Dec 30th, 2019 - Endometriosis is a chronic, benign gynecologic disease that is diagnosed when endometrial glands and stroma are found in extrauterine locations. Affecting as many as 1 in 7 women, endometriosis is associated with pelvic symptoms, dysmenorrhea, chronic pelvic pain, dyspareunia, intestinal or urinary tract problems, and infertility. Despite a host of well-described symptoms, the diagnosis is typi...
Dec 30th, 2019 - NEW YORK (Reuters Health) - Fractional CO2 laser treatment appears to relieve symptoms of genitourinary syndrome of menopause in postmenopausal women, according to new findings. An estimated 50% of women experience genitourinary syndrome of menopause (GSM), which manifests as vaginal laxity, dryness, dyspareunia, itching, burning, urinary incontinence and other symptoms. Local therapies, includ...
Nov 20th, 2019 - NEW YORK (Reuters Health) - Women with vulvovaginal atrophy (VVA) have a greater risk of depression, major depressive disorder (MDD) and anxiety than those without the condition, according to new findings. Women aged 45-54 with VVA were at particularly increased risk, Erick Moyneur of StatLog Econometrics, Inc., in Montreal and colleagues report in Menopause, online November 4. "While this stud...
Oct 30th, 2019 - SAN FRANCISCO — Breast cancer patients taking endocrine therapy to prevent a relapse have long reported adverse effects on sexual function, but a new study suggests that this issue affects nearly all of these women. Just about all (99%) of the postmenopausal women who took part in the study scored low on the Female Sexual Function Index (FSFI), indicating a high degree of sexual dysfunction, in...
Aug 11th, 2019 - An estimated 43% of women and 31% of men in the United States alone report some degree of sexual dysfunction. Although sexual dysfunction is common worldwide, many affected individuals are resistant to discussing such issues with their healthcare providers. The term "sexual dysfunction" refers to problems or conditions that prevent or inhibit pursuit or enjoyment of sexual activity. Such issues...
Aug 8th, 2019 - OSPHENA HAS NEW INDICATION Duchesnay Inc. has added moderate to severe vaginal dryness, a symptom of vulvar and vaginal atrophy (VVA), due to menopause, to the indication of Osphena TM (ospemifene).
MDedge ObGyn; Sharon Worcester
Jun 27th, 2019 - NASHVILLE, TENN. – Many women with endometriosis experience dyspareunia, but they are largely unsatisfied when it comes to discussions with health care providers about their symptoms, the results of an online survey suggest.
Jun 17th, 2019 - Endometriosis is an estrogen-dependent disease1 that affects an estimated one in 10 women of reproductive age. 2 In an international multicenter survey of 931 patients treated at 12 tertiary care centers in 10 countries, it was reported that 7 out of 10 endometriosis patients experience unresolved pain despite management.
Jun 4th, 2019 - To date, no optimal hormonal regimen has been established for the treatment of bowel endometriosis. Vercellini and colleagues demonstrated that progestins with and without low-dose estrogen improved symptoms of dysmenorrhea and dyspareunia.
Simon, James A.
Jan 30th, 2019 - Estrogen and androgen deficiency from menopause causes vulvovaginal and urogenital changes and a plethora of symptoms, most prominently dyspareunia. Read the supplement and earn CME credit for your knowledge of the following: The pathophysiology of dyspareunia due to vulvovaginal atrophy (VVA) of menopause.
Jan 21st, 2019 - Treatment with gabapentin improves sexual function in women with persistent, unexplained pain in the vulva (vulvodynia) who have increased pelvic muscle pain on examination. "Previous studies have suggested gabapentin reduces the pain of fibromyalgia...[and] our theory was that reducing pelvic floor muscle pain might reduce vulvodynia pain overall and thus improve sexual function," lead autho...
Jan 8th, 2019 - Nonhormone therapies Topical lidocaine for insertional dyspareunia has been studied in postmenopausal women with breast cancer with severe GSM, dyspareunia, increased sexual distress scores, or abnormal sexual function with improvement seen using 4% aqueous lidocaine versus saline applied with a cotton ball to the vestibule for 3 minutes before vaginal penetration. 9 Vaginal laser therapy has th.
Nov 2nd, 2018 - The long-term mesh removal rate in women with a midurethral mesh sling (MUS) insertion for treating stress urinary incontinence (SUI) was 3. 3%, a British study found.
Clinical Endocrinology News; Kari Oakes
Oct 10th, 2018 - Menopausal women with dyspareunia who received a bioidentical estradiol vaginal insert experienced no cardiovascular or breast effects that would suggest significant systemic absorption. Dr.
Oct 5th, 2018 - SAN DIEGO — Vaginal dryness and dyspareunia, along with other symptoms of genitourinary syndrome of menopause, can be safely and effectively treated with laser therapy, preliminary results from a small study show. Solid evidence for the laser treatment of genitourinary syndrome of menopause has been sparse, but it is increasing, said investigator Eric Sokol, MD, from the Stanford University Sch...
Oct 5th, 2018 - Neither age nor previous hormone therapy had statistically significant associations with the effect of intravaginal prasterone on dyspareunia severity, according to a new subgroup analysis of clinical trial data. In a trend that did not reach statistical significance, though, women who were further away from menopause reported numerically smaller improvements in dyspareunia, compared with basel.
Aug 1st, 2018 - Laser treatment improved dryness, burning, and dyspareunia but caused more pain All 3 treatment groups showed statistically significant improvement in vaginal dryness at 20 weeks, but only the laser-alone arm and the laser plus estriol arms showed improvement in dyspareunia and burning. The total FSFI scores improved significantly only in the laser plus estriol arm (TABLE).
Jul 10th, 2018 - Transcutaneous electrical nerve stimulation (TENS) was effective at treating chronic vulvar pain at the vestibule in combination with vaginal diazepam and with placebo in a randomized, double-blind, placebo-controlled trial. In the TENS/diazepam and TENS/placebo groups, participants reported significant improvements from baseline in pain and sexual functioning by questionnaire and visual analog.
Clinical Neurology News;
Jun 11th, 2018 - The common sexual disorders in women are categorized as desire, arousal, orgasm, and pain disorders. There are two desire disorders: hypoactive sexual desire disorder and sexual aversion disorder.
Jun 4th, 2018 - Note that some links may require subscriptions. Eighteen cases of Nipah virus infection in southern India, 16 fatal, but the local government says the situation is "not alarming" anymore. (NDTV) Faster me-toos? As part of the government's efforts to slow soaring drug prices, FDA Commissioner Scott Gottlieb says he wants to shorten the time that first-in-class drugs have the market to themselves...