Maastricht University, Department of Clinical Psychological Science, Maastricht, The Netherlands.
J Sex Med. 2010 Jan;7(1 Pt 2):615-31. doi: 10.1111/j.1743-6109.2009.01631.x.
Women's sexual pain disorders include dyspareunia and vaginismus and there is need for state-of-the-art information in this area.
To update the scientific evidence published in 2004, from the 2nd International Consultation on Sexual Medicine pertaining to the diagnosis and treatment of women's sexual pain disorders.
An expert committee, invited from six countries by the 3rd International Consultation, was comprised of eight researchers and clinicians from biological and social science disciplines, for the purpose of reviewing and grading the scientific evidence on nosology, etiology, diagnosis, and treatment of women's sexual pain disorders.
Expert opinion was based on grading of evidence-based medical literature, extensive internal committee discussion, public presentation, and debate. Results. A comprehensive assessment of medical, sexual, and psychosocial history is recommended for diagnosis and management. Indications for general and focused pelvic genital examination are identified. Evidence-based recommendations for assessment of women's sexual pain disorders are reviewed. An evidence-based approach to management of these disorders is provided.
Continued efforts are warranted to conduct research and scientific reporting on the optimal assessment and management of women's sexual pain disorders, including multidisciplinary approaches.
女性性疼痛障碍包括性交痛和阴道痉挛，因此需要了解该领域的最新信息。
更新 2004 年第二届国际性医学咨询会上发布的有关女性性疼痛障碍的诊断和治疗的科学证据。
第三届国际性医学咨询会邀请了来自六个国家的一个专家委员会，该委员会由来自生物和社会科学领域的八位研究人员和临床医生组成，目的是对女性性疼痛障碍的分类学、病因、诊断和治疗的科学证据进行审查和分级。
专家意见基于循证医学文献的分级、广泛的内部委员会讨论、公开陈述和辩论。结果：建议对病史进行全面评估，包括医学、性和社会心理史，以进行诊断和管理。确定了一般和重点骨盆生殖器检查的适应证。审查了评估女性性疼痛障碍的循证建议。提供了这些障碍的循证管理方法。
需要继续努力开展关于女性性疼痛障碍最佳评估和管理的研究和科学报告，包括多学科方法。
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