Outcomes of Delivery in Patients With Dyspareunia
The focus of this pilot study is to determine if a woman who experiences pain during sexual intercourse has a higher risk of complications during labor and delivery secondary to pelvic floor dysfunction, anxiety and intolerance towards pelvic examinations. Furthermore, it is unclear whether women with prepartum dyspareunia experience an improvement following vaginal delivery. While physicians may expect that vaginal birth improves dyspareunia due to the stretching effect on pelvic floor, to date, there is insufficient evidence to support this claim. The Investigators plan to prospectively study 200 patients at our Institution, collect information regarding birth and follow them, via questionnaires, regarding their dyspareunia postpartum.
Pelvic Floor Dysfunction
|Study Design:||Observational Model: Case Control
Time Perspective: Prospective
|Official Title:||Outcomes of Delivery in Patients With Dyspareunia- A Prospective Study|
- Obstetrical outcome of women with a history of dyspareunia [ Time Frame: 3 months -1 year ] [ Designated as safety issue: No ]The Investigators will record the mode of delivery (vaginal, instrumental or cesarean section), length of the second stage of labor, use of anesthetics, perineal tears and\or episiotomies, and newborn's birth weight. The evaluation will be done prospectively, comparing data with matched controls without a history of dyspareunia.
- Rate of alleviation of dyspareunia following vaginal delivery as assessed through patient questionnaires. [ Time Frame: 2 years ] [ Designated as safety issue: No ]
|Study Start Date:||January 2013|
|Estimated Study Completion Date:||February 2015|
|Estimated Primary Completion Date:||February 2014 (Final data collection date for primary outcome measure)|
Definite diagnosis of dyspareunia
Patients who report dyspareunia, and whose dyspareunia was evaluated prior to delivery by a caregiver experienced with sexual pain disorders, with definite diagnosis.
No definite diagnosis of dyspareunia
Patients who report dyspareunia but were not evaluated prior to delivery or were evaluated inappropriately (i.e. "yeast infection" without cultures, "inflammation" and other vague definitions).
Patients without dyspareunia
Patients without dyspareunia- those who report non painful sexual intercourse. This group of patients will be used as a control group.
|Contact: Ahinoam Lev-Sagie, MDfirstname.lastname@example.org|
|Hadassah Medical Organization||Not yet recruiting|
|Contact: Hadas Lemberg, PhD 00 972 2 6777572 email@example.com|
|Principal Investigator: Ahinoam Lev-Sagie, MD|
|Principal Investigator:||Ahinoam Lev-Sagie, MD||Hadassah Medical Organization|