Department of Neurobiology, Care Sciences & Society, Karolinska Institutet and Department of Social Work, Karolinska University Hospital, Stockholm, Sweden.
J Sex Med. 2013 Jan;10(1):83-93. doi: 10.1111/j.1743-6109.2012.02867.x. Epub 2012 Sep 12.
Female genital sexual pain (GSP) is a common, distressing complaint in women of all ages that is underrecognized and undertreated. Definitions and terminology for female GSP are currently being debated. While some authors have suggested that GSP is not per se a sexual dysfunction, but rather a localized genial pain syndrome, others adhere to using clearly sexually related terms such as dyspareunia and vaginismus.
The aims of this brief review are to present definitions of the different types of female GSP. Their etiology, incidence, prevalence, and comorbidity with somatic and psychological disorders are highlighted, and different somatic and psychological assessment and treatment modalities are discussed.
The Standard Operating Procedures (SOP) committee was composed of a chair and five additional experts. No corporate funding or remuneration was received. The authors agreed to survey relevant databases, journal articles and utilize their own clinical experience. Consensus was guided by systematic discussions by e-mail communications. MAIN OUTCOME/RESULTS: There is a clear lack of epidemiological data defining female GSP disorders and a lack of evidence supporting therapeutic interventions. However, this international expert group will recommend guidelines for management of female GSP.
GSP disorders are complex. It is recommended that their evaluation and treatment are performed through comprehensive somato-psychological multidisciplinary approach.
女性生殖器性疼痛（GSP）是一种常见且令人痛苦的疾病，困扰着各个年龄段的女性，但这种疾病往往未被识别和治疗。目前，人们对女性 GSP 的定义和术语仍存在争议。虽然一些作者认为 GSP 本身并不是性功能障碍，而是一种局部生殖器疼痛综合征，但也有作者坚持使用与性行为相关的术语，如性交困难和阴道痉挛。
本文简要回顾了女性 GSP 的不同类型的定义。强调了其病因、发病率、患病率以及与躯体和心理障碍的共病性，并讨论了不同的躯体和心理评估和治疗方法。
标准操作程序（SOP）委员会由一名主席和五名其他专家组成。没有收到任何公司的资助或报酬。作者同意调查相关数据库、期刊文章，并利用自己的临床经验。通过电子邮件进行系统讨论来指导达成共识。
主要结果/结论：目前缺乏明确的流行病学数据来定义女性 GSP 疾病，也缺乏支持治疗干预的证据。然而，这个国际专家小组将推荐女性 GSP 的管理指南。
GSP 疾病较为复杂。建议通过全面的躯体-心理多学科方法来评估和治疗 GSP 疾病。
