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Functional Disorders




Functional disorders of the vulva and vagina represent one of the more challenging aspects of women’s health, largely because specific disorders are often a mix of organic, mechanical and psychological elements. There are a range of functional disorders that are common, and it is essential that any health care practitioner be able to identify them if appropriate management options are to be instituted. This eChapter is from the Ausmed publication The Vulva and Vaginal Manual and provides a comprehensive overview of the topic.

The author begins by describing the disorder known as pudendal neuralgia, including common clinical features, diagnosis and treatment options. This knowledge template is then used for all of the functional disorders described in this eChapter. Somatoform disorders are then examined in depth. Such disorders, where there is a tendency to experience, conceptualise, and communicate mental states and distress as physical symptoms or altered bodily functions is a common reason for requesting medical attention, and is categorised in the DSM-IV as a mental disorder. Although every presentation is unique, one common element is that the persons symptoms will have become the central focus of their lives, and failure to address the issue carefully can have detrimental consequences for the healthcare practitioner, who is duty bound not to treat any condition the patient does not actually have. Following this topic, a range of sexual disorders are reviewed, classified by the phase of the sexual cycle within which the disorder has become manifest. Arousal disorders are also described, along with vaginismus and orgasmic disorders. References are provided for further reading at the conclusion of the chapter.

This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vagina/ Manual is an invaluable resource especially suitable for:

  • Gynecologists
  • Dermatologists
  • General Practitioners
  • Obstetricians
  • Midwives
  • General nurses
  • Practice nurses
  • Nurse Practitioners

There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.


Contents include

  • Mechanical and somatoform disorders
  • Classifications of sexual dysfunction by phase of the sexual cycle
  • Difficulties associated with arousal and orgasm
  • Photographs to illustrate key points
  • References for further reading
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Author / Editor Biographies

MBBS and FACD.
John Brenan is a dermatologist practicing in Melbourne. He is a past President of the Australian College of Dermatology, consultant dermatologist to the Mercy Hospital for Women and the original dermatologist for the Dermogynaecology Clinic.
MBChB, MMed, PhD, FCOG (SA), FRANZCOG and CGO.
David Allen is a certified gynaecological oncologist practicing at the Mercy Hospital for Women and the Peter MacCallum Cancer Centre, East Melbourne. He is an Associate Professor in the Department of Surgery at the University of Melbourne.
MBBS and FRCPA.
James Scurry is one of Australia's leading gynaecological pathologists. He is a pathologist in Newcastle, New South Wales.
RFD, MBBS, FRCOG (UK) and FRANZCOG
Dr Dennerstein is an Obstetrician and Gynaecologist with medical expertise in the health of the vulva and vagina. He is the former Head of the Dermo-gynaecology Clinic at The Mercy Hospital for Women and co-author of the book entitled: The Vulva and Vagina Manual. He has lectured extensively on this topic, both internationally and nationally. Graeme has extensive experience in family planning and reproductive health. In 1971 he established the Family Planning and Infertility Clinic at the Western General Hospital in Melbourne, serving as its director until 1986. From 1980 to 1989 he was the ...
MAPS
Grazia Marin is a psychologist in private practice in Melbourne and past committee member and Education Officer of the Victorian Psychosexual Society. She is also a member of the International Society for the Study of Vulvovaginal Diseases and is serving on its Patient Education and Sexual Difficulties committees.

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