Les dyspareunies organiques

In: Pelvi-périnéologie · 2009 · vol. 4(2) , pp. 153–157 · doi:10.1007/s11608-009-0238-9 · W2059571841
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This paper details common organic causes of superficial and deep dyspareunia in women, emphasizing thorough history and physical examination for diagnosis and prompt treatment.

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Ce papier examine la dyspareunie, un trouble rapporté chez 4 à 28 % des femmes, en distinguant les formes superficielles et profondes. Les auteurs insistent sur une démarche clinique exigeant une anamnèse et un examen approfondis afin d’identifier des causes organiques potentiellement curables, et précisent que l’attribution à une origine psychogène ne doit être envisagée qu’après exclusion des causes organiques. Leur message principal est que l’identification et le traitement spécifiques des causes organiques doivent être réalisés rapidement afin de limiter le retentissement psychologique. Le papier ne discute pas de manière détaillée des données originales et présente surtout les causes de dyspareunie à travers une approche narrative, sans citer de limites méthodologiques propres; il s’agit d’un article de synthèse sur l’évaluation des dyspareunies organiques. Relevance to endometriosis: des références dans l’index citées par l’article portent sur la dyspareunie profonde et l’endométriose (p. ex. travaux de Ferrero et Fauconnier), bien que la pièce soit principalement centrée sur les causes organiques générales de dyspareunie.

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Résumé Les dyspareunies concernent 4 à 28 % des femmes. On distingue les dyspareunies profondes et superficielles. L’interrogatoire et l’examen clinique doivent être minutieux pour ne pas ignorer une cause organique curable. La plainte de la patiente ne doit pas être négligée. Le diagnostic de dyspareunie d’origine psychogène ne doit pas être trop hâtif. Toutes les causes organiques doivent être identifiées et traitées spécifiquement au plus vite afin de limiter au maximum le retentissement psychologique. Nous exposons les principales causes de dyspareunies. Abstract Dyspareunia affects 4 to 28% of women. There are two described types of dyspareunia: superficial and deep. The medical history and the physical examination must be thorough in order to find organic causes. Patients complaints must be taken seriously and psychological causes are only confirmed when all possible organic causes have been ruled out. Organic causes should be identified and treated immediately in order to limit psychological impact. We present in our study the more common causes of dyspareunia. Références Meana M, Binik YM, Khalife S, Cohen DR (1997) Biopsychosocial profile of women with dyspareunia. Obstet Gynecol 90:583–589 Paniel BJ, Haddad B, Meneux E (1997) Les dyspareunies: approche gynécologique. In: La douleur en gynécologie. Arnette Blackwell Eds, pp. 271–280 Burrows LJ, Shaw HA, Goldstein AT (2008) The vulvar dermatoses. J Sex Med 5:276–283 Ejegård H, Ryding EL, Sjogren B (2008) Sexuality after delivery with episiotomy: a long-term follow-up. Gynecol Obstet Invest 66:1–7 Akotionga M, Traore O, Lakoande J, Kone B (2001) Séquelles génitales externes de l’excision au centre hospitalier national Yalgado: épidémiologie et traitement chirurgical. 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Pelv Perineol 4, 153–157 (2009). https://doi.org/10.1007/s11608-009-0238-9 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s11608-009-0238-9

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