Læknablaðið - 15.09.1990, Page 19

LÆKNABLAÐIÐ
337
Ég vil ljúka umræðunni með nokkrum
orðum um áhrif umrædds sjúkdóms á
konuna. Ohjákvæmilega hlýtur kynferðislegt
samband hennar við makann að skerðast og
staða hennar í sambandinu að bíða hnekki.
Langvarandi trufiun á eðlilegu kynlífi getur
síðan leitt af sér skilyrt viðbrögð sem geta
haldið velli þótt líffærafræðileg orsök hafi
verið fundin og meðhöndluð. Að meðhöndla
eingöngu líkamlegar eða eingöngu andlegar
orsakir er því yfirleitt ofureinföldun og ekki
líklegt til árangurs, hér sem oftar er fræðsla
fyrsta og sfðasta boðorðið.
ÞAKKIR
Höfundur þakkar Þóru Steingrímsdóttur lækni
og Stefáni Helgasyni yfirlækni á Sjúkrahúsi
Akraness fyrir hjálpina.
SUMMARY
Dyspareunia is a problem that presumably affects a
large number of women. This report describes the
results of ventrisuspension of the uterus performed
for dyspareunia presumably due to retroflexion
of the uterus. This was done through a multiple
choice questionnaire sent to the patients 1-3 years
after the operation. Of 32 women answering the
questionnaire 29 were satisfied with the results,
in 21 symptoms disappeared totally. Symptoms
recurred in 6 women of whom 3 had moderate to
severe adhesions before operation.
HEIMILDIR
1. Jarvis GJ. Dyspareunia (editorial). Br Med J 1984;
288: 1555-6.
2. Beard RW, Reginald PW, Wadsworth J. Clinical
features of women with chronic lower abdominal pain
and pelvic congeslion. Br J Obst Gyn 1988; 95: 153-
61.
3. Crossen FW. Operative Gynecology 6th ed. St. Luis:
Mosby, 1948: 350-68.
4. Lindgren BW. Statistical theory 3rd ed. New York:
Macmillian, 1976.
5. Rugaard J. Parving A. Mann Langes
ventrisuspensionsmetode for retroflexio uteri. Ugeskr
Læger 1972; 134: 159-61.
6. Olsen NJ, Gregersen E. Laparoskopisk
ventrisuspensio. Ugeskr Læger 1982; 144: 873-4.
7. Huffman JW. Dyspareunia of vulvo vaginal origin.
Causes and management. Postgrad Med 1983; 73:
66-70.
8. Jeffcoate TN. Pelvic Pain. Br Med J 1969; i: 431-5.
9. Sandberg G, Quevillon RP. Dyspareunia: an
integrated approach to assessment and diagnosis. J
Fam Pract 1987: 24(1): 66-70.
10. Schellen TM. Dyspareunia, an increasing symptom in
gynecology. Int J Fertil 1983; 28(2): 116-8.
11. Setchell ME. Dyspareunia. Br J Hosp Med 1981;
26(5): 538, 540-1.
12. Goebel R. Abdominal pain with particular reference
to dysmeorrhea, dyspareunia and endometriosis.
Schweiz Rundsch Med Prax 1981; 46(8): 630-3.
13. Teoh G. Deep dyspareunia. Aust Fam Physician 1980:
9(5): 345-9.
14. Belaisch J. Sander M. Dyspareunia. Rev Prat 1976:
26(53): 3833-8.
15. Haspels AA. Musaph H. Dyspareunia. Ned Tijdschr
Geneeskd 1976: 120(37): 1557-61.
16. Huffman JW. Office gynecology. Releving
dyspareunia. Postgrad Med 1976; 59(1): 223-6.
17. Wabrek AJ, Wabrek CJ. Dyspareunia. J Sex Mar Ther
1975; 1(3): 234-41.
18. Spano L. Lamo JA. Dyspareunia: a symptom of
female sexual dysfunction. Can Nurs 1975; 71(8):
22-5.
19. Fullerton WT. Dyspareunia. Br Med J 1971: 2(752):
31-3.
20. Elstein M. Dyspareunia. Br Med J 1971: 2(756): 277.
21. Harlow RA. Dyspareunia. Practitioner 1969;
202(209): 393-7.
22. Hackl H, Lindstrom B, Orstam S. Palm O. Stafsnes
H. Pelvic pain sdr. a psychiatric-gynecological study.
Wien Klin Wochenschr 1980: 92(7): 252-5.
23. Lamont JA. Female Dyspareunia. Am J Obstet
Gynecol 1980: 136(3): 282-5.
24. Osbome M. Hawton K. Gath D. Sexual dysfunction
among middle aged women in the community. Br
Med J (Clin Res) 1988; 296(6627): 959-62.
25. Lieveaux A. Dyspareunia, Apropos of 143 cases. Rev
Fr Gynecol Obstet 1967; 2(5): 189-95.