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Other Complications of Diabetes
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
The signs and symptoms of ED include difficulty in attaining or keeping and erection, and reduced sexual desire. Retrograde ejaculation is signified by semen going into the bladder instead of being ejaculated out of the body. An affected male may experience dry orgasms, cloudy urine after orgasm, and infertility. With decreased vaginal lubrication, the sexual dyspareunia may develop since lack of sufficient lubrication may result in various degrees of pain during intercourse.
Surgical treatment of disorders of sexual development
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Rafael V. Pieretti, Patricia K. Donahoe
This condition can be discovered at birth when the examination does not reveal a vaginal opening, but most cases present with primary amenorrhea. A small group of patients with imperforate anus will have vaginal agenesis, and each of the females requires inspection of the vaginal orifice prior to proceeding with definitive pull-through. Few patients complain of dyspareunia or failed intercourse. Physical examination reveals an absent vagina, but the hymen and a distal vaginal dimple or even an introitus are present, because these structures are derived from the urogenital sinus. The diagnosis can be confirmed by pelvic US and MRI.
DRCOG MCQs for Circuit C Answers
Published in Una F. Coales, DRCOG: Practice MCQs and OSCEs: How to Pass First Time three Complete MCQ Practice Exams (180 MCQs) Three Complete OSCE Practice Papers (60 Questions) Detailed Answers and Tips, 2020
All are true. Causes of dyspareunia are divided into superficial and deep. Causes of superficial dyspareunia include atrophic vaginitis associated with the climacteric or oestrogen deficiency, lack of stimulation, postpartum perineal repair (suture, scar), ulceration, vaginismus, etc. Causes of deep dyspareunia include causes of chronic pelvic pain (endometriosis, infective pelvic inflammatory disease and pelvic congestion), and a fixed, retroverted uterus.
The vagina as source and target of androgens: implications for treatment of GSM/VVA, including DHEA
Published in Climacteric, 2023
S. Cipriani, E. Maseroli, S. A. Ravelli, L. Vignozzi
Local estrogens represent an effective therapeutic strategy in women with GSM when vasomotor symptoms are not the primary concern. Although systemic absorption is minimal, when treating breast cancer patients it is recommended to discuss risks and benefits with the treating oncologist [33]. In the presence of such contraindications, women with dyspareunia can benefit from the application of non-hormonal vaginal moisturizers together with using water, silicon or oil-based lubricants to reduce sexual friction. Further emerging non-hormonal strategies to address GSM include pelvic floor muscle training and energy based devices such as the vaginal laser [34,35]. Ospemifene, a selective ER modulator, is an oral medication approved by medical authorities that can be prescribed in women unable or unwilling to use local estrogens, although the short-term risk of inducing hot flushes must be considered [36].
The transvaginal mesh: an overview of indications and contraindications for its use
Published in Expert Review of Medical Devices, 2023
Alessandro Ferdinando Ruffolo, Marine Lallemant, Sophie Delplanque, Michel Cosson
Even if some complications related to TVM are like those related to MUS, the involved anatomy and the mesh size are different. Several complications have been reported after TVM implantation in women affected by POP, such as wound complications (noninfectious or infectious), erosion (vaginal extrusion or bladder/rectum exposition) of the mesh, pelvic pain, dyspareunia, bowel dysfunction [27]. Vaginal extrusion may be asymptomatic or symptomatic (bleeding, discharge, discomfort, pain, dyspareunia, partner’s pain/discomfort during sexual intercourse). Pain related to TVM is often multifactorial and poorly understood. Indeed, it has been reported that POP itself with its ligament deficiency may contribute to chronic pelvic pain due to the failure in suspending/supporting the Plexus of Frankenhauser [28], and that pelvic pain itself could be improved and cured by mesh-supported prolapse repair [29]. However, when pelvic pain related to TVM occurs, it is more likely to be related to and to be elicited over the attaching arms than centrally [30].
In Pursuit of Pleasure: A Biopsychosocial Perspective on Sexual Pleasure and Gender
Published in International Journal of Sexual Health, 2021
Ellen T. M. Laan, Verena Klein, Marlene A. Werner, Rik H. W. van Lunsen, Erick Janssen
The prevalence of pain or discomfort during penile-vaginal intercourse is high among women. Lifetime estimates of dyspareunia range from 10% to 28% (Harlow et al., 2014). In men, dyspareunia is much less prevalent. Complaints of pain during penile-vaginal intercourse vary between 0,2% in the general population to 8% in a clinical setting (Simons & Carey, 2001) . Rates of pain during penile-vaginal penetration are particularly high among young women. In a large representative sample of Dutch adolescents between 12 and 25 years, 46% of women reported having experienced pain during penile-vaginal intercourse, with 11% experiencing pain “regularly” to “always” (de Graaf, 2018). Comparable numbers were found in a Swedish study (Elmerstig et al., 2009). The latter study also found that only half of these women thought that having pain was a problem. Apparently, most of the women took this pain for granted, perhaps because they feel arousal despite the pain, because they feel loved and believe that that outweighs their pain, because they consider pain during penile-vaginal intercourse to be normal, because they find sexual pleasure less important, or perhaps because they feel that their partner has a right to penile-vaginal intercourse, regardless of their pain.