AI Article Synopsis
Article Abstract
Objective: Vaginal dilation treatment has been shown to be a (cost) effective first-line alternative to surgery in normalizing vaginal length and improving sexual function in women with vaginal hypoplasia. There remains, however, a need for prospective studies, with long-term assessment of multiple outcomes.
Study Design: This was a prospective, single-centre observational study of 16 women with Mayer-Rokitansky-Küster-Hauser syndrome (n = 12) or 46,XY disorders of sex development (n = 4). All women underwent an outpatient vaginal dilation program supervised by a psychologist and physiotherapist. At baseline (T0), stop of treatment (T1) and 1 year follow-up (T2), semistructured interviews, and validated questionnaires assessed sexual function and distress, self-esteem, vaginal perceptions, and health-related quality of life. Gynecological examinations evaluated vaginal dimensions.
Results: Ten women completed the program, 3 are still in the program, and dilation failed in 3 and chose vaginoplasty. Sixty-nine percent reached a normal vaginal length (≥6.5 cm) in 5.8 ± 3.3 months. Seventy percent were sexually active with pleasurable experiences at T1, 57% at T2. The significant decrease in sexual distress at T1 (P < .05) was followed by a nonsignificant increase at T2. Depressive mood symptomatology remained high at T1 and T2, related to loss of bodily integrity and fertility. The majority refused further psychological counseling.
Conclusion: Vaginal dilation treatment should remain the cornerstone of treatment in women with vaginal hypoplasia. However, the diagnosis remains to have a negative impact on emotional well-being in the long term. The role of psychological intervention as both a primary and adjuvant treatment needs clear evaluation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ajog.2014.03.051 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effects of diabetes mellitus and cervical changes on scar healing after cesarean section.
J Ultrason
December 2024
Department of Obstetrics and Gynecology, Necmettin Erbakan Univercity, Meram School of Medicine, Konya, Turkey.
Aim: This study aimed to evaluate the effects of diabetes mellitus and cervical dilatation on cesarean section scar healing.
Material And Methods: This prospective study included pregnant women diagnosed with diabetes mellitus and healthy control pregnant women. The study group was divided into active labor and pre-active labor based on cervical dilatation, and the diabetic group was categorized into gestational diabetes and preexisting diabetes mellitus.
Effectiveness of Biofeedback with Dilator Therapy for Sexual Function in Women with Primary Vaginismus: Randomized Controlled Trial Study.
Int Urogynecol J
December 2024
Faculty of Medicine, Isfahan University of Medical Science, Isfahan, Iran.
Introduction And Hypothesis: Vaginismus is characterized by the involuntary spasm of the pelvic floor muscles (PFMs) around the outer third of the vagina, leading to difficulties in vaginal penetration. Physical therapists often use biofeedback to help individuals to gain better control over their muscles. This study was aimed at assessing the impact of biofeedback with dilator therapy on sexual function in women with primary vaginismus.
View Article and Find Full Text PDFA Rare Case of Low-Grade Appendiceal Mucinous Neoplasm Presenting As Mucinous Vaginal Discharge.
Cureus
November 2024
Obstetrics and Gynecology, Conway Medical Center, Myrtle Beach, USA.
Appendiceal mucinous neoplasms (AMNs) are rare tumors that often present with non-specific symptoms, posing diagnostic challenges. This report aims to emphasize the importance of considering AMNs in the differential diagnosis of atypical pelvic symptoms, especially when initial evaluations suggest gynecological issues. A 56-year-old female with a past medical history of hyperlipidemia and a total vaginal hysterectomy performed over 20 years prior for abnormal uterine bleeding due to fibroids presented to her gynecologist with a three-week history of vaginal discharge and pelvic pain.
View Article and Find Full Text PDFSerial intrapartum ultrasound to predict vaginal delivery using angle of progression and head- progression distance in term nulliparous women.
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Obstetrics & Gynaecology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal Karnataka 576104, India. Electronic address:
Article Synopsis
- Over the past decade, intrapartum ultrasound (ITU) has gained attention for monitoring labor, but its application in low- and middle-income countries remains limited; the angle of progression (AOP) is the most researched parameter, with few studies suggesting the importance of other ITU measurements.
- This study aimed to evaluate the predictive accuracy of AOP and head perineal diameter (PD) for vaginal delivery, as well as the impact of changes in these measurements during the first stage of labor.
- Results showed that AOP ≥ 120° and PD ≥ 2.7 cm significantly correlated with vaginal delivery, with AOP changes (>10°) having the highest accuracy (81%), indicating that ITU provides valuable insights
A comparative study between modified Bishop score and transvaginal sonography to predict successful induction of labor.
J Family Med Prim Care
October 2024
Department of Radiology, IGIMS, Patna, Bihar, India.
Background: Modified Bishop score (MBS) and cervical length determination by transvaginal sonography (TVS) are the two methods for predicting successful vaginal delivery based on pre-induction favourability of the cervix.
Aims And Objectives: This study compared both methods for predicting successful vaginal delivery. The primary objective was to compare the predictive value of MBS and TVS in predicting successful induction of labor.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!