Female Sexual Pain Disorders

EDITED BY
Andrew T. Goldstein, MD
Department of Obstetrics and Gynecology
GeorgeWashington University School of Medicine and Health Sciences
Washington, DC, USA
Caroline F. Pukall, PhD
Department of Psychology
Queen’s University
Kingston, Ontario, Canada
Irwin Goldstein, MD
Sexual Medicine, Alvarado Hospital
Department of Surgery, University of California at San Diego
San Diego, CA, USA
FOREWORD BY
Yitzchak M. Binik, PhD
A John Wiley & Sons, Ltd., Publication



Contents
List of Contributors, vii
Foreword, xi
Preface, xiii
Acknowledgments, xv
1 Historical Perspective of Vulvodynia, 1
Premlatha Amalraj, Sarah Kelly, Gloria A. Bachmann
2 The Prevalence of Dyspareunia, 4
Richard D. Hayes
3 The Relevance of Dyspareunia, 9
Marta Meana, Lorraine Benuto,
Robyn L. Donaldson
4 Medical History, Physical Examination,
and Laboratory Tests for the Evaluation
of Dyspareunia, 14
Andrew T. Goldstein
5 Psychological Evaluation and Measurement of
Dyspareunia, 21
Caroline F. Pukall, Marta Meana,
Katherine S. Sutton
6 Physical Therapy Evaluation of Dyspareunia, 27
Talli Y. Rosenbaum
7 The Role of Vulvoscopy in the Evaluation
of Dyspareunia, 32
Mario Sideri, Filippo Murina, Vanda Bianco,
Gianluigi Radici
8 Provoked Vestibulodynia, 43
Andrew T. Goldstein, Caroline F. Pukall
9 Vulvar Dermatoses as a Cause of Dyspareunia, 49
Lara J. Burrows, Gail R. Goldstein, Gaby Moawad,
Rochele Torgerson
10 Hidradenitis Suppurativa, 57
Jennifer M. Rhode, Angela S. Kueck, Hope K. Haefner
11 Sexually Transmitted Infections (STIs), 66
Alison Mears, David Goldmeier
12 Generalized Vulvodynia, 76
Andrew T. Goldstein, Caroline F. Pukall
13 Physical Therapy Treatment of Pelvic Floor
Dysfunction, 82
Amy Stein, Dee Hartmann
14 Interstitial Cystitis and Dyspareunia, 88
Nadya M. Cinman, Chad Huckabay,
Robert M. Moldwin
15 Vulvovaginitis, 95
Jack D. Sobel
16 Noninfectious Vaginitis, 105
Ahinoam Lev-Sagie, Paul Nyirjesy
17 Pudendal Neuralgia, 112
Philip W.H. Peng, Stanley J. Antolak, Jr.,
Allan S. Gordon
18 Congenital Anomalies of the Female
Genital Tract, 119
Lara J. Burrows
19 Endometriosis, 124
Jennifer Droz, Fred M. Howard
20 Pelvic Inflammatory Disease, 131
Nancy D. Gaba
21 Dyspareunia and Irritable Bowel
Syndrome (IBS), 136
Ami D. Sperber, Douglas A. Drossman
22 Pelvic Organ Prolapse and Sexual Pain, 143
Gordon Davis, Joe Brooks
23 Cognitive-Behavioral, Physical Therapy,
and Alternative Treatments
for Dyspareunia, 150
Sophie Bergeron, Tina Landry, Bianca Leclerc
v
vi Contents
24 Topical and Injectable Therapies for Vulvar Pain, 156
Colleen M. Kennedy, Catherine M. Leclair,
Lori A. Boardman
25 Surgical Therapy: An Effective Treatment for
Dyspareunia Caused by Vestibulodynia, 162
Jacob Bornstein, Doron Zarfati
26 Vulvar Pain: The Neurologist’s View, 169
Allan S. Gordon
27 Mast Cells and Their Role in Sexual
Pain Disorders, 176
Alessandra Graziottin
28 Hormonal Factors inWomen’s Sexual Pain
Disorders, 180
Irwin Goldstein
29 Lieomyomas and Adnexal Masses: Are They a
Significant Cause of Dyspareunia?, 195
Denniz Zolnoun, Caitlin Shaw
30 Animal Models of Dyspareunia, 199
Melissa A. Farmer, Yitzchak M. Binik, Jeffrey S. Mogil
31 Psychological and Relational Aspects
of Dyspareunia, 208
Kelly B. Smith, Caroline F. Pukall, St´ephanie C. Boyer
32 Dyspareunia and Sexual/Physical
Abuse, 213
Barbara D. Reed
33 Sexual Pain and Cancer, 218
Don Dizon, Ann Partridge, Alison Amsterdam,
Michael L. Krychman
34 Postpartum Dyspareunia, 224
Colin MacNeill, Matthew F. Davies, John T. Repke
35 Vaginismus: Evaluation and Management, 229
Elke D. Reissing
36 Female Genital Cutting, 235
Crista Johnson
37 Practical Aspects of Establishing a Sexual Pain
Center, 244
Susan Kellogg Spadt, Kristene E. Whitmore
38 The Power of Patient Advocacy, 250
Phyllis Mate, Christin Veasley
39 The Future of Vulvodynia Research, 255
David C. Foster
Conclusion, 261
Index, 263


hotfile

http://adf.ly/IXqUg

mediafire

http://adf.ly/IXqYz

It is hard to find a topic in the field of human sexuality
or pain where there are not already too many books. My
typical reaction to a book proposal is that we do not need
to rehash old ideas and data yet again; we need to produce
some systematic new information or theories. When it
comes to dyspareunia, I was dead wrong. As far as I can
tell, there areno previously published (edited or authored)
booksonthe topic ofdyspareunia. This is an extraordinary
and gaping hole in our scholarship andwork. If you are not
familiarwith the impact of “sexual pain,” read the chapters
onthe prevalence (Chapter 2) and relevance (Chapter 3)of
dyspareunia and the physical and interpersonal suffering
it causes (Chapters 5 and 31).
This volume is extraordinary in many other ways.
Its comprehensive coverage of all aspects of dyspareunia
research and therapy is unusual. It is not surprising
that there are chapters on evaluation/assessment or on
treatment options; this would be expected in most volumes
of this type. It is also not surprising that there are
three chapters on introital, vaginal, and deep dyspareunia.
This reflects our current and somewhat limited understanding
of how to classify the different dyspareunic
syndromes.
It is surprisinglywonderful, however, to see the range of
topics that the editors have included in their introductory,
relevant aspects, and conclusion sections. As a former history
student, I was overjoyed to see a chapter on the history
of dyspareunia (Chapter 1). In the health sciences,
we are constantly “reinventing” the wheel and forgetting
what was previously learned. I was also very happy to see a
chapter on the “Power of Patient Advocacy” (Chapter 38).
The sad truth of this field is that we are not close to a
cure and the importance of patient advocacy groups in
providing support and information to the public and influencing
those who control health care funding cannot be
underestimated.Topics that have been ignored in the literature
and clinical practice (e.g., postpartum dyspareunia,
Chapter 34; cancer and dyspareunia, Chapter 33; genita
cutting, Chapter 36) receive attention in chapters written
by experts. I was somewhat taken aback by a chapter entitled
“Hidradenitis Supperurativa” (Chapter 10) because
I had no clue what the term meant. I clearly have things
to learn fromthis book even after working in this field for
20 years.
Not only is the coverage extraordinarily broad but so
is the expertise. How many books have you seen that are
co-edited by a psychologist, a urologist, and a gynecologist?
I have been in a fair number of hospitals where these
disciplines do not talk to one another let alonewrite books
together.
Although each editor is alreadywell known in this field,
each brings a special type of experience and expertise to
the preparation of this book. Andrew Goldstein is one
the world’s most perceptive clinician gynecologists when
it comes to dyspareunia. Caroline Pukall has applied the
methods of experimental psychology in innovative and
striking ways to the study of genital pain. Irwin Goldstein
has almost single-handedly shifted the focus of sexual
medicine from a male-dominated perspective to a
more egalitarian model. This multidisciplinary and multifaceted
authorship encourages my hope that the new
fields of sexual health/medicine will follow through on
their stated goal of adopting a truly biopsychosocial perspective.
In addition to the disciplines of the editors, there
are chapters by epidemiologists, infectious disease specialists,
physical therapists, lay patient advocates, neurologists,
psychiatrists, and dermatologists. The message is
clear: no one discipline has amonopoly on understanding
dyspareunia.
Naturally, no book is without its faults, though I am
hard pressed to find any serious ones in this volume. I
could quibblewith the medical treatmentemphasis, which
is not empirically based though I think this reflects current
practice. I would have liked to see a chapter focussed
on pain mechanisms, though this is dealt with in several
chapters. I would have also liked to see a more life-span
xi