Background. Genital/pelvic pain penetration disorder (GPPPD) decreased mental and physical functioning, reduced quality of life, and reduced feelings of inadequacy and worthlessness, all of which impair the ability of women with GPPPD to enjoy sex. This qualitative study was conducted to identify which factors can reduce sexual stress and help Iranian women cope with GPPPD. Methods. This qualitative study was conducted through the participation of 18 women with GPPPD diagnosed by a sexologist and using DSM-IV diagnostic criteria from March to July 2022, Iran. The samples were selected using the purposive sampling method and considering the maximum variation. The semistructured question guide was used as a data collection tool and data collection continued until data saturation was reached. The collected data were analyzed using conventional content analysis approach. Results. Data analysis led to the emergence of three main themes: “problem-focused coping” which included the three categories of received social support, problem self-control, and penetration replacement; “emotion-focused coping” which included three categories: a couple’s negative reaction to the problem, attachment disorder, and surrendering the problem; and “treatment-seeking” which consisted of searching and choosing a therapist to solve the problem, ineffective medical approaches, and ineffective nonmedical approaches. Conclusion. Coping strategies in women with GPPPD were classified as “problem-focused coping,” “emotion-focused coping,” and “treatment-seeking.” These findings indicate a need for GPPPD information and education, as well as a need for healthcare professionals to actively inquire about sexual problems and commit to serious treatment efforts. Cultural interventions that promote sexual pleasure can aid in the management of GPPPD.

中文翻译：

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生殖盆腔疼痛/插入障碍的应对策略：定性研究


背景。生殖器/盆腔疼痛渗透障碍 (GPPPD) 会降低精神和身体功能，降低生活质量，减少不足感和无价值感，所有这些都会损害患有 GPPPD 的女性享受性生活的能力。这项定性研究旨在确定哪些因素可以减轻性压力并帮助伊朗女性应对 GPPPD。方法。这项定性研究是通过 2022 年 3 月至 7 月伊朗的 18 名由性学家诊断患有 GPPPD 的女性并使用 DSM-IV 诊断标准进行的。采用有目的抽样方法并考虑最大变异来选择样本。使用半结构化问题指南作为数据收集工具，并继续收集数据直至达到数据饱和。使用传统的内容分析方法对收集的数据进行分析。结果。数据分析得出三大主题：“以问题为中心的应对”，包括接受社会支持、问题自我控制、渗透替代三大类； “以情绪为中心的应对”包括三类：夫妻对问题的负面反应、依恋障碍和放弃问题； “寻求治疗”包括寻找和选择治疗师来解决问题、无效的医疗方法和无效的非医疗方法。结论。患有 GPPPD 的女性的应对策略被分为“以问题为中心的应对”、“以情绪为中心的应对”和“寻求治疗”。这些发现表明需要 GPPPD 信息和教育，以及医疗保健专业人员需要积极询问性问题并致力于认真的治疗工作。 促进性快感的文化干预有助于 GPPPD 的管理。