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Vulvar Pain During Pregnancy and After Childbirth

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Vulvar Pain

Abstract

Pregnancy is a special period in a woman’s life. The childbirth involves significant physical, hormonal, psychological, social, and cultural changes that may influence her own sexuality as well as the health of the couple’s sexual relationship.

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References

  • American College of Obstetricians and Gynecologists. Obstetric data definitions [version 1.0]. Washington, DC: American College of Obstetricians and Gynecologists; 2014.

    Google Scholar 

  • Anjana RM, Sudha V, Lakshmipriya N, Anitha C, Unnikrishnan R, Bhavadharini B, Mahalakshmi MM, Maheswari K, Kayal A, Ram U, Ranjani H, Ninov L, Deepa M, Pradeepa R, Pastakia SD, Malanda B, Belton A, Mohan V. Physical activity patterns and gestational diabetes outcomes – the wings project. Diabetes Res Clin Pract. 2016;116:253–62.2.

    Article  PubMed  Google Scholar 

  • Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I. Women’s sexual health after childbirth. BJOG. 2000;107:186–95.

    Article  CAS  PubMed  Google Scholar 

  • Beckmann MM, Stock OM. Antenatal perineal massage for reducing perineal trauma. Cochrane Database Syst Rev. 2013;(4):CD005123.

    Google Scholar 

  • Carroli G, Mignini L. Episiotomy for vaginal birth. Cochrane Database Syst Rev. 2009;(1):CD000081. doi:10.1002/14651858.CD000081. pub2. (Meta-Analysis).

  • De Groot LJ, Beck-Peccoz P, Chrousos G, Dungan K, Grossman A, Hershman JM, Koch C, McLachlan R,New M, Rebar R, Singer F, Vinik A, Weickert MO, editors. Management of diabetes in pregnancy. MDText.com, Inc.; 2000–2014.

    Google Scholar 

  • Di Mascio D, Magro-Malosso ER, Saccone G, Marhefka GD, Berghella V. Exercise during pregnancy in normal-weight women and risk of preterm birth: a systematic review and meta-analysis of randomized controlled trials. Am J Obstet Gynecol. 2016.

    Google Scholar 

  • Erol B, Sanli O, Korkmaz D, Seyhan A, Akman T, Kadioglu A. A cross-sectional study of female sexual function and dysfunction during pregnancy. J Sex Med. 2007;4:1381–7.

    Article  PubMed  Google Scholar 

  • Glazener CM. Sexual function after childbirth: women’s experiences, persistent morbidity and lack of professional recognition. Br J Obstet Gynaecol. 1997;104(3):330–5.

    Article  CAS  PubMed  Google Scholar 

  • Graziottin A. Mast cells and their role in sexual pain disorders. In: Goldstein A, Pukall C, Goldstein I, editors. Female sexual pain disorders: evaluation and management. Blackwell Publishing; 2009. p. 176–9.

    Google Scholar 

  • Graziottin A. Recurrent cystitis after intercourse: why the gynaecologist has a say. In: Studd J, Seang LT, Chervenak FA, editors. Current progress in obstetrics and gynaecology, vol. 2. Mumbai: Suketu P. Kothari – TreeLife Media; 2014. p. 319–36.

    Google Scholar 

  • Graziottin A, Gambini D. Female sexual dysfunction: treatment. In: Bø K, Berghmans B, Mørkved S, Van Kampen M, editors. Evidence-based physical therapy for the pelvic floor – bridging science and clinical practice. 2nd ed. Oxford, UK: Elsevier; 2015. p. 258–70.

    Google Scholar 

  • Graziottin A, Gambini D, Bertolasi L. Genital and sexual pain in women. In: Vodusek D, Boller F, editors. Neurology of sexual and bladder disorders (Handbook of clinical neurology, Volume 130, 3rd Series). Elsevier; 2015. p. 395–412.

    Google Scholar 

  • Graziottin A, Skaper S, Fusco M. Mast cells in chronic inflammation, pelvic pain and depression in women. Gynecol Endocrinol. 2014;30(7):472–7. doi:10.3109/09513590.2014.911280. Epub 2014 May 8.

    Article  CAS  PubMed  Google Scholar 

  • Graziottin A, Zanello PP. Pathogenic biofilms: their role in recurrent cystitis and vaginitis (with focus on D-mannose as a new prophylactic strategy). In: Studd J, Seang LT, Chervenak FA, editors. Current progress in obstetrics and gynaecology, vol. 3. 2nd ed. Mumbai: Kothari Medical; 2015. p. 218–38.

    Google Scholar 

  • Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med. 2011;8:1267–84.

    Article  PubMed  Google Scholar 

  • Kettle C, Dowswell T, Ismail KM. Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears. Cochrane Database Syst Rev. 2012;11:CD000947.

    PubMed  Google Scholar 

  • Kettle C, Tohill S. Perineal care. BMJ Clin Evid. 2011;2011:140.

    Google Scholar 

  • Klein MC, Gauthier RJ, Robbins JM, Kaczorowski J, Jorgensen SH, Franco ED, et al. Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol. 1994;171:591–8.

    Article  CAS  PubMed  Google Scholar 

  • Korja R, Piha J, Otava R, Lavanchy-Scaiola C, Ahlqvist-Björkroth S, Aromaa M, Räihä H, STEPS-study. Mother’s marital satisfaction associated with the quality of mother-father-child triadic interaction. Scand J Psychol. 2016;57(4):305–12.

    Article  PubMed  Google Scholar 

  • Leeman LM, Rogers RG. Sex after childbirth: postpartum sexual function. Obstet Gynecol. 2012;119(3):647–55.

    Article  PubMed  Google Scholar 

  • Lien KC, Morgan DM, Delancey JO, Ashton-Miller JA. Pudendal nerve stretch during vaginal birth: a 3D computer simulation. Am J Obstet Gynecol. 2005;192(5):1669–76.

    Article  PubMed  Google Scholar 

  • Martins NR, Kroumpouzos G. Oral and vulvovaginal changes in pregnancy. Clin Dermatol. 2016;34(3):353–8.

    PubMed  Google Scholar 

  • McDonald EA, Gartland D, Small R, Brown SJ. Dyspareunia and childbirth: a prospective cohort study. BJOG. 2015;122(5):672–9. doi:10.1111/1471-0528.13263. Epub 2015 Jan 21.

    Article  CAS  PubMed  Google Scholar 

  • Mendling W, Brasch J. Guideline vulvovaginal candidosis (2010) of the German Society for Gynecology and Obstetrics, the Working Group for Infections and Infectimmunology in Gynecology and Obstetrics, the German Society of Dermatology, the Board of German Dermatologists and the German Speaking Mycological Society. Mycoses. 2012;55 Suppl 3:1–13.

    Article  PubMed  Google Scholar 

  • Mucci MJ, Cuestas ML, Cervetto MM, Landaburu MF, Mujica MT. A prospective observational study of vulvovaginitis in pregnant women in Argentina, with special reference to candidiasis. Mycoses. 2016;59(7):429–35.

    Article  PubMed  Google Scholar 

  • Muktabhant B, Lawrie TA, Lumbiganon P, Laopaiboon M. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst Rev. 2015;(6):CD007145.

    Google Scholar 

  • Murina F, Graziottin A, Felice R, Radici GL, Di Francesco S. The recurrent vulvovaginal candidiasis: proposal of a personalized therapeutic protocol. ISRN Obstet Gynecol. 2011;2011:806065, 4 pages. doi:10.5402/2011/806065.

  • Murina F, Graziottin A, Felice R, Radici G, Tognocchi C. Vestibulodynia: synergy between palmitoylethanolamide + Transpolydatin and transcutaneous electrical nerve stimulation. J Low Genit Tract Dis. 2013;17(2):111–6.

    Article  PubMed  Google Scholar 

  • Murina F, Graziottin A, Vicariotto F, De Seta F. Can Lactobacillus fermentum LF10 and Lactobacillus acidophilus LA02 in a slow-release vaginal product be useful for prevention of recurrent vulvovaginal candidiasis? A clinical study. J Clin Gastroenterol. 2014;48 Suppl 1, Proceedings From The 7th Probiotics, Prebiotics & New Foods Meeting Held In Rome On September 8–10, 2013:S102–105.

    Google Scholar 

  • Rezvan A, Jakus-Waldman S, Abbas MA, Yazdany T, Nguyen J. Review of the diagnosis, management and treatment of fecal incontinence. Female Pelvic Med Reconstr Surg. 2015;21(1):8–17.

    Article  PubMed  Google Scholar 

  • Rowland M, Foxcroft L, Hopman W, Patel R. Breastfeeding and sexuality immediately postpartum. Can Fam Physician. 2005;51:1366–7.

    PubMed  Google Scholar 

  • Schmitz T, Alberti C, Andriss B, Moutafoff C, Oury JF, Sibony O. Identification of women at high risk for severe perineal lacerations. Eur J Obstet Gynecol Reprod Biol. 2014;182:11–5.

    Article  PubMed  Google Scholar 

  • Sheikh M, Hantoushzadeh S, Shariat M, Farahani Z, Ebrahiminasab O. The efficacy of early iron supplementation on postpartum depression, a randomized double-blind placebo-controlled trial. Eur J Nutr. 2015.

    Google Scholar 

  • Signorello LB, Harlow BL, Chekos AK, Repke JT. Postpartum sexual functioning and its relationship to perineal trauma: a retrospective cohort study of primiparous women. Am J Obstet Gynecol. 2001;184:881–8.

    Article  CAS  PubMed  Google Scholar 

  • Smith LA, Price N, Simonite V, Burns EE. Incidence of and risk factors for perineal trauma: a prospective observational study. BMC Pregnancy Childbirth. 2013;13:59.

    Article  PubMed  PubMed Central  Google Scholar 

  • Webb S, Sherburn M. Managing perineal trauma after childbirth. BMJ. 2014;349:g6829.

    Article  PubMed  Google Scholar 

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Graziottin, A., Murina, F. (2017). Vulvar Pain During Pregnancy and After Childbirth. In: Vulvar Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-42677-8_7

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  • DOI: https://doi.org/10.1007/978-3-319-42677-8_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42675-4

  • Online ISBN: 978-3-319-42677-8

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