Sarazin S K, Seymour S F
Shands Hospital, Gainesville.
Nurse Pract. 1991 Oct;16(10):30, 35-8, 41.
The incidence of dyspareunia, defined as difficult and painful intercourse, appears to be increasing. A symptom not a disease, dyspareunia is rarely reported by patients, even though it may be the actual reason why they seek health care. Often, patients will only discuss their concerns after questioning. Health care professionals who provide primary care to women must understand the various etiologies of dyspareunia. Possible causes of dyspareunia as well as current treatment modalities are identified. Sex education, counseling, vaginal dilatation and pelvic-relaxation exercises may be needed to restore the woman's confidence and decrease anxiety. Not until all organic causes of dyspareunia are ruled out, should the option of psychiatric intervention be suggested.
性交困难定义为性交时疼痛且困难，其发生率似乎在上升。性交困难是一种症状而非疾病，即便它可能是患者寻求医疗保健的实际原因，但患者很少主动提及。通常，只有在被询问后患者才会说出自己的担忧。为女性提供初级保健的医护人员必须了解性交困难的各种病因。本文确定了性交困难的可能原因以及当前的治疗方式。可能需要进行性教育、咨询、阴道扩张和盆底放松练习，以恢复女性的信心并减轻焦虑。只有在排除了性交困难的所有器质性原因之后，才应考虑建议进行心理干预。
