Current Treatment Strategies

As with classification and diagnostic approaches to dyspareunia, treatment approaches have historically adopted a similar dualistic approach by attempting to alleviate the pain via a variety of medical interventions, failing which, psychotherapy is recommended. Typical medical treatment is characterized by a focus on the vestibule to the exclusion of other systems that may be involved (e.g., pelvic floor musculature). In addition, current medical interventions have not incorporated empirically based treatments for dyspareunia, which have recently been published.

Physical

Physical

Figure 10.2 The vicious cycle of pain. Once the experience of pain is initiated (shown here as starting from a physical irritation) and continues without appropriate treatment, it begins to encompass many different factors, including physical, muscular, psychological, sexual, and sexual/relationship. The involvement of these different systems usually leads to increases in the amount of pain and distress experienced, and can explain pain maintenance in the absence of physical findings, as in most cases of dyspareunia and back pain. Although this figure indicates that the initiating symptom can evolve into a complex cycle, theoretically, the cycle can start at any point or at multiple points simultaneously.

Figure 10.2 The vicious cycle of pain. Once the experience of pain is initiated (shown here as starting from a physical irritation) and continues without appropriate treatment, it begins to encompass many different factors, including physical, muscular, psychological, sexual, and sexual/relationship. The involvement of these different systems usually leads to increases in the amount of pain and distress experienced, and can explain pain maintenance in the absence of physical findings, as in most cases of dyspareunia and back pain. Although this figure indicates that the initiating symptom can evolve into a complex cycle, theoretically, the cycle can start at any point or at multiple points simultaneously.

Back Pain Revealed

Back Pain Revealed

Tired Having Back Pains All The Time, But You Choose To Ignore It? Every year millions of people see their lives and favorite activities limited by back pain. They forego activities they once loved because of it and in some cases may not even be able to perform their job as well as they once could due to back pain.

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