<p>Endometriosis affects various physiological and psychological aspects of sexual life. Around two thirds of patients with endometriosis experience pain during sexual intercourse (dyspareunia), especially those with deep infiltrating endometriosis. The repeated experience of pain can result in sexual avoidance, reduced pleasure, and distress in the partnership.</p><p>Not all of these patients can be treated satisfactorily with the recommended therapies (hormones or surgery). As an alternative or complementary treatment, acupuncture has been suggested. Although the studies on acupuncture for endometriosis-related pain symptoms are promising, the specific question of how to treat dyspareunia has so far received little attention in research and in the literature.</p><p>Based on the current state of research, this article summarizes the details of acupuncture treatment for dyspareunia. This includes the selection of suitable acupuncture points (local and distant points), the most important treatment strategies (invigorating Qi and Blood in the lower abdomen, tonifying Spleen and Stomach, resolving Dampness, calming Shen), and other acupuncture treatment specifics such as frequency and duration.</p><p>The aim is to provide therapists with concrete guidance for individualized treatment in clinical practice and to raise awareness of this often-overlooked symptom.</p>

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Does anyone care about sex?

  • Nora Giese,
  • Mike Armour

摘要

Endometriosis affects various physiological and psychological aspects of sexual life. Around two thirds of patients with endometriosis experience pain during sexual intercourse (dyspareunia), especially those with deep infiltrating endometriosis. The repeated experience of pain can result in sexual avoidance, reduced pleasure, and distress in the partnership.

Not all of these patients can be treated satisfactorily with the recommended therapies (hormones or surgery). As an alternative or complementary treatment, acupuncture has been suggested. Although the studies on acupuncture for endometriosis-related pain symptoms are promising, the specific question of how to treat dyspareunia has so far received little attention in research and in the literature.

Based on the current state of research, this article summarizes the details of acupuncture treatment for dyspareunia. This includes the selection of suitable acupuncture points (local and distant points), the most important treatment strategies (invigorating Qi and Blood in the lower abdomen, tonifying Spleen and Stomach, resolving Dampness, calming Shen), and other acupuncture treatment specifics such as frequency and duration.

The aim is to provide therapists with concrete guidance for individualized treatment in clinical practice and to raise awareness of this often-overlooked symptom.