Jantos Marek, Burns Nicholas R
School of Psychology, University of Adelaide, Adelaide, South Australia.
J Reprod Med. 2007 Jan;52(1):63-71.
To assess the psychosexual profile of vulvodynia patients, focusing on the age at onset and age distribution, and to analyze the impact of vulvodynia on the emotional, social and sexual well-being of this patient population.
A retrospective review was performed of patient files consisting of questionnaires, psychometric tests, sexual history, electromyographic assessments and clinical notes.
The highest prevalence of vulvodynia in this clinical sample occurred before the age of 25 years; 75% of the 744 patients were under the age of 34. A comparison of primary and secondary vulvodynia patients showed the average age at symptom onset to be 19.1 years for primary cases and 25.0 years for secondary cases. There were significant differences in duration of symptoms, age at first sexual intercourse and number of sexual partners, even when controlling for age (p < 0.001). Marriage provided an effective buffer against depression and anxiety.
Vulvodynia can have an early onset and affect social relationships. Given the psychologic distress associated with vulvodynia, early diagnosis and treatment of the medical aspects are essential, as is focusing on the psychosexual implications of this pain syndrome.
评估外阴痛患者的性心理特征，重点关注发病年龄和年龄分布，并分析外阴痛对该患者群体的情绪、社交和性健康的影响。
对患者档案进行回顾性研究，档案包括问卷、心理测量测试、性史、肌电图评估和临床记录。
该临床样本中外阴痛的最高患病率出现在25岁之前；744名患者中有75%年龄在34岁以下。原发性和继发性外阴痛患者的比较显示，原发性病例症状开始的平均年龄为19.1岁，继发性病例为25.0岁。即使在控制年龄后，症状持续时间、首次性交年龄和性伴侣数量仍存在显著差异（p < 0.001）。婚姻对抑郁和焦虑有有效的缓冲作用。
外阴痛可早发并影响社会关系。鉴于与外阴痛相关的心理困扰，早期诊断和治疗医学方面至关重要，关注这种疼痛综合征的性心理影响也同样重要。
