Dyspareunia Tej zaum yuav yog vim li cas tsis muaj kev sib deev yog mob rau koj

Zoo Siab

• Cov tsos mob ntawm Dyspareunia
• Ua rau lub cev thiab puas siab puas ntsws
• Yuav Kho Li Cas Dyspareunia
• Cov Lus Qhia rau Kev Kho Mob nrog Dyspareunia
• Tshuaj xyuas rau

Ntawm tag nrho cov mob tsis muaj leej twg hais txog, tus uas siv lub ncuav mog qab zib tsuas yog dyspareunia. Tsis tau hnov ​​dua li? Qhov ntawd tsis yog qhov xav tsis thoob - tab sis yog dab tsi yog xav tsis thoob yog tias nce mus txog 40 feem pua ​​​​ntawm tag nrho cov poj niam tau ntsib nws. (Lwm qhov kev kwv yees nce mus txog 60 feem pua, raws li Asmeskas Tsev Kawm Ntawv ntawm Cov Kws Kho Mob Hauv Tsev, txawm hais tias cov txheeb cais tau hloov pauv ntau xyoo.)

Los ntawm kev txhais, dyspareunia yog lub sijhawm siv rau mob qhov chaw mos ua ntej, thaum lub sijhawm, lossis tom qab sib deev, tab sis qhov ua rau tsis tas yuav meej, lossis tsis zoo ib yam. Qhov tseeb, nws tsis yog lub cev ib txwm muaj-ntau qhov xwm txheej, tau cuam tshuam nrog kev puas siab puas ntsws, kev ntxhov siab, keeb kwm ntawm kev tsim txom kev sib deev, thiab kev xav zoo li kev ntxhov siab thiab kev nyuaj siab.

Kev sib deev yuav tsum xav zoo. Yog nws tsis puas tau, nrog koj tus kws kho mob tham. Lub sijhawm no, yog tias koj xav tias dyspareunia yuav raug liam rau koj qhov kev sib deev mob, nyeem ntawv kom paub ntau ntxiv.

Cov tsos mob ntawm Dyspareunia

"Feem ntau, cov tsos mob ntawm dyspareunia yog ib qho mob ntawm qhov chaw mos thaum sib deev," Navya Mysore, MD, ib tus kws kho mob ib leeg hais. Tshwj xeeb, qhov ntawd txhais tau tias:

• Mob ntawm kev nkag mus (txawm tias nws tsuas yog hnov ​​thaum thawj nkag)
• Mob tob nrog txhua qhov kev thawb
• Kev kub hnyiab, mob, lossis throbbing hnov ​​​​qab uas kav ntev rau lub sijhawm tom qab kev sib deev

Txawm li cas los xij, nws yuav tsis mob txhua lub sijhawm koj sib deev, hais tias Dr. Mysore. "Ib tug neeg yuav hnov ​​​​mob 100 feem pua ​​​​ntawm lub sijhawm, tab sis lwm tus yuav tsuas ntsib nws ib ntus xwb."

Ua rau lub cev thiab puas siab puas ntsws

"Piv txwv tias tsis muaj kev kis mob lossis mob tam sim no, dyspareunia tuaj yeem yog qhov tsim los ntawm tus mob yav dhau los," hais tias tus kws paub txog poj niam txiv neej thiab kws kho mob pob txha Habib Sadeghi, DO, tus sau ntawm Lub Clarity Cleanse, (leej twg tau pom ntau pua tus neeg mob rau qhov teeb meem no ntawm nws qhov kev coj ua hauv Agoura Hills, CA.)

Qee lub cev ua rau dyspareunia suav nrog:

• Retroverted (qaij) lub tsev menyuam lossis uterine prolapse
• Cov xwm txheej zoo li uterine fibroids, mob qog noj ntshav lossis PCOS, endometriosis, lossis kab mob hauv plab (PID)
• Scarring nyob rau hauv lub plab mog lossis qhov chaw mos (vim kev phais xws li hysterectomy, episiotomy, thiab C-sections)
• Atrophy ntawm cranial paj xoom (CN0), raws li Dr. Sadeghi (ntau ntxiv ntawm qhov hauv qab no)
• Tsis muaj lubrication / dryness
• Kab mob los yog kab mob ntawm daim tawv nqaij, xws li eczema
• Qhov chaw mos
• Kev tso IUD tsis ntev los no
• Kab mob sib kis, kis kab mob, kab mob vaginosis, lossis mob vaginitis
• Hormonal hloov

Caws pliav: "Kwv yees li 12 feem pua ​​ntawm [cov neeg mob poj niam] Kuv pom muaj dyspareunia, nrog rau feem ntau ua rau yog caws pliav los ntawm ntu C-ntu dhau los," hais tias Dr. Sadeghi. "Kuv tsis xav tias nws yog qhov xwm txheej niaj hnub no uas ib ntawm peb tus menyuam yug los ntawm C-section, thiab ib ntawm peb tus poj niam muaj qee theem ntawm dyspareunia."

Dab tsi yog qhov loj nrog caws pliav? Raws li Dr. Sadeghi, nws tuaj yeem cuam tshuam rau lub paj hlwb. Nws hais tias "Ob leeg sab hauv thiab sab nraud tuaj yeem cuam tshuam cov dej ntws ntawm lub zog thoob plaws lub cev," nws hais. "Qhov txaus siab, hauv Nyij Pooj, qhov C-ntu tsis tshua muaj tshwm sim, kev phais yog ua ncaj, tsis yog kab rov tav, txhawm rau txo qis qhov cuam tshuam ntawd."

Kecia Gaither, MD, M.P.H., uas yog ob pawg thawj coj saib xyuas hauv ob-gyn thiab niam-fetal tshuaj, pom zoo tias caws pliav los ntawm C-section incisions tuaj yeem ua rau muaj feem cuam tshuam rau dyspareunia. "Ib qho mucocele-ib qho me me hauv kev kho qhov caws pliav, muaj cov hnoos qeev-hauv qhov qis qis ntawm lub tsev menyuam tuaj yeem ua rau mob, zais zis ceev, thiab dyspareunia," nws hais.

Nws kuj tau sau tseg tias, raws li Dr. Sadeghi tau hais, kab mob kab rov tav ntawm Asmeskas C-ntu tuaj yeem, hauv kev xav, ua rau muaj teeb meem ntau dua li kev phais ntsug. Nws hais tias txhua yam los ntawm lub cev qhuav dej mus rau "lwm tus neeg qhov tsis zoo" tuaj yeem cuam tshuam lub zog nquag hauv lub cev thiab tias lub cev raug mob los ntawm kev phais mob hauv plab yuav yog qhov cuam tshuam uas tuaj yeem ua rau dyspareunia.

CN0: "Lwm qhov laj thawj tej zaum yuav yog qhov deactivation lossis atrophy ntawm cranial paj xoom xoom (CN0), cov paj hlwb uas khaws cov cim ntawm pheromones tau txais hauv lub qhov ntswg thiab xa rov qab mus rau thaj chaw ntawm lub hlwb uas cuam tshuam nrog kev sib deev," hais tias Dr. Sadeghi. . Cov txheej txheem uas ua rau peb qhov kev npaj kev sib deev yog nyob ntawm qhov kev tso tawm ntawm cov tshuaj hormone oxytocin los yog "kev hlub" hormone uas ua rau tib neeg kev sib raug zoo, nws piav qhia. "Pitocin (synthetic oxytocin) yog siv rau cov poj niam los txhawb kev ua haujlwm, thiab tuaj yeem tswj hwm tag nrho 13 lub paj hlwb, suav nrog CN0, ua rau dyspareunia tom qab."

Thaum CN0 tsis tau kawm ntau ntxiv hauv tib neeg, tsab ntawv tshaj tawm xyoo 2016 ntawm kev sau cov ntaub ntawv ntawm CN0 pom tias cov hlab ntsha no tuaj yeem ua haujlwm "ib puag ncig hloov pauv kev ua haujlwm, kev sib deev, kev ua me nyuam thiab kev coj tus cwj pwm." Dr. Gaither corroborated qhov no, sau tseg tias cov kws tshawb fawb qhia tias CN0 muaj kev koom tes hauv kev ua kom muaj kev xav ntawm nws tus kheej lossis los ntawm kev sib cuam tshuam nrog lwm cov circuits hauv lub hlwb.

Hormonal hloov: "Ib qho ntawm qhov ua rau tshwm sim feem ntau yog kev hloov pauv hormonal, uas tuaj yeem ua rau muaj kev hloov pauv ntawm pH ntawm qhov chaw zais zis," said Dr. Mysore. "Ib qho piv txwv zoo ntawm qhov no yog kev hloov mus rau lub cev ntas, uas yog thaum pw ua ke tuaj yeem ua rau tsis xis nyob vim tias qhov chaw mos ntawm qhov chaw qhuav heev."

Vaginismus: "Lwm qhov ua rau mob thaum sib deev yog vaginismus, txhais tau tias cov leeg nyob ib ncig ntawm qhov chaw mos qhib tsis cog lus cog lus teb rau kev nkag mus," said Dr. Mysore. Yog tias koj tau ntsib ob peb ntu ntawm kev sib deev mob, piv txwv li, koj cov leeg tuaj yeem hnov ​​​​mob los ntawm kev khov. Nws hais tias "Nws yuav luag yog qhov rov qab-koj lub cev yog programmed kom tsis txhob mob, thiab yog tias lub paj hlwb pib koom nrog kev sib deev nrog kev mob, cov leeg tuaj yeem ua rau tsis muaj peev xwm ua rau zam qhov mob," nws hais. "Kev txaj muag, qhov no tseem tuaj yeem yog tus mob thib ob rau kev ua phem lossis kev quab yuam deev." (Related: 8 Vim Li Cas Koj Thiaj Muaj Mob Thaum Sib Deev)

Psychological ua rau: Raws li tau sau tseg, kev puas siab puas ntsws thiab xwm txheej tuaj yeem ua rau mob sib deev ib yam nkaus. Dr. Sadeghi hais tias "Kev puas siab puas ntsws feem ntau cuam tshuam nrog kev ua phem rau lub cev lossis kev sib deev, txaj muag, lossis lwm yam kev xav txog kev sib deev," Dr.

Yuav Kho Li Cas Dyspareunia

Nyob ntawm lub hauv paus ntawm tus neeg mob tus mob, muaj ntau txoj kev sib txawv ntawm kev kho mob. Tsis hais txog lub hauv paus chiv keeb, nws yog ib qho tseem ceeb kom mus ntsib koj tus kws kho mob kom tsim phiaj xwm. Tej zaum lawv yuav xav kom koj sim ntau txoj haujlwm, xav txog kev siv lube (ua siab ncaj, txhua tus neeg lub neej kev sib deev tuaj yeem ua tau zoo dua los ntawm lub cev), lossis sim noj tshuaj kho mob ua ntej.

Nyob rau hauv cov ntaub ntawv ntawm scarring: Rau cov neeg mob uas muaj ntaub so ntswg ua rau mob sib deev, Dr. Sadeghi siv kev kho mob tshwj xeeb. Dr. Sadeghi hais tias "Kuv ua kev kho mob ntawm qhov caws pliav hu ua integrative neural therapy (INT),". Qhov no kuj tseem hu ua German kev kho hniav. Cov txheej txheem no suav tus caws pliav thiab pab txhawm rau txhawm rau qee qhov nruj thiab khaws lub zog ntawm cov nqaij caws pliav, nws piav qhia.

Yog tias koj muaj lub tsev menyuam qaij: Yog tias koj qhov mob vim yog lub tsev menyuam rov qab (tilted) pelvic pem teb kho yog qhov kev kho mob zoo tshaj plaws, hais tias Dr. Sadeghi. Yep-kev kho lub cev rau koj lub plab hauv plab, cov leeg ntawm qhov chaw mos thiab txhua yam. Nws piav qhia tias nws muaj cov txheej txheem ntawm kev tuav tes thiab cov ntaub so ntswg tso tawm kom txo qhov nro hauv pem teb pelvic, nws piav qhia. Xov xwm zoo: Koj tuaj yeem pom qee qhov txiaj ntsig yuav luag tam sim ntawd. (Yam ntsig txog: 5 Yam Txhua Tus Poj Niam Yuav Tsum Paub Txog Nws Pelvic Floor)

Yog tias nws yog los ntawm cov hlab ntsha cranial xoom atrophy: "Hauv cov xwm txheej ntawm lub paj hlwb xoom atrophy, kev ua ub no uas cuam tshuam nrog kev tsim cov oxytocin siab tau raug pom zoo, xws li kev pub niam mis yog tias ib tus niam tshiab tshwm sim, thiab cov kev ua si sib raug zoo heev uas tsis cuam tshuam txog qhov tseeb," Dr. Sadeghi hais.

Yog tias koj muaj mob los yog dryness: Koj tuaj yeem sim CBD roj nplua nyeem. Qhov tseeb, lub tshuab ua kua roj-raws li tau daws rau ntau tus poj niam uas tau ntsib teeb meem dyspareunia los ntawm ntau qhov laj thawj. Cov neeg siv tau raved txog nws lub peev xwm los hloov pauv lawv kev sib deev, tshem tawm qhov mob, thiab pab lawv nkag mus rau qhov kev sib deev zoo li tsis tau ua dhau los. Dr. Mysore kuj yog ib tus neeg tawm tswv yim rau kev siv cov roj nplua nyeem, nrog rau kev hais lus qhuav nrog kev kho tshuaj hormone yog tias nws tshwm sim los ntawm kev hloov pauv xws li poj niam cev xeeb tub.

Yog tias koj muaj kab mob: "Lwm yam ua rau mob thaum muaj kev sib deev muaj xws li kab mob poov xab, UTIs, lossis kab mob vaginosis, uas txhua tus muaj lawv tus kheej cov txheej txheem rau kev kho mob uas yuav txo tau cov tsos mob ntawm qhov mob," said Dr. Mysore. "Rau cov neeg uas tab tom ntsib los yog nquag muaj kab mob poov xab los yog kab mob vaginosis, kuv yog ib tug kiv cua loj ntawm kev siv boric acid suppositories ntxiv rau kev kho mob kom sib npaug pH ntawm qhov chaw mos." (Txheeb Ze: Phau Ntawv Qhia Ib Leeg-Kauj Ruam rau Kev Kho Tus Kab Mob Paum Paum)

Tsis tas li ntawd, Dr. Mysore pom zoo kom noj cov tshuaj probiotics: "Muaj ntau tus neeg koom nrog probiotics tsuas yog txhim kho cov kab mob hauv plab, tab sis probiotics tuaj yeem cuam tshuam rau qhov chaw mos thiab pab kom sib npaug lossis rov ua kom zoo pH," uas tuaj yeem ua rau kev sib deev tsis muaj mob.

Tom qab muab IUD tso rau: Dr. Mysore tau hais tias "Cov poj niam uas nyuam qhuav tau txhaj IUDs tuaj yeem ua rau muaj kev sib deev tsis zoo," "IUDs yog progesterone nkaus xwb, tab sis txij li cov tshuaj hormones muaj cov txiaj ntsig hauv ib cheeb tsam, nws tuaj yeem hloov qhov sib xws thiab qhov tso tawm kom zoo," nws hais, uas tuaj yeem ua rau kom qhuav. "[Cov neeg mob] kuj tseem yuav tsis tsim cov roj ntsha ntau npaum li qub," nws piav qhia, tab sis nco ntsoov tias koj lub cev yuav tsum rov ua kom rov zoo dua. "Feem ntau, lub cev yuav maj mam rov qab zoo thiab qhov mob thiab qhuav yuav tsum qis dua, tab sis nws yog lub tswv yim zoo tham nrog koj tus kws kho mob yog tias koj tseem muaj kev mob ntxiv vim tias IUD qhov kev tso kawm yuav raug tshem tawm." (Hais txog: Koj lub IUD puas ua rau koj raug mob rau qhov xwm txheej txaus ntshai no?)

Yog hais tias nws yog vaginismus (spasming): Kev kho tus kab mob vaginismus feem ntau suav nrog kev siv cov tshuaj tua kab mob hauv chaw mos. Feem ntau, qhov no suav nrog cov khoom phallic zoo li cov khoom uas muaj qhov loj me los ntawm tus ntiv tes pinky mus rau qhov chaw mos. Koj pib nrog qhov me me tshaj plaws thiab siv nws txhua hnub (nrog roj ntau ntau!) txav mus rau hauv thiab tawm ntawm qhov chaw mos kom txog thaum koj xis nyob, feem ntau yog ob mus rau peb lub lis piam, ua ntej hloov mus rau qhov loj ntxiv. Qhov no maj mam rov tsim dua cov ntaub so ntswg, thiab, vam tias, ua rau tus neeg mob tsawg dua lossis tsis mob thaum nkag mus. Ib tus neeg tuaj yeem siv dilators ib leeg lossis nrog tus khub-cov txiaj ntsig ntawm kev koom nrog tus khub yog tias cov txheej txheem tseem tuaj yeem pab txhim kho kev ntseeg siab thiab kev nkag siab hauv kev sib raug zoo.

Yog tias nws yog kev puas siab puas ntsws: Ntau tus poj niam muaj qhov mob uas los ntawm kev puas siab puas ntsws blockages-tej zaum kev ntxhov siab ua rau lub plab hauv plab. Hauv qhov no, koj lub cev tau tsim qhov thaiv raws qhov kev xav hauv siab.

"Yog tias koj qhov dyspareunia tshwm sim los ntawm txhua yam kev puas siab puas ntsws lossis kev xav, ib txwm nrhiav kev sab laj kws tshaj lij," Dr. Sadeghi hais. Nws cov lus qhia ntxaws ntxaws hauv nws phau ntawv, Lub Clarity Cleanse, uas tsom mus rau kev xav zoo los kho mob lub cev. Nws hais tias "Tshwj xeeb yog muab tso rau ntawm kev sib deev raws li kev qhia txog kev hlub thiab kev zoo nkauj uas nws muaj kev nyab xeeb rau kev ntseeg siab thiab muaj kev pheej hmoo"-qee yam uas tseem ceeb rau cov muaj txoj sia nyob ntawm kev tsim txom, nws hais. "Kev paub dhau los tau qhia kuv tias thaum tus neeg mob kho lub siab, lub cev teb tau zoo dua rau kev kho mob."

Cov Lus Qhia rau Kev Kho Mob nrog Dyspareunia

Nws yog ib qho tseem ceeb kom muaj tus neeg mob tus khub. Dr. Sadeghi hais txog qhov no. "Qhia lawv ntau npaum li koj tuaj yeem ua tau txog qhov koj tab tom ntsib thiab vim li cas; Qhov no yuav txo qis kev ntxhov siab ntawm koj ob leeg thiab ua kom lawv paub tseeb tias qhov kev hloov pauv hauv koj lub neej kev sib deev tsis yog vim li cas lawv ua," nws hais.

Thaum koj nrhiav kev kho mob, zam kev sib deev. Dr. Sadeghi hais tias "Siv lub sijhawm no los tshawb txog tag nrho lwm yam zoo nkauj ntawm kev sib deev ntawm qhov tob dua," hais tias Dr. "Siv sijhawm los tshawb txog qib tshiab ntawm kev sib raug zoo yam tsis muaj kev nkag siab ntawm kev nkag mus rau lub sijhawm tam sim no. Muaj ntau txoj hauv kev los qhia kev sib raug zoo nrog tus khub thaum koj kho. Thaum koj tsis muaj dyspareunia, koj lub neej kev sib deev yuav zoo dua rau nws. "

Nrhiav tus kws kho mob. Txawm hais tias koj qhov dyspareunia puas yog puas siab puas ntsws lossis lub cev tshwm sim, muaj lub qhov hluav taws xob kom nyab xeeb los ua haujlwm los ntawm koj txoj kev xav nrog tus kws tshaj lij puas siab ntsws yog qhov tseem ceeb. Obviously, qhov tshwj xeeb tshaj yog los rau hauv kev ua si yog tias koj xav tias yav dhau los kev raug mob lossis kev ntshai nyob ib puag ncig kev sib deev cuam tshuam koj lub peev xwm txaus siab rau nws-thiab ua rau muaj kev puas tsuaj, koj yuav tsum txaus siab rau nws! (Tam sim no: Yuav Ua Li Cas Mus Rau Kev Kho Thaum Koj Nyuaj AF)

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