Pelvic Pain / Penetration Disorder

with diagnosis, treatment, and follow-up of IC patients. With this in mind, I feel my research can help in getting the word out there about IC/PBS, and Chronic Pelvic Pain (CPP).

Pain in the pelvic region and at the back can surface whilst pelvic numbness is also a concern at this week. The numbness at the pelvic zone is primarily due to the fact that the pelvic nerves get exterted and stressed at this point. This will continue till childbirth.

In adolescent women this is most pronounced, as it can cause pelvic inflammatory disease (PID), which itself can lead to ectopic pregnancies and hence further health complications. It can also lead to chronic pelvic pain and in some cases, even infertility.

Chlamydia can inflict pain when urinating and affect the reproductive organs (kidshealth, n.d) in both male and female. Chlamydia could lead to a long-term disease in the testicles and infertility in females. (Australian Government, 2013)

Studies have discovered that 50% of women who are afflicted with endometriosis develop a case of infertility and must seek corrective surgical treatment to reverse the damage and improve the likelihood of conceiving. Studies also show that “endometriosis-associated infertility in women has been associated with subtle, explicit, or multifaceted abnormalities. Indeed, endometriosis appears to affect every part of a woman’s reproductive tract. Many women with minimal, mild, or moderate endometriosis experience” (Stilley, Birt & Sharp-Timms, 2012, p. 850). Endometriosis causes reproductive irregularities and has a huge detrimental impact on the ovaries and the process of

A. My client, which is a 72-years old woman with a total hip replacement and arthritis. My client also is concerned because she wants to continue to have sex with her partner. The first thing that needs to happen before anything is according to the book Gerontology for the Health Care Professional it states permission, the first level of treatment within the PLISST model, "The client is given permission to discuss any concerns and is reassured as a sexual being" The second thing is according to the book Gerontology for the Health Care Professional it states specific suggestions, the third level of treatment within the PLISST model, "Strategies or alternatives are provided to change or influence the specific problem behavior. The partner needs to be involved at this level." I would suggest in a nonjudgmental way would be to reduce the amount of energy you put into having sex and let your sex partner do most of the work to reduce the pain you get in your hips or at least try out different positions that might reduce the amount of pain your hips are receiving while in the positions you are using already. Another suggestion that might make your sex life less painful is taking a hot shower before having sex or placing pillows under your hips or where you have arthritis while having sex.

Victims are prone to painful, unsatisfying, obligatory, orgasm lacking sex. Sexual problems can include arousal issues, spasms of the vagina and flashbacks, not to mention emotional issues related to sex such as sexual guilt, anxiety and low self-esteem (Finkelhor and Browne, 1985, 1988). Victims may feel like they are supposed to be intimate with a partner instead of wanting to be and that leads to feelings of irritability, hate and resentment (www.psychologytoday.com, Laumann, Piel and Rosen,

Like Chlamydia, Gonorrhea can also infect the genitals and throat (Friedman & Skancke, 2009). This sexually transmitted infection affects more than 800,000 women and men every year in the United States (Shoquist & Stafford, 2004). Although symptoms are uncommon, the symptoms often experienced include vomiting, pain in the genital area, unusually thick discharge, and the urge to urinate more than usual (Sutton, 2006). Gonorrhea can lead to infertility in both men and women, and during pregnancy can lead to premature labor and stillbirth (Shoquist & Stafford,

A multidisciplinary approach is taken to provide safe, effective treatment while minimizing patient risk. Patients are treated due to chronic pelvic pain issues, with or without subfertility considerations. The FNP can prescribe NSAIDS to address pelvic pain issues. Steroid hormone derived medications like oral contraceptives are also prescribed to suppress growth and activity of the endometrial implants and provide cycle control. If this approach is ineffective, gonadotropin-releasing hormone (GnRH) agonists like Leuprolide can be prescribed for up to a year to significantly decrease estrogen levels, thereby decreasing chronic pelvic pain (Solnik, 2015). However, the FNP can also counsel hormone therapy to reduce menopausal effects on bone mineral density and serotonin reuptake inhibitors (SSRIs) to address vasomotor symptoms like hot flashes Another effective hormonal pharmaceutical therapy includes progesterone like medroxyprogesterone acetate and anti-progestin. As well, in advanced disease the FNP may elect to implant the levonorgestrel intrauterine device (IUD) as a progestin derived alternative (Schenken,

A program I found on the internet called Private Gym and its owners have attributed the cause of these sexual problems to weak pelvic muscles.

Gonorrhea and chlamydia are sexually transmitted diseases that tend to be more apparent in males than females. Men tend to develop symptoms within days of the initial infection; they usually manifest as inflammation of the urethra, painful urination, and abnormal discharge. Symptoms are so obvious that men seek immediate medical attention before complications occur; women on the other hand, tend to have little to no symptoms at all. A female’s symptoms are so mild that they are often mistaken as a simple bladder or vaginal infection and go untreated. Unfortunately, these diseases do not go away on their own if gonorrhea and chlamydia are not properly treated

IPV does not just happen to females, it happened to males as well. Male-to-female IPV is more common than female-to-male IPV. Sexual IPV ranges from experiences of coercion to unwanted sexual activity to more severe forms such as rape. Almost 21% of women have experienced sexual IPV. These women who have experienced sexual IPV have poor sexual, psychological, and physical health. Researcher suggests the sexual IPV is much more than a sexual function and comprises substance abuse, psychosocial distress, anxiety, depression, and suicide (). These women also are at risk for mental health issues and relationship problems. Based on research, exposures to sexual coercion, threats of violence, and physical violence co-occur in women. A study was conducted

The site emphasizes that vaginismus is highly treatable through the steps that have been laid out in a self-help guide that is available via the website. There is no doubt the site aims to establish a target audience of women who do not want to or cannot get help from a doctor. The site emphasizes that the self-help guide and kit is straightforward and can be followed at a person’s own pace in the privacy of an individual’s home. This can very enticing to a consumer, especially considering many people have a hard time discussing sexual issues with their doctors.

The three worst sexual problems include the sexual disorders, the gender dysphoria, as well as the paraphilic disorders. The sexual disorder entails the desire, the arousal, and even the orgasm. Pains that are also linked with the sex may also result in other dysfunction. The diagnosis is possible after six months, and it leads to the impairment or even the distress, which make it considered as a disorder (Nevid, Spencer & Beverly 336). It involves little interest in any the sexual activity, masturbation, the sexual fantasies, and even the intercourse. It leads to almost half of the complaints presented at the sexuality clinics. It affects around five percents of the male.

Chlamydia can cause lifelong and irreversible damage to the reproductive system when left untreated. Pelvic inflammatory disease (PID) is often seen in women with this infection because Chlamydia bacterium attacks the cells of the cervix. Left untreated the infection can spread from the cervix to the fallopian tubes, uterus, and sometimes the bladder, leading to PID and cystitis (inflammation of the bladder) of the reproductive system and