Derogatis et al., 2016; Simonelli, Eleuteri, Petruccelli, & Rossi, 2014).
NEITHER AGE NOR previous hormone therapy had statistically significant associations with the effect of intravaginal prasterone on dyspareunia
severity, according to a new subgroup analysis of clinical trial data.
Personal Information Form: The form consists of 22 questions on socio-demographic characteristics such as age, partner's age, education level, employment status, economic status, length of marriage, and on the obstetric and clinical characteristics such as the history of a physical-psychiatric disease, the presence of obstetric/neonatal complications, high risk pregnancy or not, the type of delivery, breastfeeding status, return of menstruation, presence of dyspareunia
, and family planning method used.
Global Banking News-October 24, 2018-Duchesnay submits supplemental NDA with the US FDA for Osphena (ospemifene) for treating moderate to severe dyspareunia