The Effect Of Sexual Counseling Program On Pain Level And Sexual Function Among Women With Dyspareunia

Abstract

Dyspareunia is a sexual dysfunction manifested as pain in reproductive organs before, during or soon after sexual intercourse. In spite of the fact that this disorder may be found in both genders, it is much more frequent in women. For these women, sexual activity results in burning pain that can alter a woman’s sense of sexual competency and identity. Study aim was to determine the effect of sexual counseling program on pain level and sexual function among women with dyspareunia. The study setting was conducted at obstetrical& gynecological clinics in El-mansoura University Hospital after obtaining hospital director approval. A subject was consisted of 392 women: 107 out of them with dyspareunia and 100 women complete counseling program, Tools three tools were used by the researchers to collect pertinent data consisted of Women Structured Interviewing Schedule, Dyspareunia Self Assessment Tool, and Female Sexual Function Index (FSFI). Results revealed that 27.3% of the study sample was complained with dyspareunia their age was ranged between 20-40 years with a mean age of 33.79±5.92 years. Regards FSFI scores a difference existed between pre and post scores in favor of post scores.  t= 18.7 (P<0.001) with highly statistical significant difference regarding Desire t= 4.6, (P>0.001), Arousal t=7.97, (P>0.001), Orgasm t= 3.7 (P 0.002), Satisfaction t=12.9, (P>0.001) and Pain t=26.4, (P>0.001).  Conclusion female dyspareunia is an under recognized and significantly affected women and their sexual function, the present study proved also that sexual counseling program was effective on pain level and sexual function improvement among women with dyspareunia. Recommendations include application of sexual counseling program on wide range of women complaining sexual problems. Also, sexual health or problem inquiry should be ask as an important part of health care services and the health care team should be encouraged to initiate discussions about dyspareunia and in service education program for nurses about how to deal and manage various sexual problems is must.

Key words: Counseling    Pain level       Sexual function       Dyspareunia