Psychosexual aspects of vulvar vestibulitis.
OBJECTIVE
To explore the psychological, interpersonal and sexual correlates of vulvar vestibulitis via qualitative and quantitative analysis.


METHODS
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.


CONCLUSIONS
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.
Sackett
S
S
Department of Obstetrics and Gynecology, University of Iowa Health Care, Iowa City, USA. ssackett@mdaconsultinggroup.com
Gates
E
E
Heckman-Stone
C
C
Kobus
A M
AM
Galask
R
R
D000328:Adult; D004414:Dyspareunia / Q000209:etiology* / Q000523:psychology; D004890:Erythema; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D011788:Quality of Life; D019529:Sexuality; D013315:Stress, Psychological; D014845:Vulvar Diseases / Q000523:psychology*