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Psychosexual aspects of vulvar vestibulitis
S Sackett1, E Gates, C Heckman-Stone
1Department of Obstetrics and Gynecology, University of Iowa Health Care, Iowa City, USA. ssackett@mdaconsultinggroup.com
Objective:
To explore the psychological, interpersonal and sexual correlates of vulvar vestibulitis via qualitative and quantitative analysis.
Study Design:
Sixty-nine women diagnosed with vestibulitis were recruited from a vulvar/vaginal disease clinic to complete a comprehensive quantitative and qualitative questionnaire designed to assess general health concerns, mental health, sexual functioning and interpersonal relationships.
Results:
The majority of participants reported drastic changes in sexuality associated with the onset of vestibulitis. Upon developing vestibulitis, 88% reported decreased interest in sexual activity, 87% indicated that they were less willing to participate in sexual activity, and 94% maintained that they were less able to participate in sexual activity. High levels of frustration and symptoms of depression also were frequently reported.
Conclusion:
Vulvar vestibulitis is associated with significant changes in sexuality, intimate relationships and psychological well-being. When treating women with vestibulitis, medical professionals should consider the psychological and sexual aspects of the disease in addition to physical concerns.