Painful Sex: When Sex Seems Impossible by Dr. Peter T Pacik
The table of contents and the first two chapters can be read in their entirety.
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Chapter 3 discusses the diagnosis of sexual pain and helps distinguish vulvodynia, vestibulodynia and vaginismus. It is important to make the correct diagnosis because the Botox multimodal treatment program works best for vaginismus.
The suffix “dynia” means pain. Vulvodynia is pain involving the vulva, vestibulodynia is pain involving the vestibule (area between the labia and the entrance to the vagina). The correct method of distinguishing between these sexual pain disorders is discussed in Ch. 3. At times it can be difficult to distinguish between these disorders because high anxiety to penetration results in avoidance of any touch in the pelvic area. Examination consists of cotton tipped testing of the vulva and vestibule to help distinguish between these conditions of sexual pain. Sometimes, in severe cases of vaginismus this testing is impossible.
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Once your forms are reviewed Dr. Pacik will schedule a complimentary phone call with you to discuss your diagnosis and treatment.