Evaluation Of Sexual Function In Brazilian Women With Recurrent Vulvovaginal Candidiasis And Localized Provoked Vulvodynia

Introduction. Recurrent vulvovaginitis is an important trigger for inflammatory processes that in many cases may result in vulvovaginal pain. Vulvodynia, a vulvar disorder, can also cause a lot of pain in the female genitals. The sexual function in women with vulvodynia or recurrent vulvovaginitis will possibly be negatively affected and therefore should be evaluated. Aim. To assess sexual function in women with recurrent vulvovaginal candidiasis (RVVC) and localized provoked vulvodynia (LPV) in comparison with women without lower genital tract dysfunction. Methods. A 1-year cross-sectional study evaluated sexual function in 58 women (11 with RVVC, 18 with LPV, and 29 controls) seen at a university outpatient clinic. Sexual function was assessed by taking into account the results obtained from the application of the Female Sexual Function Index (FSFI) questionnaire. Kruskal-Wallis, Mann-Whitney, chi-square, and Fisher's tests were used for statistical analysis. Main Outcome Measure. FSFI, a validated questionnaire in Portuguese. Results. There were no significant differences in the three groups with respect to age, marital status, schooling, race, body mass index, contraceptive method, and parity. The FSFI questionnaire total score found was 25.51 (±5.12), 21.17 (±5.15), and 29.56 (±3.87) for the RVVC, LPV, and control groups, respectively. The scores were significantly statistically lower in the study groups compared with the control group (P<0.05). Women with RVVC and LPV also had lower total scores compared with 26.55 values, considered a cutoff score for sexual dysfunction in literature. The LPV group showed a significant difference and scored worse in the domains of arousal, lubrication, orgasm, satisfaction, and pain but not in the domain of sexual desire. The same occurred with the RVVC group but only for the domains of orgasm and satisfaction. Conclusion. Women with RVVC and LPV had significantly more symptoms of sexual dysfunction than women without lower genital tract diseases. © 2011 International Society for Sexual Medicine.93805811Stewart, D., Whelan, C., Fong, I., Tessler, K., Psychosocial aspects of chronic, clinically unconfirmed vulvovaginitis (1990) Obstet Gynecol, 76, pp. 852-856Masheb, R., Lozano-Blanco, C., Kohorn, E., Minkin, M., Kerns, R., Assessing sexual function and dyspareunia with the Female Sexual Function Index (FSFI) in women with vulvodynia (2004) J Sex Marital Ther, 30, pp. 315-324Abdo, C., Fleury, H., Aspectos diagnósticos e terapêuticos das disfunções sexuais femininas (2006) Rev. psiquiatr. Clín, 33, pp. 162-167Development of the World Health Organization Quality of Life Assessment instrument (the WHOQOL) (1994) Quality of life assessment: International perspectives, pp. 41-69. , The WHOQOL Group. Orley J, Kuyken W, eds. Heidelberg: Springer VerlagNyirjesy, P., Peyton, C., Weitz, M., Mathew, L., Culhane, J., Causes of chronic vaginitis: Analysis of a prospective database of affected women (2006) Obstet Gynecol, 108, pp. 1185-1191Geiger, A., Foxman, B., Sobel, J., Chronic vulvovaginal candidiasis: Characteristics of women with Candida albicans, C glabrata and no candida (1995) Genitourin Med, 71, pp. 304-307Sobel, J.D., Candidal vulvovaginitis (1993) Clin Obstet Gynecol, 36, pp. 153-165Eckert, L.O., Hawes, S.E., Stevens, C.E., Koutsky, L.A., Eschenbach, D.A., Holmes, K.K., Vulvovaginal candidiasis: Clinical manifestations, risk factors, management algorithm (1998) Obstet Gynecol, 92, pp. 757-765van Lankveld, J.J.D.M., Granot, M., Weijmar Schultz, W.C.M., Binik, Y.M., Wesselmann, U., Pukall, C.F., Bohm-Starke, N., Achtrari, C., Women's sexual pain disorders (2010) J Sex Med, 7, pp. 615-631Haefner, H., Report of the International Society for the Study of Vulvovaginal Disease terminology and classification of vulvodynia (2007) J Low Genit Tract Dis, 11, pp. 48-49Harlow, B., Stewart, E., A population-based assessment of chronic unexplained vulvar pain: Have we underestimated the prevalence of vulvodynia? (2003) J Am Med Womens Assoc, 58, pp. 82-88Meana, M., Binik, Y.M., Khalifé, S., Cohen, D., Dyspareunia: Sexual dysfunction or pain syndrome? (1997) J Nerv Ment Dis, 185, pp. 561-569Giesecke, J., Reed, B., Haefner, H., Giesecke, T., Clauw, D., Gracely, R., Quantitative sensory testing in vulvodynia volunteers and increased peripheral pressure pain sensitivity (2004) Obstet Gynecol, 104, pp. 126-133Tympanidis, P., Terenghi, G., Dowd, P., Increased innervation of the vulval vestibule in patients with vulvodynia (2003) Br J Dermatol, 148, pp. 1021-1027Jantos, M., Vulvodynia: A psychophysiological profile based on electromyographic assessment (2008) Appl Psychophysiol Biofeedback, 33, pp. 29-38Glazer, H., Jantos, M., Hartmann, E., Swencionis, C., Electromyographic comparisons of the pelvic floor in women with dysesthetic vulvodynia and asymptomatic women (1998) J Reprod Med, 43, pp. 959-962Boardman, L.A., Stockdale, C.K., Sexual pain (2009) Clin Obstet Gynecol, 52, pp. 682-690Ponte, M., Klemperer, E., Sahay, A., Chren, M., Effects of vulvodynia on quality of life (2009) J Am Acad Dermatol, 60, pp. 70-76Gates, E.A., Galask, R.P., Psychological and sexual functioning in women with vulvar vestibulitis (2001) J Psychosom Obstet Gynaecol, 22, pp. 221-228Ehrström, S., Kornfeld, D., Rylander, E., Bohm-Starke, N., Chronic stress in women with localized provoked vulvodynia (2009) J Psychosom Obstet Gynaecol, 30, pp. 73-79Spoelstra, S.K., Diijkstra, J.R., van Driel, M.F., Weijmar Schultz, W.C., Long-term results of an individualized, multifaceted, and multidisciplinary therapeutic approach to provoked vestibulodynia (2011) J Sex Med, 8, pp. 489-496Abdo, C.H., Oliveira Jr, W.M., Moreira Jr, E.D., Fittipaldi, J.A., Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women-results of the Brazilian Study on Sexual Behavior (BSSB) (2004) Int J Impot Res, 16, pp. 160-166Laumann, E.O., Paik, A., Rosen, R.C., Sexual dysfunction in the United States. Prevalence and predictors (1999) JAMA, 281, pp. 537-544Fugl-Meyer, K.S., Female sexual disorders: Psychiatric aspects (2002) Can J Psychiatr, 47, pp. 419-425Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., D'Agostino Jr, R., The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function (2000) J Sex Marital Ther, 26, pp. 191-208Thiel, R.R., Dambros, M., Palma, P., Thiel, M., Riccetto, C., Ramos, M.F., Translation into Portuguese, cross-national adaptation and validation of the Female Sexual Function Index (2008) Rev Bras Ginecol Obstet, 30, pp. 504-510Wiegel, M., Meston, C., Rosen, R., The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores (2005) J Sex Marital Ther, 31, pp. 1-20Jeremias, J., Ledger, W.J., Witkin, S.S., Interleukin 1 receptor antagonist gene polymorphism in women with vulvar vestibulitis (2000) Am J Obstet Gynecol, 182, pp. 283-285Graziottin, A., Serafini, A., Palacios, S., Aetiology, diagnostic algorithms and prognosis of female sexual dysfunction (2009) Maturitas, 63, pp. 128-134Ramage, M., Female sexual dysfunction (2006) Psychiatry, 6, pp. 105-110Donaldson, R.L., Meana, M., Early dyspareunia experience in young women: Confusion, consequences, and help-seeking barriers (2011) J Sex Med, 8, pp. 814-82

Nodular Vulvar Herpes In An Hiv-positive Woman

[No abstract available]1073255Yudin, M.H., Kaul, R., Progressive hypertrophic genital herpes in an HIV-infected woman despite immune recovery on antiretroviral therapy (2008) Infect Dis Obstet Gynecol, 2008, p. 592532Gubinelli, E., Cocuroccia, B., Lazzarotto, T., Girolomoni, G., Nodular perianal herpes simplex with prominent plasma cell infiltration (2003) Sex Transm Dis, 30 (2), pp. 157-159Boothby, M., Radcliffe, K., An unusual vulval lesion in an HIV-infected woman (2007) Int J STD AIDS, 18 (3), pp. 218-219Mosunjac, M., Park, J., Wang, W., Tadros, T., Siddiqui, M., Bagirov, M., Genital and perianal herpes simplex simulating neoplasia in patients with AIDS (2009) AIDS Patient Care STDS, 23 (3), pp. 153-15

Short-term Physical Therapy Treatment For Female Urinary Incontinence: A Quality Of Life Evaluation

Introduction: Urinary incontinence (UI) is a widespread health condition and in some situations conservative treatment has been recommended. The aim of this study was to compare women's quality of life (QoL) before and after short-term physical therapy treatment. Methods: We carried out a clinical trial involving 72 women who received an eight-session intervention based on pelvic floor electrical stimulation (PFES), pelvic floor muscle training (PFMT) and behavioral training. QoL was evaluated by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). The Wilcoxon signed-rank test compared the ICIQ-SF scores; the relative changes were calculated by dividing the differences by the initial score, and McNemar's χ2 compared the questions related to the type of, possible causes of or situations related to UI (p &lt; 0.05). Results: There was a significant reduction in the frequency (p &lt; 0.03), amount (p &lt; 0.04) and impact (p &lt; 0.001) of UI on QoL. The total score decreased from 14.6 ± 4.2 to 7.2 ± 4.5 (p &lt; 0.001). All questions regarding the type of, possible causes of or situations related to UI had significantly decreased. Also, 15 women reported the 'never leaked urine' condition (p &lt; 0.001) after treatment. Conclusion: A short-term physical therapy treatment based on PFES, PFMT and behavioral modifications reduced the frequency, amount and impact of UI and therefore resulted in QoL improvement. © 2014 S. Karger AG, Basel.9318083Cerruto, M.A., D'Elia, C., Aloisi, A., Fabrello, M., Artibani, W., Prevalence, incidence and obstetric factors' impact on female urinary incontinence in Europe: A systematic review (2013) Urol Int, 90, pp. 1-9Coyne, K.S., Sexton, C.C., Irwin, D.E., Kopp, Z.S., Kelleher, C.J., Milsom, I., The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: Results from the epic study (2008) BJU Int, 101, pp. 1388-1395Rose, A., Thimme, A., Halfar, C., Nehen, H.G., Rubben, H., Severity of urinary incontinence of nursing home residents correlates with malnutrition, dementia and loss of mobility (2013) Urol Int, 91, pp. 165-169Hay-Smith, E.J., Bo, K., Berghmans, L.C., Hendriks, H.J., De Bie, R.A., Van Waalwijk Van Doorn, E.S., Pelvic floor muscle training for urinary incontinence in women (2007) Cochrane Database Syst Rev, 1, pp. CD001407Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., Van Kerrebroeck, P., Wein, A., Standardisation sub-committee of the international continence society: The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the international continence society (2003) Urology, 61, pp. 37-49Bo, K., Is there still a place for physiotherapy in the treatment of female incontinence? (2003) EAU Update Series, 1, pp. 145-153Neumann, P.B., Grimmer, K.A., Deenadayalan, Y., Pelvic floor muscle training and adjunctive therapies for the treatment of stress urinary incontinence in women: A systematic review (2006) BMC Womens Health, 28, pp. 6-11Latthe, P.M., Foon, R., Khan, K., Nonsurgical treatment of stress urinary incontinence (SUI): Grading of evidence in systematic reviews (2008) BJOG, 115, pp. 435-444Rett, M.T., Simoes, J.A., Herrmann, V., Pinto, C.L., Marques, A.A., Morais, S.S., Management of stress urinary incontinence with surface electromyography-Assisted biofeedback in women of reproductive age (2007) Phys Ther, 87, pp. 136-142Capelini, M.V., Riccetto, C.L., Dambros, M., Tamanini, J.T., Herrmann, V., Muller, V., Pelvic floor exercises with biofeedback for stress urinary incontinence (2006) Int Braz J Urol, 32, pp. 462-468. , discussion 469Borello-France, D.F., Zyczynski, H.M., Downey, P.A., Rause, C.R., Wister, J.A., Effect of pelvicfloor muscle exercise position on continence and quality-of-life outcomes in women with stress urinary incontinence (2006) Phys Ther, 86, pp. 974-986Herrmann, V., Potrik, B.A., Palma, P.C.R., Zanettini, C.L., Marques, A., Netto Junior, N.R., Transvaginal electrical stimulation of the pelvic floor in the treatment of stress urinary incontinence: Clinical and ultrasonographic assessment (2003) Rev Assoc Med Bras, 49, pp. 401-405Goode, P.S., Burgio, K.L., Locher, J.L., Roth, D.L., Umlauf, M.G., Richter, H.E., Varner, R.E., Lloyd, L.K., Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women: A randomized controlled trial (2003) JAMA, 290, pp. 345-352Lorenzo Gomez, M.F., Silva Abuin, J.M., Garcia Criado, F.J., Geanini Yaguez, A., Urrutia Avisrror, M., Treatment of stress urinary incontinence with perineal biofeedback by using superficial electrodes (2008) Actas Urol Esp, 32, pp. 629-636Tamanini, J.T., Dambros, M., D'Ancona, C.A., Palma, P.C., Rodrigues Netto Jr., N., Validation of the -international consultation on incontinence questionnaire - short form' (iciqsf) for portuguese (2004) Rev Saude Publica, 38, pp. 438-44