Can Fam Physician. 1985 Apr;31:829-31.
Painful coitus is a distressing symptom for both sexes. Often, physician and patient avoid this issue because of their own inability to deal with such problems. Dyspareunia may be caused by a variety of conditions, mainly related to the reproductive system. However, even where medical or surgical treatment is contemplated, therapy will usually require some form of sex counselling. A sex-oriented history which resembles the usual medical format is used in the assessment. The PLISSIT model of therapy allows the practitioner to begin treatment, and to make a referral when his or her "comfort index" may be exceeded.
性交疼痛是两性都感到苦恼的症状。由于医生和患者本身都难以处理此类问题，往往会回避这个问题。性交困难可能由多种情况引起，主要与生殖系统相关。然而，即使考虑到医疗或手术治疗，通常也需要某种形式的性咨询。在评估过程中，采用类似于常规医疗格式的以性为导向的病史。PLISSIT 治疗模式使医生能够开始治疗，并在其“舒适指数”可能超过时进行转介。
