Outcomes of Delivery in Patients With Dyspareunia

Hadassah Medical Center

Status: Completed

Conditions: Provoked Vestibulodynia; Dyspareunia; Pelvic Floor Dysfunction; Pregnancy

Study type: Observational

Funder types: Other

Identifiers

NCT01753258

Delivery-Dyspareunia-HMO-CTIL

Details and patient eligibility

About

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.

Enrollment: 173 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. 200 nulliparous women admitted to the Labor and Delivery Department at the Hadassah Medical Center, above the age of 18.
2. Able and willing to read, understand, and sign the Informed Consent Form and questionnaire.
3. Agree to be contacted in the future to complete telephone questionnaires.

Exclusion criteria

1. Induction of labor
2. Placental abruption, placenta previa
3. Malpresentation
4. Non reassuring fetal heart rate upon admission
5. Any other contraindication for vaginal delivery
6. Multifetal pregnancy

Trial design

173 participants in 3 patient groups

Definite diagnosis of dyspareunia

Description:

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

Description:

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

Description:

Patients without dyspareunia- those who report non painful sexual intercourse. This group of patients will be used as a control group.