Graziottin A. Sexual pain disorders in adolescents Proceedings of the 12th World Congress of Human Reproduction, International Academy of Human Reproduction, Venice, March 10-13, 2005 CIC Edizioni Internazionali, Roma, p. 434-449, 2005
The sexual pain disorders included in different editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R 1987; DSM-IV-TR, 2000) are dyspareunia and vaginismus. Both these clinical entities have undergone intense scrutiny and international discussion in the more recent years. The key issues of current controversies will be summarized, to give the reader an updated perspective. At the same time, the focus of this paper will be on the pathophysiology of dyspareunia and vulvar vestibulitis, a subset of vulvodynia, which is one of the leading causes of sexual pain disorders in adolescents. Special attention will be devoted to current research on predictors of vulvodynia in this younger cohort. The aim is to discuss key practical issues relevant for the clinician, working with adolescents, in his/her daily practice.
FAIR USE: The content of this paper can be downloaded, printed and read for strictly personal and non-profit use. Any citation for didactic and/or scientific purpose must quote the title of the document, the name of the author(s), the data of the book or journal, and the URL of the site (www.fondazionegraziottin.org).
WARNING: Every therapy must be discussed, tailored, prescribed and monitored by the M.D. personally consulted. Every information presented in this website can not surrogate the personal relationship with the caring physician nor be utilized without specific medical advice.