Strong discomfort during vaginal examination: why consider a history of abuse?
2011 (English)In: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, Vol. 157, no 2, 200-205 p.Article in journal (Refereed) Published
To study factors associated with strong discomfort during vaginal examinations (SD/VE) by means of four hypotheses.
A cross sectional postal questionnaire study, conducted at three Swedish departments of obstetrics and gynaecology and with a random population sample (n = 4453).
Main outcome measures
The associations between a self-reported history of emotional, physical and sexual abuse and abuse in health care, flashbacks during the previous year, emotional contact with the examiner, and SD/VE during the index visit (discomfort estimated on a ten-point scale; six-ten = SD). Statistical analyses used were Chi-square, Binary logistic regression, and Pearson Correlation.
Eighteen percent of the women reported SD/VE. There was an association between SD/VE and a lifetime history of abuse. Having experienced combinations of abuse, especially combinations including emotional abuse and abuse in health care, was strongly associated with SD/VE. SD/VE was furthermore associated with flashbacks during the previous year, and negative emotional contact with the examiner during the index visit.
We conclude that women who unexpectedly react with SD/VE are more likely to have a background of abuse, and may even run a risk of feeling re-traumatised during the VE. A clinical implication is to consider a history of abuse in patients who react with SD/VE or experience negative emotional contact during the consultation.
Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 157, no 2, 200-205 p.
NorAQ, Sexual abuse, Emotional abuse, Vaginal examination, Discomfort, Abuse in health care
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-67861DOI: 10.1016/j.ejogrb.2011.02.025ISI: 000293727800016OAI: oai:DiVA.org:liu-67861DiVA: diva2:413885