Center for Vulvar Diseases, Department of Social Work, University of Michigan Health Systems, Ann Arbor, MI 48109-2707, USA.
J Low Genit Tract Dis. 2012 Oct;16(4):447-53. doi: 10.1097/LGT.0b013e31825c2e24.
This study aimed to assess health beliefs and behaviors, experience of pain, coping mechanisms, sexual function, and attitudes toward counseling of patients newly diagnosed with vulvodynia.
Participants were enrolled from all newly diagnosed vulvodynia patients seen at the University of Michigan Vulvar Disease Clinic at Chelsea. Participants completed a questionnaire assessing perceptions and beliefs about their vulvodynia, coping ability, sexual function, and interest in counseling.
Thirty-one women were enrolled, ranging in age from 21 to 81 years; 68% had current partners. On a scale of 1 to 10 (low to high), participants rated their symptoms as severe-(mean [SD] = 7.42 [1.50]), perceived little control over symptoms (2.61 [2.64]); were very concerned about symptoms (8.77 [1.73]); and were very emotionally affected by their disorder (7.00 [2.82]). During the previous 4 weeks, 52% reported low to no sexual desire; 71% reported being dissatisfied with their overall sex life; 26% were not comfortable saying no to partner sex; 23% to 36% did not attempt penetration; and for 36%, their pain was rated as high or very high. Sixty-one percent of women indicated that they would consider counseling for coping with vulvar pain. In addition, 29% (9/31) said they "would" and 48% (15/31) said they "maybe would" consider seeing a sex therapist for their vulvar pain.
Women with newly diagnosed vulvodynia report substantial impact of vulvar pain but feel little control over symptoms. Sexual desire and sexual satisfaction are low. Most of the respondents would consider counseling to help address these issues.
本研究旨在评估新诊断为外阴痛患者的健康信念和行为、疼痛体验、应对机制、性功能以及对咨询的态度。
参与者从密歇根大学切尔西分校外阴疾病诊所新诊断为外阴痛的所有患者中招募。参与者完成了一份问卷，评估他们对外阴痛的看法和信念、应对能力、性功能以及对咨询的兴趣。
共招募了 31 名年龄在 21 岁至 81 岁之间的女性，其中 68%有现任伴侣。在 1 到 10 的评分量表上（低到高），参与者将其症状评为严重（平均[标准差] = 7.42 [1.50]），认为对症状的控制很小（2.61 [2.64]）；非常担心症状（8.77 [1.73]）；并因疾病而感到非常情绪化（7.00 [2.82]）。在过去的 4 周内，52%的人报告性欲低或没有性欲；71%的人对整体性生活不满意；26%的人不善于对伴侣说不；23%至 36%的人没有尝试过插入；36%的人疼痛评分较高或非常高。61%的女性表示会考虑咨询以应对外阴疼痛。此外，29%（9/31）表示“会”，48%（15/31）表示“可能会”考虑因外阴疼痛咨询性治疗师。
新诊断为外阴痛的女性报告外阴疼痛对其生活造成了重大影响，但对症状的控制感较低。性欲和性满意度较低。大多数受访者会考虑咨询以帮助解决这些问题。
