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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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. |
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| Measure | Description | Time Frame |
|---|---|---|
| Obstetrical outcome of women with a history of dyspareunia | 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. | 3 months -1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of alleviation of dyspareunia following vaginal delivery as assessed through patient questionnaires. | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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Nulliparous women admitted to the Labor and Delivery Department at the Hadassah Medical Center, above the age of 18
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| Name | Affiliation | Role |
|---|---|---|
| Ahinoam Lev-Sagie, MD | Hadassah Medical Organization | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hadassah Medical Organization | Jerusalem | Israel |
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| ID | Term |
|---|---|
| D004414 | Dyspareunia |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| D000091662 | Genital Diseases |
| D005832 | Genital Diseases, Male |
| D012735 | Sexual Dysfunction, Physiological |
| D052801 | Male Urogenital Diseases |
| D020018 | Sexual Dysfunctions, Psychological |
| D001523 | Mental Disorders |