Chinhu chekutanga kuita: bvunza chiremba wako

Zvinogara zvakakosha kutanga nekuongororwa kwechiremba pamwe nekuongororazve mishonga yakatorwa. Izvi zvingave zvakakwana kuti uwane chikonzero chekuoma kwepabonde. Ziva kuti mapiritsi ekudzivirira kubata pamuviri kana antidepressants anogara achibatanidzwa mukuvhiringidza kwechido chepabonde.

Physiotherapy: kuvandudzwa kwemhasuru dzepelvic

Le physiotherapist kana nyamukuta ane ruzivo rwekugadzirisa perineal anogona kubatsira kune mamwe matambudziko epabonde.

Mukana wekuomerwa nekusvika orgasm, perineal simba kudzidziswa kunogona kubatsira kudzoreredza orgasms, kunyanya muvakadzi vane vana, asiwo muvakadzi vakuru, kunyangwe vasina vana.

Kana iwe une coital kurwadziwa or vaginismus, kushanda pamisungo yepelvic pasi (the perineum) inowanzobatsira. Asi zvinogona kuitwa chete mushure kana mukuwirirana nebasa re psychotherapy munyaya ye vaginismus.

Pharmaceuticals

Kurapa zvirwere zvinobatanidzwa:

Kana kukanganisa kwacho kuchikonzerwa nea dambudziko rehutano iyo inobata nhengo dzesikarudzi (vaginitis, urinary tract infection, chirwere chepabonde, nezvimwewo), kurapwa kwakakodzera kunogoneka uye kazhinji kunobatsira kudzoka kwehupenyu hwepabonde hunogutsa. Tarisa mapepa anoenderana nemamiriro aya kuti udzidze zvakawanda nezvekurapwa kwavo.

Mishonga yekurapa chishuwo chirwere

Ikozvino kune mushonga, flibanserin, iyo yakatengeswa kubvira 2015 pasi pezita rokuti Addyi® muUnited States kurapa yakawanikwa uye yakajairika hypoactive chishuwo chechido chepabonde muvakadzi vasati vasvika. Zvisinei, zvinokakavadzana zvikuru: mune chidzidzo chakabvumira kuti chitengeswe, vakadzi vanotora placebo vaiva ne3,7 yepabonde pamwedzi uye vakadzi vachitora Flibanserin 4,4, kureva 0,7 kuwedzera kwepabonde pamwedzi. Kune rumwe rutivi, migumisiro yechirwere inowanzoitika (36% yevakadzi muongororo yakashumwa) nemadonhwe eropa, kurara, syncope, chizuru, kusvotwa kana kuneta. (Mushonga uyu unobva kumhuri inodzvinyirira).

Ziva mahormone therapy

Vakadzi avo, mukubvumirana nachiremba wavo, vanosarudza kurapwa kwehomoni kumiswa kwemwedzi  kana vachinge vaona zviratidzo zvekutanga zvekuenda kumwedzi zvinogona kuderera kana kutonyangarika zviratidzo zvavo zvekuoma kwevaginal mucous membranes. Asi kurapwa uku hakushandi muvakadzi vose.

Vakadzi vanotambura kubva kuderedza libido zvakabatana a hormonal insufficiency, chiremba anogonawo kupa Testosterone, asi zvishoma zvinozivikanwa pamusoro pemigumisiro yenguva refu yerudzi urwu rwemishonga yehomoni uye kushandiswa kwayo kunoramba kuri pamucheto uye kukakavara. A testosterone patch (Intrinsa®) yakatengeswa, asi yakabviswa kubva pamusika mu 2012. Yakabvumirwa kuvakadzi vane chido chepabonde chakaderedzwa uye avo maovari akanga abviswa nekuvhiyiwa.

Mishonga mitsva yekusashanda zvakanaka kwevakadzi

- The fractional laser. Inoshandiswa kurapa kuoma kwechikadzi muvakadzi vasingakwanisi kana vasingadi kubatsirwa nemahomoni eesrogen. Tsvimbo yakatetepa inopinzwa mukati memukadzi uye inotumira isingarwadze laser pulses. Izvi zvinokonzeresa micro burns iyo, nekuporesa, inosimudzira iyo yevaginal hydration capacities (isu tinotaura nezvekumutsidzira kwemukadzi). Muzvikamu zvitatu zvakaparadzana unenge mwedzi wakaparadzana, vakadzi vanowanazve mafuta akasununguka. Iyi nzira inoshandiswawo pamwero wevulvar. Inobvumira vakadzi vakamborapwa gomarara rezamu kana rechibereko kuti vawanezve bonde rakanaka. Iyo fractional vaginal laser ine hurombo haina kutsigirwa neHealth Inishuwarenzi muFrance uye mutengo wechikamu unotenderedza € 400.

- Radio frequency. Kapini katete kakapinzwa musikarudzi inotumira masaisai eradiofrequency anokonzera kudziya kwakadzikama. Mukadzi anonzwa kudziya kwenzvimbo. Izvi zvine mhedzisiro yekusimbisa matissue uye kumutsidzira iyo vaginal lubricating masimba. Muzvikamu zvitatu zvakaparadzana nemwedzi mumwe chete, vakadzi vanowana mafuta akanaka, uyewo mamwe manzwiro ekunakidzwa uye akasimba uye akareruka orgasms (nekuda kwekusimbiswa kwemasumbu), uye kazhinji kazhinji vanoona matambudziko avo maduku apera. (kukwenya, donhwe diki rinonetsa ...). Iyo radiofrequency haitsigirwe neHealth Inishuwarenzi uye ichiri pamutengo wakakwira (inenge 3 € pachikamu).

Wadii kuita musangano nemurapi wezvepabonde?

Dzimwe nguva a nzira dzakasiyana siyana, izvo zvinopa nzira yekupindira kwe a sexologist, zvinoita kuti zvikwanise kurapa dysfunctions pabonde^5-7 . MuQuebec, varapi vazhinji vezvepabonde vanoshanda vari voga. Zvinogona kudaro misangano yemunhu oga kana vaviri. Zvirongwa izvi zvinogona kubatsira kudzikamisa kuvhiringidzika nekunetsana kana kunetsana kwewanano kunokonzerwa nekuomerwa kunowanikwa muhupenyu hwepabonde. Vachabatsirawo kuwedzera kuzviremekedza, izvo zvinowanzoshungurudzwa mumamiriro ezvinhu akadaro. 

Iyo 6 nzira dzekurapa bonde:

• La kungwara-maitiro ekurapa  inovavarira kunyanya kuputsa denderedzwa rakashata repfungwa dzakaipa pamusoro pepabonde (uye maitiro anokonzerwa nazvo) nekuziva pfungwa idzi uye kuedza kudzideredza; zvinosanganisirawo kutsanangura maekisesaizi ekutaura kana maekisesaizi emuviri kune vaviri. Iyi yemunhu psychotherapy nzira inobatsira kuongorora uye kunzwisisa nyaya kuburikidza nekuongorora pfungwa dzemunhu, zvinotarisirwa uye zvaanotenda pamusoro pepabonde. Izvi zvinoenderana nezvakaitika muupenyu, nhoroondo yemhuri, magungano emagariro evanhu, nezvimwewo. Semienzaniso yekutenda kunogombedzera: “the only true orgasm is vaginal” kana kuti “nekuisa pfungwa pakuda kwangu kusvirwa, ndichawana orgasm”. Izvi zvinogadzira kusawirirana kwemukati izvo, pane zvinopesana, zvinoderedza kugutsikana kwepabonde. Muchiitiko chekuderera kwe libido kana kusakwanisa kusvika orgasm, iyi ndiyo nzira inosarudzwa. Inogonawo kubatsira munyaya yekurwadziwa kwepabonde, kuwedzera kune physiotherapy. Bvunza chiremba wepfungwa kana murapi wezvepabonde anoziva nzira iyi.
• Trauma therapies. Kana mukadzi akatambura nemhirizhonga (mhirizhonga yemumhuri muhudiki hwake, mhirizhonga yepabonde, mhirizhonga yekutaura), nzira dziripo pari zvino kuporesa kukuvadzwa kwepfungwa kunokonzerwa nekukuvara uku: EMDR, kutenderera kwehupenyu kubatanidzwa (ICV), Brainspotting, EFT ... kushanda kurapa.
• L 'nzira yakarongeka, iyo inotarisa kupindirana kwevakaroorana uye zvavanoita muupenyu hwavo hwepabonde;
• THEanalytical approach, anoedza kugadzirisa kusawirirana kwemukati pamavambo ematambudziko epabonde nekuongorora fungidziro uye fungidziro dzezvikara;
• L 'existential nzira, apo munhu wacho anokurudzirwa kuti aone maonero aanoita matambudziko epabonde uye kuti azvizive zviri nani;
• aripabonde-muviri nzira, iyo inotora pfungwa yezvibatanidza zvisingaparadzanisiki muviri - manzwiro - njere, uye iyo inovavarira kugutsikana kwepabonde zvose mumwe nomumwe uye hukama.

Surgeries

Kuvhiya hakuna nzvimbo mukurapa kusashanda zvakanaka kwepabonde.

Inogona kuitwa muvakadzi vane endometriosis uye kurwadziwa kwekupinda kuti vabvise cysts inobatanidzwa.

Mune zvimwe zviitiko zvevestibulitis (kurwadza kwakanyanya pakati pemabhii madiki maviri pakusangana kudiki), vamwe vavhiyi vakaita vestibulectomies. Kuvhiyiwa uku kunoitwa chete kana mamwe maitiro ese angave apera pasina kuwana mhedzisiro inogutsa.