medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2022-16-16-130-134medsovet-7100Research ArticleПРЕ- И ПОСТМЕНОПАУЗАPRE- AND POSTMENOPAUSEБолевое сексуальное расстройствоSexual pain disorderhttps://orcid.org/0000-0002-6495-3367СтеняеваН. Н.StenyaevaN. N.

Наталья Николаевна Стеняева, к. м. н., старший научный сотрудник

отделение андрологии и урологии

117997

ул. Академика Опарина, д. 4

Москва

Natalia N. Stenyaeva, Cand. Sci. (Med.), Senior Research Fellow 

Department of Andrology and Urology

117997

4, Academician Oparin St.

Moscow

nataliasten@mail.ruНациональный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В. И. КулаковаРоссияKulakov National Medical Research Center of Obstetrics, Gynecology and PerinatologyRussian Federation202209102022016130134Copyright © Стеняева Н.Н., 20222022Стеняева Н.Н.Stenyaeva N.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/7100

   Болевое сексуальное расстройство, объединяющее понятия диспареуния, вагинизм, генитально-тазовая боль, расстройство пенетрации, широко распространено у женщин репродуктивного и постменопаузального возраста в мире (до 34–45 %) и чаще проявляется как приходящая острая боль. Диагноз «Генитально-тазовая боль /расстройство пенетрации» (ГТБРП) устанавливается при наличии хотя бы одного из следующих симптомов: постоянные или повторяющиеся трудности с вагинальным проникновением; выраженная вульвовагинальная или тазовая боль во время вагинального полового акта, а также попыток вагинального проникновения; выраженный страх или беспокойство по поводу вульвовагинальной или тазовой боли в ожидании, во время или в результате вагинальной пенетрации; заметное напряжение мышц тазового дна во время попытки вагинального проникновения. Дополнительные критерии включают наличие перечисленных симптомов в течение не менее 6 мес., вследствие чего наличие значительного сексуального дистресса, который вызывает серьезные проблемы в отношениях и не связан с последствиями применения любого вещества или любого другого медицинского состояния. Механизмы формирования сексуальной боли определяются широким спектром биологических, психических и социальных факторов, что объясняет трудности ее диагностики и лечения, а также негативное влияние на сексуальное функционирование в паре. Своевременная мультидисциплинарная помощь женщинам, страдающим болевым сексуальным расстройством, позволяет эффективно облегчить состояние и обеспечить семейную сексуальную гармонию в паре. Современный арсенал средств лечения располагает как консервативными, так и хирургическими методами лечения, рациональный выбор которых способен значительно повысить качество жизни пациенток.

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The authors declare that there are no conflicts of interest present.