Multidisciplinary Approach Benefits Provoked Vestibulodynia
(HealthDay News) — For women with provoked vestibulodynia (PVD), a multidisciplinary vulvodynia program (MVP) integrating psychological skills training, pelvic floor therapy, and medical management is associated with improvements in dyspareunia and sexual functioning, according to a study published online October 30 in the Journal of Sexual Medicine.
Lori A. Brotto, PhD, from the University of British Columbia in Vancouver, Canada, and colleagues evaluated a 10-week hospital-based treatment for chronic sexual pain secondary to PVD. One hundred thirty-two women participated in MVP, 116 of whom provided data at the post-MVP assessment and 84 had complete data through to the follow-up period.
The researchers found that more than half the sample (53.8%) reported significant improvement in dyspareunia with treatment. Strong significant effects were seen following MVP for the reduction in dyspareunia (P=0.001) and sex-related distress (P<0.001); improvements were seen in sexual arousal (P<0.001) and overall sexual functioning (P=0.001). Significant, but more modest, improvements were seen in sexual desire, lubrication, orgasmic function, and sexual satisfaction. At two- to three-month follow-up, all improvements were retained.
"This study provides strong support for the efficacy of a multidisciplinary approach (psychological, pelvic floor physical therapy, and medical management) for improving dyspareunia and all domains of sexual functioning among women with PVD," the authors write.