The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Fedorova A.I.

Mechnikov`s North-Western State Medical University

Zhigalova E.V.

Mechnikov`s North-Western State Medical University

Psychoemotional state and sexual function in women with chronic pelvic pain in genital endometriosis

Authors:

Fedorova A.I., Zhigalova E.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(10): 5‑15

DOI: 10.17116/jnevro20241241015

Read: 1774 times

Download PDF (RU)
Contact the author
Table of contents

PSYCHOEMOTIONAL STATE AND SEXUAL FUNCTION IN WOMEN WITH CHRONIC PELVIC PAIN IN GENITAL ENDOMETRIOSIS
PSYCHOEMOTIONAL STATE AND SEXUAL FUNCTION IN WOMEN WITH CHRONIC PELVIC PAIN IN GENITAL ENDOMETRIOSIS

To cite this article:

Fedorova AI, Zhigalova EV. Psychoemotional state and sexual function in women with chronic pelvic pain in genital endometriosis. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(10):5‑15. (In Russ.)
https://doi.org/10.17116/jnevro20241241015

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Influence of carriage of papi­llomavirus infe­ction on the course of exte­rnal geni­tal endo­metriosis in patients with intraepithelial lesion of the cervix. Russian Journal of Human Reproduction. 2025;(3):77-83
Dysfunctional pelvic pain in women. Russian Journal of Pain. 2025;(2):32-37
Asso­ciation of the BAIAP2L1 gene poly­morphism with the risk of deve­loping geni­tal endo­metriosis in combination with uterine fibroids and endo­metrial hype­rplasia. Russian Bulletin of Obstetrician-Gynecologist. 2025;(6):5-11
Abstract:

The purpose of this review is to consider current ideas about psychophysiology of chronic pelvic pain (CPP) in external genital endometriosis (GE), as well as the impact of the psychoemotional state and sexual function in women with CPP on its development and maintenance. The review is based on the study of original Russian and English-language articles and our own extensive clinical experience. References are made to statistically reliable, randomized and placebo-controlled studies of the last 20 years, in some cases to small and open-ended studies indicating their low evidence. The analysis shows a variety of opinions on this issue united by an understanding of the promising role of a biopsychosocial approach to the diagnosis and treatment of CPP in GE. Further studies of the role of psychosocial factors in the development of CPP are needed, as well as an assessment of the effectiveness of a comprehensive multidisciplinary approach to the treatment of CPP and associated sexual dysfunctions.

Keywords:

chronic pelvic pain
genital endometriosis
psychogenic risk factors
sexual dysfunction
dyspareunia
biopsychosocial approach

Authors:

Fedorova A.I.

Mechnikov`s North-Western State Medical University

Zhigalova E.V.

Mechnikov`s North-Western State Medical University

Received:

08.04.2024

Accepted:

25.06.2024

Close metadata

References:

  1. Parazzini F, Esposito G, Tozzi L, et al. Epidemiology of endometriosis and its comorbidities. Eur J Obstet Gynecol Reprod Biol. 2017;209:3-7.  https://doi.org/10.1016/j.ejogrb.2016.04.021
  2. As-Sanie S, Black R, Giudice LC, et al. Assessing research gaps and unmet needs in endometriosis. Am J Obstet Gynecol. 2019;221(2):86-94.  https://doi.org/10.1016/j.ajog.2019.02.033
  3. Gerasimov AM, Malyshkina AI, Kuligina MV, et al. Incidence rate and structure of external genital endometriosis in hospital patients. Gynecology. 2021;23(2):184-189. (In Russ.). https://doi.org/10.26442/20795696.2021.2.200783
  4. Hoo W-L, Hardcastle R, Louden K. Management of endometriosis-related pelvic pain. Obstet Gynaecol. 2017;19:131-138.  https://doi.org/10.1111/tog.12375
  5. Berkley KJ, Rapkin AJ, Papka RE. The pains of endometriosis. Science. 2005;308(5728):1587-1589. https://doi.org/10.1126/science.1111445
  6. Carranco RC, Zomer MT, Berg CF, et al. Peritoneal Retraction Pocket Defects and Their Important Relationship with Pelvic Pain and Endometriosis. J Minim Invasive Gynecol. 2021;28(2):168-169.  https://doi.org/10.1016/j.jmig.2020.05.020
  7. Hsu AL, Sinaii N, Segars J, et al. Stratton P. Relating pelvic pain location to surgical findings of endometriosis. Obstet Gynecol. 2011;118(2 Pt 1):223-230.  https://doi.org/10.1097/AOG.0b013e318223fed0
  8. Vercellini P, Fedele L, Aimi G, et al. Association between endometriosis stage, lesion type, patient characteristics and severity of pelvic pain symptoms: a multivariate analysis of over 1000 patients. Hum Reprod. 2007;22(1):266-271.  https://doi.org/10.1093/humrep/del339
  9. Abbott J, Hawe J, Hunter D, et al. Laparoscopic excision of endometriosis: a randomized, placebo-controlled trial. Fertil Steril. 2004;82(4):878-884.  https://doi.org/10.1016/j.fertnstert.2004.03.046
  10. Shakiba K, Bena JF, McGill KM, et al. Surgical treatment of endometriosis: a 7-year follow-up on the requirement for further surgery. Obstet Gynecol. 2008;111(6):1285-1292. https://doi.org/10.1097/AOG.0b013e3181758ec6
  11. Radzinskii VE, Orazov MR, Mihaleva LM, et al. Facets of the problem of infiltrative endometriosis: from pathogenesis to effective therapy. Gynecology. 2021;23(2):117-124. (In Russ.). https://doi.org/10.26442/20795696.2021.2.200741
  12. Singh SS, Gude K, Perdeaux E, et al. Surgical Outcomes in Patients With Endometriosis: A Systematic Review. J Obstet Gynaecol Can. 2020;42(7):881-888.e11.  https://doi.org/10.1016/j.jogc.2019.08.004
  13. Graziottin A. Iatrogenic and post-traumatic female sexual disorders. In: Int. Soc. Sex. Med. Standard Committee Book. Standard practicein Sexual Medicine. Blackwell, Oxford, UK; 2006:351–361.  https://doi.org/10.1002/9780470755235.ch26
  14. Airiyants IR, Yagubov MI. Chronic pelvic pain in sexological practice. Social’naja i klinicheskaja psihiatrija. 2020;30(3):93-99. (In Russ.).
  15. Lihachev SA, Usova NN, Savostin AP, et al. Central sensitization syndrome. Meditsinskie novosti. 2018;1(280):19-23. (In Russ.).
  16. Bois K, Bergeron S, Rosen NO, et al. Sexual and relationship intimacy among women with provoked vestibulodynia and their partners: associations with sexual satisfaction, sexual function, and pain self-efficacy. J Sex Med. 2013;10(8):2024-2035. https://doi.org/10.1111/jsm.12210
  17. IASP Terminology — IASP. Accessed February 11, 2024. Published 2019. https://www.iasp-pain.org/terminology?navItemNumber=576#Centralsensitization
  18. Efimenko TO. The structure, nature and intensity of pain syndrome in various forms of external genital endometriosis. Journal of obstetrics and women’s diseases. 2016;65(2):24-30. (In Russ.). https://doi.org/10.17816/JOWD65224-30
  19. Green IC, Burnett T, Famuyide A. Persistent Pelvic Pain in Patients With Endometriosis. Clin Obstet Gynecol. 2022;65(4):775-785.  https://doi.org/10.1097/GRF.0000000000000712
  20. Salduker S, Allers E, Bechan S, et al. Practical approach to a patient with chronic pain of uncertain etiology in primary care. J Pain Res. 2019;12:2651-2662. https://doi.org/10.2147/jpr.s205570
  21. Chronic Pelvic Pain: ACOG Practice Bulletin, Number 218. Obstet Gynecol. 2020;135(3):e98-e109. https://doi.org/10.1097/AOG.0000000000003716
  22. Aredo JV, Heyrana KJ, Karp BI, et al. Relating Chronic Pelvic Pain and Endometriosis to Signs of Sensitization and Myofascial Pain and Dysfunction. Semin Reprod Med. 2017;35(1):88-97.  https://doi.org/10.1055/s-0036-1597123
  23. Maddern J, Grundy L, Castro J, et al. Pain in Endometriosis. Front Cell Neurosci. 2020;14:590823. https://doi.org/10.3389/fncel.2020.590823
  24. Grundy L, Erickson A, Brierley SM. Visceral Pain. Annu Rev Physiol. 2019;81:261-284.  https://doi.org/10.1146/annurev-physiol-020518-114525
  25. Li T, Mamillapalli R, Ding S, et al. Endometriosis alters brain electrophysiology, gene expression and increases pain sensitization, anxiety, and depression in female mice. Biol Reprod. 2018;99(2):349-359.  https://doi.org/10.1093/biolre/ioy035
  26. Loginov VV, Vartanov AV, Feigin SA, et al. Neurophysiological mechanisms of pain and its quantitative assessment in endometriosis. Gynecology. 2021;23(6):493-498. (In Russ.). https://doi.org/10.26442/20795696.2021.6.201254
  27. Danilov AB. Upravlenie bol’ju. Biopsihosocial’nyj podhod: nauchnoe izdanie. Moscow: AMM PRESS, 2016. (In Russ.).
  28. Ge P, Ren J, Harrington AM, et al. Linaclotide treatment reduces endometriosis-associated vaginal hyperalgesia and mechanical allodynia through viscerovisceral cross-talk. Pain. 2019;160(11):2566-2579. https://doi.org/10.1097/j.pain.0000000000001657
  29. Sahautdinova IV, Hamad’janova AU, Gimazetdinova LR, et al. Pathophysiological aspects of pain syndrome in endometriosis. Gynecology. 2022;24(1):18-23. (In Russ.). https://doi.org/10.26442/20795696.2022.1.201361
  30. Jarrell J. Endometriosis and abdominal myofascial pain in adults and adolescents. Curr Pain Headache Rep. 2011;15(5):368-376.  https://doi.org/10.1007/s11916-011-0218-y
  31. Surrey ES, Soliman AM, Johnson SJ, et al. Risk of Developing Comorbidities Among Women with Endometriosis: A Retrospective Matched Cohort Study. J Womens Health (Larchmt). 2018;27(9):1114-1123. https://doi.org/10.1089/jwh.2017.6432
  32. Orr NL, Wahl KJ, Noga H, et al. Phenotyping Sexual Pain in Endometriosis Using the Central Sensitization Inventory. J Sex Med. 2020;17(4):761-770.  https://doi.org/10.1016/j.jsxm.2019.12.019
  33. Vasconcelos P, Oliveira C, Nobre P. Self-Compassion, Emotion Regulation, and Female Sexual Pain: A Comparative Exploratory Analysis. J Sex Med. 2020;17(2):289-299.  https://doi.org/10.1016/j.jsxm.2019.11.266
  34. Averchenkova AA. Mechanisms of formation of «pain memory» in chronic pain. Rossijskij medicinskij zhurnal. 2016;24(7):420-422. (In Russ.).
  35. Rozanov VA. Stress and mental health (neurobiological aspects). Social’naja i klinicheskaja psihiatrija. 2013;1:79-86. (In Russ.).
  36. Morotti M, Vincent K, Becker CM. Mechanisms of pain in endometriosis. Eur J Obstet Gynecol Reprod Biol. 2017;209:8-13.  https://doi.org/10.1016/j.ejogrb.2016.07.497
  37. Backonja MM. Need for differential assessment tools of neuropathic pain and the deficits of LANSS pain scale. Pain. 2002;98(1-2):229-231.  https://doi.org/10.1016/s0304-3959(02)00115-x
  38. Esin OR, Gorobec EA, Hairullin IH, et al. The central sensitization questionnaire is a Russian—language version. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(6):51-56. (In Russ.). https://doi.org/10.17116/jnevro202012006151
  39. Trutnovsky G, Plieseis C, Bjelic-Radisic V, et al. Vulvodynia and chronic pelvic pain in a gynecologic outpatient clinic. J Psychosom Obstet Gynaecol. 2019;40(3):243-247.  https://doi.org/10.1080/0167482X.2018.1477753
  40. Perry C.P. Current Concepts of Pelvic Congestion and Chronic Pelvic Pain Article. J Soc Laparoendoscopic Surgeons. 2017;59(2):105-110. 
  41. Burri A, Hilpert P, Williams F. Pain Catastrophizing, Fear of Pain, and Depression and Their Association with Female Sexual Pain. J Sex Med. 2020;17(2):279-288.  https://doi.org/10.1016/j.jsxm.2019.10.017
  42. Shcheglova IYu. Etiological and pathogenetic factors of chronic pelvic pain. Journal of Obstetrics and Women’s Diseases. 2000;3:75. 
  43. Lukkahatai N, Saligan LN. Association of catastrophizing and fatigue: a systematic review. J Psychosom Res. 2013;74(2):100-109.  https://doi.org/10.1016/j.jpsychores.2012.11.006
  44. Kutlubaev MA, Ahmadeeva LR. The phenomenon of catastrophization in pain syndromes and pathological fatigue. Nevrologicheskii zhurnal. 2015;20(5):48-54. (In Russ.).
  45. Lovchev IM, Shmidt DA, Sorokina DA, et al. Catastrophization and chronic pain: a modern view of the problem. Russian Journal of Pain. 2023;21(1):60-72. (In Russ.). https://doi.org/10.17116/pain20232101160
  46. Dix C. Acute and chronic pelvic pain. In: OB/GYN Secrets, eds. Philadelphia: Hanley&Belfus; 1997;67-71. 
  47. Singh MK, Rivlin ME. Chronic Pelvic Pain in Women. Drugs Diseases>Obstetrics Gynecology. 2018. Accessed February 11, 2024. https://reference.medscape.com.93-99
  48. Benedetti F, Lanotte M, Lopiano L, et al. When words are painful: unraveling the mechanisms of the nocebo effect. Neuroscience. 2007;147(2):260-271.  https://doi.org/10.1016/j.neuroscience.2007.02.020
  49. Fedorova AI. Therapy of psychogenic dyspareinias. Rossijskij psihiatricheskij zhurnal. 2007;5:60-64. (In Russ.).
  50. Verit FF, Verit A, Yeni E. The prevalence of sexual dysfunction and associated risk factors in women with chronic pelvic pain: a cross-sectional study. Arch Gynecol Obstet. 2006;274(5):297-302.  https://doi.org/10.1007/s00404-006-0178-3
  51. Hämmerli S, Kohl Schwartz AS, Geraedts K, et al. Does Endometriosis Affect Sexual Activity and Satisfaction of the Man Partner? A Comparison of Partners From Women Diagnosed With Endometriosis and Controls. J Sex Med. 2018;15(6):853-865.  https://doi.org/10.1016/j.jsxm.2018.03.087
  52. Fritzer N, Haas D, Oppelt P, et al. More than just bad sex: sexual dysfunction and distress in patients with endometriosis. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):392-396.  https://doi.org/10.1016/j.ejogrb.2013.04.001
  53. Lemieux AJ, Bergeron S, Steben M, et al. Do romantic partners’ responses to entry dyspareunia affect women’s experience of pain? The roles of catastrophizing and self-efficacy. J Sex Med. 2013;10(9):2274-2284. https://doi.org/10.1111/jsm.12252
  54. Büsing S, Hoppe C, Liedtke R. Sexuelle Zufriedenheit von Frauen--Entwicklung und Ergebnisse eines Fragebogens [Sexual satisfaction of women--development and results of a questionnaire]. Psychother Psychosom Med Psychol. 2001;51(2):68-75. German. https://doi.org/10.1055/s-2001-10757
  55. Hämmerli S, Kohl-Schwartz A, Imesch P, et al. Sexual Satisfaction and Frequency of Orgasm in Women With Chronic Pelvic Pain due to Endometriosis. J Sex Med. 2020;17(12):2417-2426. https://doi.org/10.1016/j.jsxm.2020.09.001
  56. Denny E. Women’s experience of endometriosis. J Adv Nurs. 2004;46(6): 641-648.  https://doi.org/10.1111/j.1365-2648.2004.03055.x
  57. Ferrero S, Esposito F, Abbamonte LH, et al. Quality of sex life in women with endometriosis and deep dyspareunia. Fertil Steril. 2005;83(3):573-579.  https://doi.org/10.1016/j.fertnstert.2004.07.973
  58. Montanari G, Di Donato N, Benfenati A, et al. Women with deep infiltrating endometriosis: sexual satisfaction, desire, orgasm, and pelvic problem interference with sex. J Sex Med. 2013;10(6):1559-1566. https://doi.org/10.1111/jsm.12133
  59. Reed BD, Harlow SD, Sen A, et al. Prevalence and demographic characteristics of vulvodynia in a population-based sample. Am J Obstet Gynecol. 2012;206(2):170.e1-9.  https://doi.org/10.1016/j.ajog.2011.08.012
  60. Rosen NO, Muise A, Bergeron S, et al. Approach and Avoidance Sexual Goals in Couples with Provoked Vestibulodynia: Associations with Sexual, Relational, and Psychological Well-Being. J Sex Med. 2015;12(8):1781-1790. https://doi.org/10.1111/jsm.12948
  61. Elmerstig E, Wijma B, Swahnberg K. Prioritizing the partner’s enjoyment: a population-based study on young Swedish women with experience of pain during vaginal intercourse. J Psychosom Obstet Gynaecol. 2013;34(2):82-89.  https://doi.org/10.3109/0167482X.2013.793665
  62. Carter A, Ford JV, Luetke M, et al. «Fulfilling His Needs, Not Mine»: Reasons for Not Talking About Painful Sex and Associations with Lack of Pleasure in a Nationally Representative Sample of Women in the United States. J Sex Med. 2019;16(12):1953-1965. https://doi.org/10.1016/j.jsxm.2019.08.016
  63. Ayling K, Ussher JM. «If sex hurts, am I still a woman?» the subjective experience of vulvodynia in hetero-sexual women. Arch Sex Behav. 2008;37(2):294-304.  https://doi.org/10.1007/s10508-007-9204-1
  64. Bay-Cheng LY, Bruns AE. Yes, but: young women’s views of unwanted sex at the intersection of gender and class. Psychol Women Q. 2016;40:504-517.  https://doi.org/10.1177/0361684316653902
  65. Anderson AB, Rosen NO, Price L, et al. Associations Between Penetration Cognitions, Genital Pain, and Sexual Well-being in Women with Provoked Vestibulodynia. J Sex Med. 2016;13(3):444-452.  https://doi.org/10.1016/j.jsxm.2015.12.024
  66. MacNeil S, Byers ES. Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating couples. J Soc Pers Relat. 2005;22:169-181.  https://doi.org/10.1177/0265407505050942
  67. Pazmany E, Bergeron S, Verhaeghe J, et al. Dyadic sexual communication in pre-menopausal women with self-reported dyspareunia and their partners: associations with sexual function, sexual distress and dyadic adjustment. J Sex Med. 2015;12(2):516-528.  https://doi.org/10.1111/jsm.12787
  68. Montesi JL, Fauber RL, Gordon EA, et al. The specific importance of communicating about sex to couples’ sexual and overall relationship satisfaction. J Soc Pers Relat. 2010;28:591-609.  https://doi.org/10.1177/0265407510386833
  69. Mark KP, Jozkowski KN. The mediating role of sexual and nonsexual communication between relationship and sexual satisfaction in a sample of college-age heterosexual couples. J Sex Marital Ther. 2013;39(5):410-427.  https://doi.org/10.1080/0092623X.2011.644652
  70. McKay CL, Van Niekerk LM, Matthewson ML. An Exploration of Dyadic Relationship Approach-Avoidance Goals and Relationship and Sexual Satisfaction in Couples Coping with Endometriosis. Arch Sex Behav. 2022;51(3):1637-1646. https://doi.org/10.1007/s10508-021-02150-1
  71. Dior UP, Reddington C, Cheng C, et al. Sexual Function of Women With Deep Endometriosis Before and After Surgery: A Prospective Study. J Sex Med. 2022;19(2):280-289.  https://doi.org/10.1016/j.jsxm.2021.11.009
  72. Orazov MR, Radzinsky VE, Orekhov RE. The effectiveness of therapy for endometriosis-associated pelvic pain resistant to surgical treatment. Gynecology. 2021;23(4):314-323.  https://doi.org/10.26442/20795696.2021.4.201097
  73. Leonardo-Pinto JP, Benetti-Pinto CL, Yela DA. When solving dyspareunia is not enough to restore sexual function in women with deep infiltrating endometriosis treated with dienogest. J Sex Marital Ther. 2019;45(1):44-49.  https://doi.org/10.1080/0092623X.2018.1474411
  74. Alcalde AM, Martínez-Zamora MÁ, Gracia M, et al. Assessment of Quality of Life, Sexual Quality of Life, and Pain Symptoms in Deep Infiltrating Endometriosis Patients With or Without Associated Adenomyosis and the Influence of a Flexible Extended Combined Oral Contraceptive Regimen: Results of a Prospective, Observational Study. J Sex Med. 2022;19(2):311-318.  https://doi.org/10.1016/j.jsxm.2021.11.015
  75. Jarmolinskaja MI, Florova MS. The possibilities of dienogest 2 mg therapy in patients with external genital endometriosis. Russian Journal of Human Reproduction. 2017;23(1):70-79. (In Russ.). https://doi.org/10.17116/repro201723170-79
  76. Mita S, Shimizu Y, Notsu T, et al. Dienogest inhibits Toll-like receptor 4 expression induced by costimulation of lipopolysaccharide and high-mobility group box 1 in endometrial epithelial cells. Fertil Steril. 2011;96(6):1485-1489.e4.  https://doi.org/10.1016/j.fertnstert.2011.09.040
  77. Vannuccini S, Maseroli E, Vignozzi L, et al. The challenge of endometriosis for female sexual health. The Journal of Sexual Medicine. 2023;20:240-246.  https://doi.org/10.1093/jsxmed/qdad004
  78. Omoigui S. The biochemical origin of pain--proposing a new law of pain: the origin of all pain is inflammation and the inflammatory response. Part 1 of 3--a unifying law of pain. Med Hypotheses. 2007;69(1):70-82.  https://doi.org/10.1016/j.mehy.2006.11.028
  79. Begovich E, Solopova AG, Khlopkova SV, et al. Quality of life and psychoemotional status in patients with external genital endometriosis. Obstetrics, Gynecology and Reproduction. 2022;16(2):122-133. (In Russ.). https://doi.org/10.17749/2313-7347/ob.gyn.rep.2022.283
  80. Begovich E, Solopova AG, Idrisova LE, et al. Psychological portrait of patients with external genital endometriosis. Vrach. 2021;32(10):5-8. (In Russ.). https://doi.org/10.29296/25877305-2021-10-01
  81. Kuznetsova DE, Prokopenko SV, Makarenko TA, et al. Differentiated therapy in patients with infiltrative endometriosis and chronic pelvic syndrome taking into account the vegetative status peculiarities. Russian Journal of Human Reproduction. 2018;24(6):121-131. (In Russ.). https://doi.org/10.17116/repro201824061121
  82. Slobodin TN, Maslova IG. Pathogenesis and modern integrated approach in the treatment of pain syndromes in neurology. Mezhdunarodnyj nevrologicheskij zhurnal. 2018;6(100):17-22. Accessed February 11, 2024. (In Russ.). https://cyberleninka.ru/article/n/patogenez-i-sovremennyy-kompleksnyy-podhod-v-lechenii-bolevyh-sindromov-v-nevrologii
  83. Perry CP. Peripheral neuropathies causing chronic pelvic pain. J Am Assoc Gynecol Laparosc. 2000;7(2):281-287.  https://doi.org/10.1016/s1074-3804(00)80058-4
  84. McDonald JS. Pelvic and abdominal pain. M.A. Ashburn, L.J. Rice (Eds.). The management of pain. NY, Churchill Livingston. 1998;24:383-400. 
  85. Fedorova AI. Psychotherapy of sexual disorders. In: Psychotherapy. National leadership. Pod red. A.V. Vasil’evoj, T.A. Karavaevoj, N.G. Neznanova. Moscow: GEOTAR-Media; 2023;909-928. (In Russ.).
  86. Basson R. The recurrent pain and sexual sequelae of provoked vestibulodynia: a perpetuating cycle. J Sex Med. 2012;9(8):2077-2092. https://doi.org/10.1111/j.1743-6109.2012.02803.x
  87. Brotto L. Mindfulness applications to women’s sexual dysfunction: Applications for low desire, sexual distress, and provoked vestibulodynia. J Sex Med. 2011;8(3 suppl):94. 
  88. Kyle R. Stephenson. Mindfulness-Based Therapies for Sexual Dysfunction: a Review of Potential Theory-Based Mechanisms of Change. The J Mindfulness. 2016;8(3):527-543.  https://doi.org/10.1007/s12671-016-0652-3
  89. De Graaff AA, Van Lankveld J, Smits LJ, et al. Dyspareunia and depressive symptoms are associated with impaired sexual functioning in women with endometriosis, whereas sexual functioning in their male partners is not affected. Hum Reprod. 2016;31(11):2577-2586. https://doi.org/10.1093/humrep/dew215
  90. Ferrero S, Abbamonte LH, Giordano M, et al. Deep dyspareunia and sex life after laparoscopic excision of endometriosis. Hum Reprod. 2007;22(4):1142-1148. https://doi.org/10.1093/humrep/del465
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.