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Current Sexual Health Reports

, Volume 10, Issue 2, pp 35–37 | Cite as

Limits of Pelvic Floor Physical Therapy in the Treatment of GPPD

  • Talli Y. Rosenbaum
Invited Commentary

Genito-pelvic pain/penetration disorder (GPPD) first appeared in the most recent edition of the DSM [1]. It is a consolidation of presentations listed in the previous DSM [2] under the category of “sexual pain disorders” (SPDs). The former binary division between vaginismus, an involuntary spasm of the musculature of the outer third of the vagina, that interferes with sexual intercourse, and dyspareunia, the actual experience of pain with penetration, likely contributed to the incorrect conceptualization of dyspareunia as organic and vaginismus as psychological at the core. The new designation acknowledges a multifactorial experience for both pain and defensive reactivity, as they co-exist, but continues to focus on the ability to be penetrated as a fundamental determinant of sexual function in women [3].

The generality and inclusiveness of GPPD represent the lack of a clear and concise understanding of the specific etiology and treatment needs of women who present for treatment. The...

Notes

Compliance with Ethical Standards

Conflict of Interest

The author declares that he/she has no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.A.A. Rosenbaum, LtdBet ShemeshIsrael

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