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Related Concept Videos

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The vaginal canal is a tubular structure averaging about 10 cm in length that acts as the entryway to the female reproductive system and the passageway for menstrual flow and childbirth. The interior walls of the vagina exhibit concentric folds called rugae and are topped by an area known as the fornix, which connects with the protruding cervical portion of the uterus. This canal is comprised of an external fibrous layer, a muscular middle layer, and an inner lining with mucosal rugae, which...
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The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Varicose Veins I: Introduction01:26

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Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Laparoscopic Oocyte Retrieval and Cryopreservation during Vaginoplasty for Treatment of Mayer-Rokitansky-Kuster-Hauser Syndrome
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Vaginal Dilators: Issues and Answers.

Marisa Liu1, Mark Juravic2, Genevieve Mazza1

  • 1University of California Irvine, Department of OBGYN, Irvine, CA, USA.

Sexual Medicine Reviews
|February 5, 2020
PubMed
Summary
This summary is machine-generated.

Vaginal dilator use is common for sexual pain, with many women self-guided. Further research is needed for standardized protocols to improve patient success and compliance with vaginal dilation therapy.

Keywords:
DilatorsPelvic Floor HypertonusSexual PainVaginal Dilation

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Area of Science:

  • Sexual medicine
  • Gynecology
  • Pelvic floor rehabilitation

Background:

  • Vaginal dilators are prescribed for sexual pain syndromes like genito-pelvic pain/penetration disorder (GPPPD).
  • Conditions include postmenopausal changes, cancer survivorship, and pelvic floor disorders.
  • Dilators aim to decrease anxiety and pain associated with penetrative intercourse.

Purpose of the Study:

  • To summarize current research on vaginal dilator use and user behavior.
  • To identify needs for future research to enhance patient compliance and treatment success.
  • To provide insights from a novel electronic dilator (Milli) user survey.

Main Methods:

  • A PubMed literature search was conducted using keywords related to vaginal dilators and sexual health.
  • 29 English articles were reviewed and summarized.
  • Data on user behavior was derived from a 3-month follow-up survey of 335 Milli electronic dilator users.

Main Results:

  • Most common goals: return to intercourse and pain reduction.
  • Over 70% of users self-guided their treatment.
  • Positive emotions reported alongside anxiety; common session duration 6-10 minutes.
  • Treatment length >3 months and use of meditation/music showed positive outcome trends.

Conclusions:

  • Patients often struggle to find knowledgeable clinicians and standardized protocols.
  • Further research is needed to establish effective, standardized vaginal dilation protocols.
  • Long-term studies are planned to optimize treatment plans.