ASM  Vol.3 No.3 , July 2013
Sexual Behaviors in Women with Primary and Secondary Provoked Vestibulodynia: A Controlled Study
Abstract
Introduction: Provoked vestibulodynia affects 12% of the general female population and more specifically, 21% of women aged less than 30 years. Primary and secondary vestibulodynia are hypothesized to represent the endpoints of different etiologic pathways, although there is still little research addressing potential distinctions between these two groups, particularly with regard to sexuality. Aims: To compare sexual activity and behavior of women with provoked primary vestibulodynia (PVD1) and secondary vestibulodynia (PVD2) against age-matched controls. Methods: Fifty-seven participants (N = 57), mean age 25.72 (18-41) recruited from a gynecology clinic underwent a gynaecological examination and completed a self-report questionnaire: 20 (N = 20) were diagnosed with primary provoked vestibulodynia (PVD1), 19 (N = 19) with secondary provoked vestibulodynia (PVD2), and 18 (N = 18) were medically confirmed as no-pain controls. Main outcome: To verify any differences in the sexual behavior between primary, secondary vestibulodynias and controls. Results: Mean pain duration differed significantly in participants with PVD1 at 73.8 months against those with PVD2 at 37.4 months (p = 0.003). Frequency of sexual activity also differed significantly between the three groups (p = 0.012): the controls were at 27.8% against 0% in primary and secondary vestibulodynias for once or more a day. No significant difference was observed for the sexual arousal time and masturbation frequency. Vaginal penetration was overrepresented in controls (p < 0.001) contrary to fellatio frequency (p = 0.016). Pain digital test was significantly different between the three groups in one finger (3.85 vs 0.08), two fingers (4.39 vs 0.06) or three fingers (5.39 vs 0.56) (PVD1 against controls), lubricated inserted fingers for pain verification (p < 0.001). Conclusions: Provoked vestibulodynia generates problems in the sexual response and coital activity, this syndrome reflecting absence of pre-existing sexual problems, notably in the masturbatory activity and oral receptive female sex.


Cite this paper
B. Lambert, M. Desrosiers, M. Chagnon and Y. Lepage, "Sexual Behaviors in Women with Primary and Secondary Provoked Vestibulodynia: A Controlled Study," Advances in Sexual Medicine, Vol. 3 No. 3, 2013, pp. 60-65. doi: 10.4236/asm.2013.33010.
References

[1]   E. O. Laumann, A. P aik and R. C. Rosen, “Sexual Dysfunction in the United States: Prevalence and Predictors,” Journal of the American Medical Association, Vol. 281, No. 6, 1999, pp. 537-544. doi:10.1001/jama.281.6.537

[2]   B. L. Harlow, L. A. Wise and E. G. Stewart, “Prevalence and Predictors of Chronic-Lower Genital Tract Discomfort,” American Journal of Obstetrics & Gynecology, Vol. 185, No. 3, 2001, pp. 545-550. doi:10.1067/mob.2001.116748

[3]   A. Kao, Y. M. Binik, R. Amsel, D. Funaro, N. Leroux and S. Khalifé, “Challenging Atrophied Perspectives on Postmenopausal Dyspareunia: A Systematic Description and Synthesis of Clinical Pain Characteristics,” Journal of Sex & Marital Therapy, Vol. 38, No. 2, 2012, pp. 128-150. doi:10.1080/0092623X.2011.569641

[4]   J. Bornstein, Z. Goldzik, Z. Stolar, D. Zarfati and H. Abramovovici, “Predicting the Outcome of Surgical Treatment of Vulvar Vestibulitis,” Obstetrics & Gynecology, Vol. 89, No. 5, 1997, pp. 695-698. doi:10.1016/S0029-7844(97)00102-6

[5]   J. Bornstein, M. Maman and H. Abramovici, “Primary vs Secondary Vulvar Vestibulitis. One Disease, Two Variants,” American Journal of Obstetrics & Gynecology, Vol. 184, No. 2, 2001, pp. 28-31. doi:10.1067/mob.2001.108173

[6]   B. Lambert, S. Bergeron, M. Desrosiers and Y. Lepage, “Introital Primary and Secondary Dyspareunia: Multimodal Clinical and Surgical Control,” Sexologies, Vol. 21, No. 1, 2012, pp. 9-12. doi:10.1016/j.sexol.2011.10.001

[7]   N. Bohm-Starke and E. Rylander, “Surgery for Localized, Provoked Vestibulodynia: A Long-Term Follow-Up Study,” Journal of Reproductive Medicine, Vol. 53, No. 2, 2008, pp. 83-89.

[8]   G. Desrochers, S. Bergeron, T. Landry and M. Jodoin, “Do Psychosexual Factors Play a Role in the Etiology of Provoked Vestibulodynia? A Critical Review,” Journal of Sex & Marital Therapy, Vol. 34, No. 3, 2008, pp. 198-226. doi:10.1080/00926230701866083

[9]   K. S. Sutton, C. F. Pukall and S. Chamberlain, “Pain, Sexual and Psychophysical Characteristics of Women with Primary vs Secondary Provoked Vestibulodynia,” The Journal of Sexual Medicine, Vol. 6, No. 1, 2009, pp. 205-214. doi:10.1111/j.1743-6109.2008.01038.x

[10]   “The Hite Report,” MacMillan Publishing Co., New York, 1976.

[11]   M. Granot, M. Friedman, D. Yarnitsky, A. Tamir and E. Z. Zimmer, “Primary and Secondary Vulvar Vestibulodynia Syndrome. Systemic Pain Perception and Psychophysical Characteristics,” American Journal of Obstetrics & Gynecology, Vol. 191, No. 1, 2004, pp. 138-142. doi:10.1016/j.ajog.2003.09.060

[12]   C. M. Leclair, M. F. Goetsch, V. B. Korcheva, R. Anderson, D. Peters and T. K. Morgan, “Differences in Primary Compared Secondary Vestibulodynia by Immunochemistry,” Obstetrics & Gynecology, Vol. 117, No. 6, 2011, pp. 1307-1313. doi:10.1097/AOG.0b013e31821c33dc

[13]   M. Goetsch, T. K. Morgan, V. B. Korcheva, H. Li, D. Peters and C. M. Leclair, “Histologic and Receptors Analy- sis of Primary and Secondary Vestibulodynia and Controls: A Prospective Study,” American Journal of Obstetrics & Gynecology, Vol. 202, No. 614, 2010, pp. e1-8.

[14]   P. Schweinhardt, A. Kuchinad, C. F. Pukall and M. C. Bushnell, “Increased Gray Matter Density in Young Women with Chronic Vulvar Pain,” Pain, Vol. 140, No. 3, 2008, pp. 411-419. doi:10.1016/j.pain.2008.09.014

[15]   A. May, “Structural Brain Imaging: A Window into Chronic Pain,” Neuroscientist, Vol. 17, No. 2, 2011, pp. 209-220. doi:10.1177/1073858410396220

[16]   P. M. Di Notto, L. Newman, S. Wall and G. Einstein, “The Hermunculus: What Is Known about the Representation of the Female Body in the Brain?” Cerebral Cortex, 2012.

 
 
Top