ʻO Dyspareunia e lilo i ke kumu pohihihi kumu ʻehaʻeha nou

Anter

• Nā ʻōuli o Dyspareunia
• Nā kumu o ke kino a me ke kino
• Pehea e mālama ai i ka dyspareunia
• Nā ʻōlelo aʻoaʻo no ka hana ʻana me Dyspareunia
• Nānā no

ʻO nā maʻi āpau ʻaʻohe mea e kamaʻilio e pili ana, ʻo ka mea nāna e lawe i ka keke, he dyspareunia wale nō ia. ʻAʻole paha ʻoe i lohe? ʻAʻole ia he mea kupanaha-akā he aha ʻo ia kahaha ka mea i luna o 40 pākēneka o nā wahine āpau e ʻike ia. (ʻO nā koho ʻē aʻe ke kiʻekiʻe a hiki i ka 60 pakeneka, no ka American Academy of Family Physicians, ʻoiai ua ʻokoʻa nā helu helu i nā makahiki.)

Ma ka wehewehe ʻana, ʻo ka dyspareunia kahi huaʻōlelo umbrella no ka ʻeha ma mua, i ka wā, a i ʻole ma hope o ka moe ʻana, akā ʻaʻole maopopo nā kumu, ʻaʻole like. I ka ʻoiaʻiʻo, ʻaʻole mau ia i ke kino-i nā manawa he nui, ua pili ka maʻi i ka ʻeha o ka naʻau, ke koʻikoʻi, kahi moʻolelo o ka hoʻomāinoino moekolohe, a me nā ʻano o ke ʻano e like me ka hopohopo a me ke kaumaha.

Manaʻo maikaʻi ʻia ka moekolohe. Inā ʻaʻole mau loa, e kamaʻilio me kāu kauka. I kēia manawa, inā manaʻo ʻoe ʻo ka dyspareunia ka hewa no kāu moe ʻeha, e hoʻomau i ka heluhelu no ka ʻike hou aku.

Nā ʻōuli o Dyspareunia

"ʻO ka maʻamau, ʻo nā ʻōuli o ka dispareunia kekahi ʻano ʻeha o ka ʻūpā i ka wā o ka moekolohe," i ʻōlelo ʻia ʻo Navya Mysore, M.D., kahi Kauka Lapaʻau Hoʻokahi. ʻOi aku ka kikoʻī, ʻo ia hoʻi:

• ʻEha ma ke komo ʻana (ʻoiai inā e ʻike ʻia ma ka komo mua)
• ʻEha hohonu me kēlā me kēia pā
• ʻO ka ʻeha, ka ʻeha, a i ʻole ka ʻeha ʻana e mau ana no ka manawa lōʻihi ma hope o ka moekolohe

Eia naʻe, ʻaʻole ʻeha paha kēlā me kēia manawa ke moe kolohe ʻoe, wahi a Dr. Mysore. "E loaʻa paha i kekahi kanaka ka ʻeha 100 ka nui o ka manawa, akā hiki i kekahi ke loaʻa wale i ka manawa."

Nā kumu o ke kino a me ke kino

"Ke manaʻo nei ʻaʻohe maʻi a i ʻole ʻāʻī, hiki i ka dyspareunia ke hopena o kahi kūlana preexisting," i ʻōlelo ʻia ai ka sexologist a me ke kauka osteopathic Habib Sadeghi, D.O., ka mea kākau o Ka Hoomaemae Akaka, (ʻo wai ka mea i ʻike ʻia he mau haneli mau maʻi no kēia maʻi i kāna hana ma Agoura Hills, CA.)

ʻO kekahi mau kumu kūlohelohe o ka dispareunia:

• ʻO ka ʻōpū i hoʻihoʻi ʻia (tilted) a i ʻole ka hāʻule ʻana o ka ʻōpū
• ʻO nā maʻi e like me ka fibroids ʻōpū, nā ʻōpū ovarian a i ʻole PCOS, endometriosis, a i ʻole ka maʻi pelvic inflammatory (PID)
• ʻO ka scarring i ka pelvic a i ʻole ka ʻāpana genital (ma muli o nā ʻoki ʻana e like me ka hysterectomy, episiotomy, a me nā ʻāpana C)
• Atrophy o ke aʻalolo cranial zero (CN0), e like me ka Dr. Sadeghi (ʻoi aku ma lalo o kēia)
• Ka nele o ka lubrication / maloʻo
• ʻO ka mumū a i ʻole ka maʻi ʻili, e like me ka eczema
• Vaginismus
• Hoʻokomo hou ʻia ʻo IUD
• Nā maʻi o ke koʻohune, nā maʻi hū, nā vaginosis, a i ʻole ka vaginitis
• Hoʻololi Hormonal

Kaʻuʻuku: "Ma kahi o 12 pākēneka o nā [wahine maʻi] ʻike wau i ka dispareunia, me ke kumu maʻamau ka ʻili ma kahi ʻāpana C mua," wahi a Dr. Sadeghi. "ʻAʻole wau i manaʻo he mea kūpono i kēia mau lā i hānau ʻia ai hoʻokahi o nā pēpē ʻekolu ma o ka C-section, a hoʻokahi o nā wahine ʻekolu i loaʻa i kahi pae o ka dyspareunia."

He aha ka hana nui me ka scarring? Wahi a Dr. Sadeghi, hiki ke hoʻopili i ka ʻōnaehana hopohopo. "Hiki i ka ʻili o loko a me waho ke hoʻopau i ke kahe o ka ikehu ma ke kino," wahi āna. "ʻO ka mea e mahalo ai, ma Iāpana, kahi ma kahi o C mau ʻāpana i ʻoi aku ka liʻiliʻi o ka maʻa, hana ʻia ka ʻokiʻoki i luna, ʻaʻole ākea, i mea e hōʻemi ai i kēlā mau haunaele."

ʻO Kecia Gaither, M.D., M.P.H., nona ka papa ʻelua i hōʻoia ʻia i ka lāʻau ob-gyn a me ka maternal-fetal lāʻau, ʻae ʻo ka ʻili ʻana mai nā ʻoki C-section i mea hiki ke kumu i ka dyspareunia. "ʻO kahi mucocele-he hapa liʻiliʻi i ka ho'ōla ʻana i ka ʻili, aia ka mucus-i loko o kahi ʻoki haʻahaʻa haʻahaʻa haʻahaʻa hiki ke hoʻoulu i ka ʻeha, ka wikiwiki o ka ʻōpū, a me ka dyspareunia," wahi āna.

Ua hoʻomaopopo pū ʻo ia, e like me kā Kauka Sadeghi i ʻōlelo ai, ʻo ka ʻoki ākea o nā ʻāpana C C, i ke kumumanaʻo, e kumu i nā pilikia he nui aʻe ma mua o kahi ʻoki ākea. Ua ʻōlelo ʻo ia, ʻo nā mea āpau mai ka dehydration a hiki i ka "negativity o nā poʻe ʻē aʻe" hiki ke hoʻopau i ke kahe ikaika i loko o ke kino a ʻo ka ʻeha kino mai ka ʻāpana cesarean he mea hoʻopilikia e hiki ke kōkua i ka dyspareunia.

CN0: "ʻO kekahi kumu ʻē aʻe paha ʻo ka deactivation a i ʻole atrophy o ke aʻalolo cranial zero (CN0), kahi aʻalolo e ʻohi ai i nā hōʻailona mai nā pheromones i loaʻa i ka ihu a hoʻihoʻi iā lākou i nā wahi o ka lolo e pili ana i ka hānau ʻana o ka wahine," wahi a Kauka Sadeghi. . ʻO ke kaʻina hana e hoʻomaʻamaʻa ai i ka mākaukau moekolohe e pili nui i ka hoʻokuʻu ʻia ʻana o ka hormone oxytocin a i ʻole ka "aloha" hormone e hoʻoulu ai i ka pili kanaka, wehewehe ʻo ia. "Hāʻawi ʻia ʻo Pitocin (synthetic oxytocin) i nā wahine e hoʻoulu ai i ka hana, a hiki ke disregulate i nā neʻe cranial 13 āpau, e like me CN0, e hopena ana i ka dispareunia ma ke ʻano he hopena."

ʻOiai ʻaʻole i aʻo nui ʻia ʻo CN0 i loko o ke kanaka, ua ʻike ʻia kahi hōʻike 2016 e pili ana i ka hōʻiliʻili ʻana o ka ʻikepili ma CN0 e hiki i kēia aʻalolo ke hoʻonohonoho i "nā hana hoʻololi kūlohelohe, hana moe kolohe, hānau hānau a me nā ʻano male." Ua hoʻokūpaʻa ʻo Kauka Gaither i kēia, me ka ʻike ʻana i ka manaʻo o ka poʻe noiʻi e pili ana ʻo CN0 i ka hoʻoulu ʻana i ka hoʻoulu ʻana ma ke kūʻokoʻa a i ʻole ma o ka launa pū ʻana me nā kaapuni ʻē aʻe i loko o ka lolo.

Hoʻololi Hormonal: "ʻO kekahi o nā kumu maʻamau ka hoʻololi ʻana i ka hormonal, hiki ke hopena i ka hoʻololi ʻana i ka pH o nā huna huna," wahi a Kauka Mysore. "ʻO kahi laʻana maʻamau o kēia ka neʻe ʻana i menopause, kahi e hiki ai i ka moekolohe ke lilo i mea ʻoluʻolu ʻole no ka mea ʻoi aku ka maloʻo o ke kahawai."

Vaginismus: "ʻO kekahi kumu maʻamau o ka ʻeha i ka wā e moe ai ʻo ia ka vaginismus, ʻo ia hoʻi ka ʻaelike ʻana o nā ʻiʻo a puni ka wehe ʻana o ka vaginal i ka pane ʻana i ke komo ʻana," wahi a Kauka Mysore. Inā ʻoe i ʻike i kekahi o nā ʻāpana o ka moekolohe ʻeha, no ka laʻana, hiki i kou mau mākala ke hana me ka hau. "ʻAneʻane he reflex-ua hoʻolālā ʻia kou kino e hōʻalo i ka ʻeha, a inā hoʻomaka ka lolo e hoʻopili i ka moekolohe me ka ʻeha, hiki i nā mākala ke hana me ka makemake ʻole e hōʻalo i kēlā ʻeha," i ʻōlelo ʻo ia. "ʻO ka mea pōʻino, hiki i kēia ke lilo i kūlana lua no ka hoʻomāinoino a i ʻole ka hoʻomāinoino." (Pili: Nā 8 kumu e hiki ai iā ʻoe ke ʻeha i ka wā o ka moekolohe)

Nā kumu noʻonoʻo: E like me ka mea i hoʻomaopopo ʻia, hiki i nā ʻehaʻeha a me nā hanana ke kōkua i ka moekolohe ʻeha pū kekahi. "ʻO ke kumu Psychological ka mea e hoʻopili pinepine ai i ke kino a i ʻole ka moekolohe, hoʻomāinoino, a i ʻole nā ​​ʻano ʻano ʻeha e pili ana i ka moekolohe." Wahi a Dr. Sadeghi.

Pehea e mālama ai i ka dyspareunia

Kaukaʻi ʻia i ke aʻa o kahi maʻi o ka maʻi, aia kekahi mau ʻano ʻokoʻa i ka lāʻau. Ma waho o ke kumu kumu, he mea nui e ʻike i kāu kauka e hana i kahi hoʻolālā. Manaʻo paha lākou iā ʻoe e hoʻāʻo i nā kūlana like ʻole, e noʻonoʻo e hoʻohana i ka lube (ʻoiaʻiʻo, hiki ke hoʻomaikaʻi ʻia ke ola wahine o kēlā me kēia kanaka e ka lube), a i ʻole e hoʻāʻo e lawe i nā mea hōʻeha ʻeha ma mua.

I ka hihia o ka scarring: No nā poʻe maʻi me ka ʻiʻo ʻulaʻula e hōʻeha ai i ka moekolohe, hoʻohana ʻo Kauka Sadeghi i kahi lapaʻau kūikawā. "Ke hana nei au i kahi lapaʻau ma ka ʻili i kapa ʻia ʻo integrative neural therapy (INT)," wahi a Kauka Sadeghi. ʻIke ʻia hoʻi kēia ʻo German acupuncture. Hoʻopau kēia kaʻina hana i ka ʻili a kōkua i ka wāwahi ʻana i kekahi o ka paʻa a me ka ikehu mālama ʻia o ka ʻili ʻili, wehewehe ʻo ia.

Inā loaʻa iā ʻoe kahi kōpū i kuhi ʻia: Inā pili kou ʻeha i ka uterus i hoʻohuli ʻia (tilted), ʻo ka pelvic floor therapy ka lapaʻau maikaʻi loa, wahi a Dr. Sadeghi. ʻO Yep-physical therapy no kou papahele pelvic, nā ʻiʻo vaginal a me nā mea a pau. Hoʻopili ia i kahi ʻano o nā manipulations manual a me ka hoʻokuʻu ʻana i nā ʻiʻo palupalu e hoʻohaʻahaʻa i ka ʻāʻī o ka papahele pelvic, wehewehe ʻo ia. Nūhou maikaʻi: E ʻike koke paha ʻoe i kekahi mau hopena. (E pili ana: 5 mau mea e ʻike ʻia e kēlā me kēia wahine e pili ana i kāna papahele pelvic)

Inā mai ka cranial nerve zero atrophy: "I nā hihia o ke atrul cranial nerve zero, manaʻo ʻia nā hana e pili ana i nā kiʻekiʻe o ka hana oxytocin, e like me ka hānai ʻana i ka makuahine inā he makuahine hou kekahi, a me kahi hana pili loa i pili ʻole i ke komo maoli," wahi a Dr. Sadeghi.

Inā loaʻa iā ʻoe ka mumū a maloʻo paha: Hiki iā ʻoe ke hoʻāʻo i ka lubricant CBD. I ka ʻoiaʻiʻo, ʻo ka lube-based lube ka hopena no nā wahine he nui i ʻike i ka dispareunia mai nā kumu he nui. Ua walaʻau nā mea hoʻohana e pili ana i ka hiki ke hoʻololi i kā lākou ʻike moekolohe, hoʻopau i ka ʻeha, a kōkua iā lākou e kiʻi i ka orgasm e like me ka wā ma mua. ʻO Kauka Mysore kekahi mea kākoʻo no ka hoʻohana ʻana i ka lubricant, a me ka hoʻoponopono ʻana i ka maloʻo me ka hormone therapy inā loaʻa ia mai kahi hoʻololi e like me ka menopause.

Inā loaʻa ʻoe i kahi maʻi. "ʻO nā kumu ʻē aʻe o ka ʻeha i ka wā moe, ʻo ia nā maʻi hū, UTI, a i ʻole bacterial vaginosis, i loaʻa i kēlā me kēia me kā lākou mau protocol no ka mālama ʻana e hoʻēmi i nā hōʻailona ʻeha," wahi a Kauka Mysore. "No ka poʻe e ʻike a hopohopo paha i nā maʻi hū a i ʻole vaginosis koʻohune, he aloha nui wau i ka hoʻohana ʻana i nā supositories acid boric me ka hoʻohui ʻana i ka lapaʻau e kōkua ai i ke kaulike i ka ph vaginal." (Pili: Ke Alakaʻi Ma Ke Kūlana Kūloko i ka Hoʻōla ʻana i kahi maʻi hū Vaginal)

Eia kekahi, ʻōlelo ʻo Dr. Mysore i ka lawe ʻana i nā probiotics: "He nui ka poʻe e pili ana i ka probiotics wale nō me ka hoʻomaikaʻi ʻana i ka maʻi bacteria i loko o ka ʻōpū, akā hiki i nā probiotics ke hoʻopili like i ke ʻano o ka vaginal a kōkua i ke kaulike a hoʻihoʻi hou i ka pH kūpono," hiki ke alakaʻi i ka ʻeha ʻole.

Ma hope o kahi hoʻokomo IUD: "ʻO nā wahine i hoʻokomo ʻia i ka IUD hiki nō ke ʻike i ka moekolohe ʻeha," wahi a Kauka Mysore. "He progesterone wale nō ka IUD, akā no ka loaʻa ʻana o ka hopena kūloko o nā hormones, hiki iā ia ke hoʻololi i ka kūlike a me ka maikaʻi o ka hoʻokuʻu ʻana," i ʻōlelo ai ʻo ia, hiki ke alakaʻi i ka maloʻo. "ʻAʻole hiki i nā [mea maʻi] ke hana i ka lubrication kūlohelohe," wehewehe ʻo ia, akā e kahakaha e hoʻopili hou i kou kino. "Ma ka hapanui o nā hihia, e hoʻonui hou ʻia ke kino a e emi ka ʻeha a me ka maloʻo, akā he mea maikaʻi ke kamaʻilio me kāu kauka inā hoʻomau ʻoe i ka ʻeha ma muli o ka waiho ʻana o ka IUD." (E pili ana: Ke hoʻololi nei kāu IUD iā ʻoe i kēia kūlana weliweli?)

Inā he vaginismus (spasming): ʻO ka mālama ʻana no ka vaginismus pinepine ka hoʻohana ʻana i nā dilator vaginal. ʻO ka maʻamau, pili kēia i kahi o nā mea like phallic e kū ana i ka nui mai kahi manamana pinky a i kahi peni kū aʻe. Hoʻomaka ʻoe me ka liʻiliʻi loa a hoʻohana i kēlā me kēia lā (me ka nui o ka lube!) E neʻe ana i loko a puka i waho o ka ʻōpala a ʻoluʻolu ʻoe, ʻelua a ʻekolu mau pule paha, ma mua o ka neʻe ʻana i ka nui aʻe. Hoʻoponopono hou kēia i ka ʻiʻo vaginal, a, me ka manaʻolana, e alakaʻi i ke kanaka e ʻike i ka liʻiliʻi a i ʻole ka ʻeha i ka wā o ke komo ʻana. Hiki i ke kanaka ke hoʻohana i nā dilator wale nō a i ʻole me kahi hoa pili - ʻo ka pōmaikaʻi o ka hoʻopili ʻana i kahi hoa hana ʻo ia ke kōkua i ke kaʻina hana e hoʻomohala i ka hilinaʻi a me ke aloha i ka pilina.

Inā he psychological: Nui nā wahine i ka ʻeha mai ka hoʻopaʻa ʻana o ka naʻau - ʻo ka hopohopo paha ke kumu o ka ʻeha o ka papahele pelvic. I kēia hihia, ke hana maoli nei kou kino i kahi poloka ma muli o kahi ʻike naʻau.

"Inā loaʻa kāu dyspareunia mai kekahi ʻano o ka hoʻomāinoino ʻana i ka naʻau a i ʻole ka naʻau, e ʻimi mau i ka ʻōlelo aʻo ʻoihana," wahi a Kauka Sadeghi. Ua kikoʻī ʻia kāna mau manaʻo ma kāna puke, ʻO ka hoʻomaʻemaʻe Clarity, kahi e kau nei i ka hoʻōla manaʻo e mālama i nā maʻi o ke kino. "Ua kau ʻia ka manaʻo koʻikoʻi i ka hoʻomaʻamaʻa hou ʻana i ka moekolohe ma ke ʻano he hōʻike o ke aloha a me ka nani kahi e palekana ai ka hilinaʻi a me ka nāwaliwali" - kahi mea e pono ai no ka poʻe i pakele i ka hoʻomāinoino, wahi āna. "Ua hōʻike mai ka ʻike iaʻu i ka wā e hoʻōla ai ka mea maʻi i ka naʻau, pane maikaʻi ke kino i ke olakino."

Nā ʻōlelo aʻoaʻo no ka hana ʻana me Dyspareunia

He mea nui ka loaʻa ʻana o kahi hoa hoʻomanawanui. Ua hoʻokūpaʻa ʻo Kauka Sadeghi i kēia manaʻo. "E hoʻonaʻauao iā lākou e like me kāu e hiki ai e pili ana i kāu mea e ʻike nei a me ke kumu; ʻo ia ka mea e hoʻohaʻahaʻa i ka ʻeha ma waena o ʻolua a hōʻoiaʻiʻo iā lākou ʻo ka loli ʻana o kou ola wahine ʻaʻole ma muli o kekahi mea a lākou e hana nei, "ʻo ia. wahi a.

ʻOiai ʻoe e ʻimi ana i ka lāʻau lapaʻau, e pale i ka moekolohe. "E hoʻohana i kēia manawa ma ke ʻano he manawa kūpono e ʻimi ai i nā ʻano nani ʻē aʻe o ka moekolohe ma kahi pae hohonu loa," wahi a Kauka Sadeghi. "E hoʻolōʻihi i ka manawa e ʻimi ai i nā pae hou o ka pilina me ka ʻole o ke kaomi o ke komo i loko o ka manawa. Nui a hewahewa nā ala e kaʻana like ai i ka pilina me kāu hoa i ka wā o kāu hana hoʻōla. Ke kaʻawale ʻoe mai ka dispareunia, e ʻoi aku ka maikaʻi o kou ola wahine no ia mea."

E ʻimi i ka lāʻau lapaʻau. ʻAʻole paha inā he psychologically a kino paha kāu dyspareunia, he mea koʻikoʻi ka loaʻa ʻana o kahi puka palekana e hana ai ma o kou mau manaʻo me kahi loea noʻonoʻo. ʻOiaʻiʻo, hiki mai kēia i ka pāʻani inā manaʻo ʻoe i ka trauma i hala a i ʻole ka makaʻu e pili ana i ka moekolohe ke keʻakeʻa nei i kou hiki ke leʻaleʻa iā ia-a dammit, pono ʻoe e leʻaleʻa! (I kēia manawa: Pehea e hele ai i ka Therapy Ke Wāwahi ʻoe iā AF)

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