Dyspareunia Inogona Kuva Chakavanzika Chikonzero Bonde Rinokurwadza Iwe

Zvemukati

• Zviratidzo zveDyspareunia
• Zvepanyama uye Zvepfungwa Zvinokonzera
• Maitiro Ekurapa Dyspareunia
• Matipi Ekubata neDyspareunia
• Ongororo ye

Pazvirwere zvese hapana anotaura nezvazvo, iyo inotora keke inogona kunge iri dyspareunia. Hauna kunzwa nezvazvo here? Izvo hazvishamise-asi chii ndizvo chinoshamisa ndechekuti kumusoro kwe40 muzana yevakadzi vese vanozviwana. (Dzimwe fungidziro dzinokwira kusvika makumi matanhatu muzana, paAmerican Academy yeMhuri Vanachiremba, asi huwandu hwakasiyana pamakore.)

Nekutsanangurwa, dyspareunia izwi remumbure rekurwadziwa kwepamuviri nguva isati yadarika, panguva, kana mushure mekusangana, asi izvo zvikonzero hazviwanzo kujekesa, uye hazvina kufanana. Muchokwadi, hazviwanzo kugara zviri zvepanyama-muzviitiko zvakawanda, mamiriro acho akabatanidzwa nekushungurudzika mupfungwa, kushushikana, nhoroondo yekushungurudzwa pabonde, uye kusagadzikana kwepfungwa senge kushushikana uye kushushikana.

Zvepabonde zvinofanirwa kunzwa zvakanaka. Kana zvikasadaro nokusingaperi, taura nachiremba wako. Panguva ino, kana iwe uchifunga kuti dyspareunia inogona kunge iri mhosva yebonde rako rinorwadza, ramba uchiverenga kuti uwane rumwe ruzivo.

Zviratidzo zveDyspareunia

"Kazhinji, zviratidzo zve dyspareunia chero mhando yekurwadziwa mukati memukadzi panguva yekuenda pabonde," anodaro Navya Mysore, MD, mumwe Chiremba chiremba. Zvikurukuru, zvinoreva kuti:

• Marwadzo ekupinda (kunyangwe kana ichingonzwikwa pamusuwo wekutanga)
• Kutambudzika kwakadzama nekutamba kwese
• Kusvira, kurwadza, kana kurohwa nehana kunogara kwenguva yakareba mushure mebonde

Zvisinei, zvingasava zvinorwadza pose paunosangana pabonde, anodaro Dr. Mysore. "Mumwe munhu anganzwa kurwadziwa 100 muzana yenguva, asi mumwe anogona kungozviona zvishoma nezvishoma."

Zvepanyama uye Zvepfungwa Zvinokonzera

"Tichifunga kuti hapana hutachiona kana kuzvimba kuripo, dyspareunia inogona kuve mhedzisiro yemamiriro ezvinhu aripo," anodaro nyanzvi yezvepabonde uye chiremba weosteopathic Habib Sadeghi, DO, munyori we The Kujeka Kuchenesa, (uyo akaona mazana evarwere vechirwere ichi pabasa rake muAgoura Hills, CA.)

Zvimwe zvikonzero zvepanyama zve dyspareunia zvinosanganisira:

• A retroverted (tilted) uterus kana uterine prolapse
• Mamiriro ezvinhu akaita seuterine fibroids, ovarian cysts kana PCOS, endometriosis, kana chirwere chepelvic inflammatory (PID)
• Kukuvara munzvimbo yepelvic kana yenhengo (nekuda kwekuvhiyiwa senge hysterectomy, episiotomy, uye C-sections)
• Atrophy of cranial nerve zero (CN0), maererano naDr. Sadeghi (zvimwe pane izvi pazasi)
• Kushaikwa kwekuzora / kuoma
• Kuzvimba kana kusagadzikana kweganda, senge eczema
• Vaginismus
• Kuiswa kweIUD ichangoburwa
• Utachiona hwehutachiona, hutachiona hwembiriso, vaginosis, kana vaginitis
• Hormonal shanduko

Zvinopisa: "Zvikamu gumi nezviviri kubva muzana zvevarwere vechikadzi vandinoona vane dyspareunia, nechikonzero chakanyanya kuve vanga kubva kuC-chikamu chakapfuura," anodaro Dr. Sadeghi. "Handifunge kuti zvakangoitika mazuva ano kuti mumwe muvatatu vacheche vanoberekwa kuburikidza neC-chikamu, uye mumwe chete muvakadzi vatatu anoona imwe nhanho yedyspareunia."

Ndechipi chakakura pakubata? Maererano naDr. Sadeghi, inogona kukanganisa hurongwa hwemitsipa. "Zvese zvemukati nekunze zvinogona kukanganisa kufamba kwesimba mumuviri wese," anodaro. "Sezvineiwo, muJapan, uko C-zvikamu zvisinganyanyi kuwanda, iyo incision inoitwa yakatwasuka, kwete yakatwasuka, kuti kuderedze kukanganisa kwakadaro."

Kecia Gaither, MD, MPH, ane mbiri bhodhi-akasimbwa mu ob-gyn uye yemadzimai-fetal mushonga, anobvuma kuti kuora kubva kuC-chikamu kutsemurwa kunogona kuve kunogona kupa chinokonzera dyspareunia. "Mucocelecele- kuremara kudiki mukupora kweiyo vanga, iine mamasi-mukati mekudzikira zvakanyanya kwechibereko chechibereko kunogona kukonzera marwadzo, kukurumidza kwedundira, uye dyspareunia," akadaro.

Akaonazve kuti, sekutaura kwaDr.Sadeghi, kukamurwa kwakatwasuka kweU.S.C-zvikamu kunogona, mukufungidzira, kukonzeresa nyaya dzakawanda kupfuura kuita kwekumira. Akataura kuti zvese kubva mukushayiwa mvura mvura kusvika kune "vamwe vanhu negativity" zvinogona kukanganisa kuyerera kune simba mukati memuviri uye kuti kushungurudzika kwepanyama kubva muchikamu chekusiyiwa kwaizove kukanganisa kunogona kupa dyspareunia.

CN0: "Chimwe chikonzero chinogona kunge chiri deactivation kana atrophy ye cranial nerve zero (CN0), tsinga inotora zviratidzo kubva kune pheromones inogamuchirwa mumhino uye inovadzosera kunzvimbo dzeuropi dzinobata nekuberekwa kwepabonde," anodaro Dr. Sadeghi. . Maitiro anokoshesa kugadzirira kwedu pabonde anoenderana zvakanyanya nekusunungurwa kwehormone oxytocin kana "rudo" mahormone inogadzira kubatana kwevanhu, anotsanangura. "Pitocin (synthetic oxytocin) inopihwa kuvakadzi kukurudzira vashandi, uye inogona kudzikisira tsinga dzese gumi nenhatu, kusanganisira CN0, zvichizokonzera kuti dyspareunia ive nemhedzisiro."

Ipo CN0 isati yadzidzwa zvakanyanya muvanhu, mushumo we2016 pamusoro pekuunganidzwa kwedata paCN0 wakaona kuti tsinga iyi inogona kurongedza "mabasa ekugadzirisa ezvakatipoteredza, zvekuita zvepabonde, maitiro ekuberekana nekubatana." Dr. Gaither vakatsigira izvi, vachiona kuti vaongorori vanoti CN0 inobatanidzwa mukukonzera kumutsa zvakasununguka kana kuburikidza nekudyidzana nemamwe maseketi mukati mehuropi.

Hormonal shanduko: "Chimwe chezvinhu zvinonyanya kukonzera kushanduka kwehomoni, izvo zvinogona kukonzera shanduko muPH yemukati memadzimai," akadaro Dr. Mysore. "Muenzaniso wakasarudzika weizvi ndeyekuchinja kuenda kumwedzi, apo bonde rinogona kusagadzikana nekuti mugero wemukadzi unooma zvakanyanya."

Vaginismus: "Chimwe chikonzero chinowanzoitika chekurwadziwa panguva yebonde vaginismus, zvichireva kuti mhasuru dzakatenderedza kuvhurika kwechikadzi nekuzvitenderedza nekusaziva," akadaro Dr. Mysore. Kana iwe wakasangana nezvikamu zvakati zvebonde rinorwadza, semuenzaniso, mhasuru dzako dzinogona kuita nekutonhora. "Ingangoita fungidziro - muviri wako wakarongedzwa kudzivirira marwadzo, uye kana huropi hwikatanga kubatanidza bonde nemarwadzo, mhasuru dzinogona kuita zvisina basa kuti dzidzivise kurwadziwa uku," anodaro. "Zvinosuruvarisa, izvi zvinogona zvakare kunge zviri zvechipiri pane kushungurudzwa pabonde kana kushungurudzwa pabonde." (Yakabatana: 8 Zvikonzero Nei Uchigona Kurwadziwa Panguva Yezvepabonde)

Zvikonzero zvepfungwa: Sezvacherechedzwa, kushungurudzika kwepamoyo uye mamiriro ezvinhu anogona kuparira bonde rinorwadza futi. "Zvikonzero zvepfungwa zvinowanzobatanidza kushungurudzwa kwepanyama kana zvepabonde, kunyadziswa, kana mamwe marudzi ekushungurudzika mupfungwa kune zvepabonde," anodaro Dr. Sadeghi.

Maitiro Ekurapa Dyspareunia

Zvichienderana nemudzi wemamiriro emurwere, pane nzira dzakasiyana dzekurapwa. Pasinei nechinokonzera chikonzero, zvakakosha kuti uone chiremba wako kuti aite chirongwa. Ivo vanogona kukurudzira kuti iwe uedze akasiyana akasiyana zvinzvimbo, funga kushandisa lube (kutendeseka, hupenyu hwese hwepabonde hunogona kuitwa zvirinani ne lube), kana kuyedza kutora marwadzo ekudzora pamberi.

Kana iri yekushaiwa: Kune varwere vane zvinyama zvinyoro zvichikonzera bonde rinorwadza, Dr. Sadeghi anoshandisa imwe kurapwa. "Ndinorapa pane vanga rinozivikanwa sekubatanidza neural therapy (INT)," akadaro Dr. Sadeghi. Izvi zvinozivikanwawo seGerman acupuncture. Maitiro aya anodzikamisa vanga uye anobatsira kudzikamisa kumwe kuomarara uye simba rakachengetwa remavanga, anotsanangura.

Kana iwe uine chibereko chakakombama: Kana kurwadziwa kwako kuchikonzerwa nechibereko chakadzokororwa (chakakombama), pelvic floor therapy ndiyo yekurapa kwakanyanya, anodaro Dr. Sadeghi. Yep-kurapa kwepanyama kune yako pelvic pasi, mhasuru yemadzimai uye zvese. Inosanganisira nhevedzano yemanyorero manipulations uye zvinyoro zvinyoro kuburitswa kuti kuderedze kushushikana kuri pasi pepelvic, anotsanangura. Nhau dzakanaka: Unogona kuona mimwe mhedzisiro pakarepo. (Zvakaenderana: 5 Zvinhu Zvinofanirwa Kuzivikanwa neMukadzi Wese Nezve Pelvic Yake Floor)

Kana zvichibva kugranial nerve zero atrophy: "Muzviitiko zve cranial nerve zero atrophy, zviitiko zvinosanganisira huwandu hwakakura hwekugadzirwa kweoxytocin zvinokurudzirwa, sekuyamwisa kana mumwe achinge ave amai vatsva, uye chiitiko chepedyo chisinga pinde kupinda chaiko," anodaro Dr. Sadeghi.

Kana iwe uine kuzvimba kana kuoma: Unogona kuedza CBD lubricant. Muchokwadi, cannabis-based lube yakave mhinduro kune vakadzi vazhinji vakasangana ne dyspareunia kubva kune zviuru zvezvikonzero. Vashandisi vakatsoropodza kugona kwayo kushandura kwavo kusangana pabonde, kupedza marwadzo, uye kuvabatsira kuwana orgasm zvisati zvamboitika. Dr. Mysore aivewo mutsigiri wekushandisa lubricant, pamwe nekugadzirisa kuoma nehomoni therapy kana ichibva pakuchinja sekuenda kumwedzi.

Kana uine hutachiona: "Zvimwe zvikonzero zvekurwadziwa pabonde zvinosanganisira hutachiona hwembiriso, UTI, kana bacterial vaginosis, iyo yega yega ine zvirevo zvavo zvekurapa izvo zvinofanirwa kudzikisira zviratidzo zvinorwadza," akadaro Dr. Mysore. "Kune vanhu vari kusangana kana kutapukirwa nembiriso hutachiona kana bhakitiriya vaginosis, ndiri shasha yekushandisa boric acid suppositories mukuwedzera pakurapa kubatsira kuyananisa pabonde yemukadzi." (Yakabatana: Iyo Nhanho-Nhanho-Yekutungamira Kurapa Vaginal Yeast Infection)

Pamusoro pezvo, Dr. Mysore anokurudzira kutora maprobiotic: "Vanhu vazhinji vanobatanidza maprobiotic chete nekuvandudza mabhakitiriya mumatumbu, asi mapurobioti anokwanisa kukanganisa nharaunda yemadzimai nekubatsira kuenzanisa kana kudzorera pH chaiyo," izvo zvinogona kukonzera bonde risina kurwadziwa.

Mushure mekuisa IUD: "Vakadzi vachangobva kuiswa maIUD vanogonawo kusangana pabonde zvinorwadza," akadaro Dr. Mysore. "IUDs ndeye progesterone-chete, asi sezvo mahormone aine maitiro emuno, anogona kuchinja kusagadzikana uye mhando yekubuda," akadaro, izvo zvinogona kukonzera kuoma. "[Varwere] vanogona kunge vasiri kugadzira mafuta emusikirwo akawanda," anotsanangura kudaro, asi cherechedza kuti muviri wako unofanira kugadziridza. "Muzviitiko zvakawanda, muviri unodzikama zvishoma nezvishoma uye kurwadziwa uye kuoma kunofanira kudzikira, asi izano rakanaka kutaura nachiremba wako kana ukaramba uchirwadziwa sezvo kuiswa kweIUD kungangodaro kuri kure." (Inoenderana: Ko IUD Yako Inoita Kuti Iwe Uwedzere Kubatwa neIyi Inotyisa Mamiriro?)

Kana iri vaginismus (spasming): Mushonga we vaginismus unowanzo sanganisira kushandisa vaginal dilators. Kazhinji, izvi zvinosanganisira seti yezvinhu zvakaita sephallic izvo zvinokura muhukuru kubva pamunwe wepinky kusvika pamurume wakamira. Iwe unotanga nehukuru hudiki-diki uye woishandisa mazuva ese (uine akawanda e-lube!) Uchiifambisa mukati nekunze kwemukadzi kusvikira iwe uchinetseka, kazhinji vhiki mbiri kusvika nhatu, usati waenda kune inotevera saizi kumusoro. Izvi zvishoma nezvishoma zvinodzokorodza hutachiona, uye, netariro, zvinotungamira kumunhu ari kurwadziwa kana kusarwadziwa panguva yekupinda. Munhu anogona kushandisa zvinodzikamisa ari ega kana nemumwe wake - bhenefiti yekubatanidza mumwe wako ndeyekuti maitiro acho anogona zvakare kubatsira kukudziridza kuvimba nekunzwira tsitsi muhukama.

Kana zviri zvepfungwa: Vakadzi vazhinji vane marwadzo anouya kubva mukuvhara kwepfungwa-pamwe kushushikana kuri kukonzera kukakavara kwepelvic pasi. Mune ino kesi, muviri wako uri kunyatso kugadzira blockage inoenderana neyakaitika chiitiko.

"Kana dyspareunia yako ichibva kune chero rudzi rwekushungurudzwa kwepfungwa kana manzwiro, nguva dzose uchitsvaga mazano eunyanzvi," akadaro Dr. Sadeghi. Mazano ake akanyorwa mubhuku rake, The Kujeka Kuchenesa, iyo inotarisana nekuporeswa kwemanzwiro kurapa chirwere chemuviri. "Kunyanya kukosheswa kunoiswa pakudzokorora bonde sechiratidzo cherudo uye runako panochengeteka kuvimba nekuva panjodzi" - chimwe chinhu chakakosha kune vakapona mukushungurudzwa, anodaro. "Zvakaitika zvakandiratidza kuti apo murwere anoporesa mupfungwa, muviri unopindura zviri nani mumuviri kurapwa."

Matipi Ekubata neDyspareunia

Izvo zvakakosha kuve nemurwere mudiwa. Dr. Sadeghi vakasimbisa pfungwa iyi. "Vadzidzisei nepose pamunogona napo pamusoro pezvauri kusangana nazvo uye nei; Izvi zvichaderedza kusanzwanana pakati penyu imi vaviri uye nekuvasimbisa kuti shanduko muhupenyu hwenyu hwepabonde haina kukonzerwa nechose chavari kuita," akadaro akadaro.

Paunenge uchitsvaga kurapwa, dzivisa kusangana. "Shandisa nguva ino semukana wekutarisa zvimwe zvese zvakanaka pabonde padanho rakadzama," anodaro Dr. Sadeghi. "Tora nguva yekuongorora maitiro matsva ehukama hwepedyo pasina kumanikidzwa kwekupinda kunotonga nguva. Kune nzira dzakawanda dzekugoverana hukama hwepedyo nemudiwa panguva yekupora kwako. Kana wangosununguka dyspareunia, hupenyu hwako hwepabonde huchava huri nani nokuda kwayo."

Tsvaga murapi. Pasinei nekuti dyspareunia yako iri mupfungwa kana mumuviri, kuva nenzvimbo yakachengeteka yekushanda kuburikidza nemanzwiro ako nenyanzvi yepfungwa kwakakosha. Zviripachena, izvi zvinonyanya kuitika kana iwe uchinzwa kuti kushungurudzika kwakapfuura kana kutya kwakatenderedza bonde kuri kutadzisa kugona kwako kuifarira-uye dammit, iwe unofanirwa kuifarira! (Zvino: Maitiro Ekuenda Kukurapa Kana Waputsika AF)

Ongororo ye