1.1 Specific aims
After reading this chapter you:
- are able to recognize PVD as a sexual problem;
- know that it is not just a trendy disease but despite its unknown pathological origin, it has clear pathological substrates like a chronic infection with a lot of mast cells and a proliferation of nerve vessels in the vestibulum;
- know that a multimodal treatment, including the pelvic floor, sexual response and coping skills, is necessary;
- know that one of the most important strategies is to end the vicious circle of pain-fear/proliferation/hypertonia of pelvic floor/low blood flow-pain;
- are familiar with a bio-medical as well as a psycho social explanation of PVD;
- are familiar with the most recent insights in diagnostics and therapeutics in PVD.