{"id":11999,"date":"2021-04-11T10:21:35","date_gmt":"2021-04-11T15:21:35","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=11999"},"modified":"2024-05-20T14:34:45","modified_gmt":"2024-05-20T19:34:45","slug":"traitement-des-causes-profondes-des-rapports-sexuels-douloureux","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/treatment-for-root-cause-of-painful-sex\/","title":{"rendered":"Pourquoi tant de femmes ont-elles des rapports sexuels douloureux ?"},"content":{"rendered":"

L'expression \"rapports sexuels douloureux\" fait l'objet d'environ 17 000 recherches par mois sur Google. Il est int\u00e9ressant de noter que toutes les pages qui apparaissent en t\u00eate de liste \u00e0 la suite d'une recherche sur les \"rapports sexuels douloureux\" s'adressent aux femmes, et non aux hommes. Dans un \u00e9tude publi\u00e9e en 2017<\/a> Apr\u00e8s avoir \u00e9chantillonn\u00e9 plus de 15 000 femmes, les chercheurs ont not\u00e9 que \"les rapports sexuels douloureux (dyspareunie) sont un probl\u00e8me de sant\u00e9 f\u00e9minin courant mais n\u00e9glig\u00e9. On estime que la pr\u00e9valence dans la population varie de 3 \u00e0 18% au niveau mondial, et que les estimations sur la dur\u00e9e de vie varient de 10 \u00e0 28%.\" Cela fait beaucoup de femmes qui souffrent de ce qui devrait \u00eatre une exp\u00e9rience agr\u00e9able ! Pire encore, il y a probablement beaucoup plus de femmes qui souffrent en silence, peut-\u00eatre \u00e0 cause de la g\u00eane, de la honte ou de la frustration qui peuvent parfois accompagner l'exp\u00e9rience d'un rapport sexuel douloureux. <\/p>\n\n\n\n

Dans un article publi\u00e9 dans Natural Womanhood, Liz Escoffery \u00e9voque le ph\u00e9nom\u00e8ne des rapports sexuels douloureux. avant les r\u00e8gles<\/a>Les femmes qui ont des rapports sexuels douloureux avant leurs menstruations ne sont pas les seules \u00e0 souffrir de douleurs sexuelles. Mais en plus des rapports sexuels douloureux avant les r\u00e8gles, les femmes ressentent \u00e9galement des rapports sexuels douloureux \u00e0 diff\u00e9rents moments de leur cycle, ce qui montre bien que les rapports sexuels douloureux peuvent \u00eatre dus \u00e0 des causes diff\u00e9rentes selon les femmes. Pour en savoir plus sur les diff\u00e9rentes causes des rapports sexuels douloureux, je me suis entretenue avec les personnes suivantes Nicholas Kongoasa, MD, FACOG<\/a>.<\/p>\n\n\n\n

Kongoasa, ou \"Dr. K\" comme l'appellent ses patients, pratique la gyn\u00e9cologie et la m\u00e9decine reproductive r\u00e9paratrice (MRR) \u00e0 l'adresse suivante Sant\u00e9 reproductive M\u00e9decine et gyn\u00e9cologie<\/a>Il est \u00e9galement le directeur m\u00e9dical du Centre de chirurgie r\u00e9paratrice de la reproduction<\/a>Tous deux se trouvent dans la r\u00e9gion d'Atlanta, en G\u00e9orgie. Le docteur Kongoasa est un gyn\u00e9cologue-obst\u00e9tricien certifi\u00e9, qui a \u00e9galement re\u00e7u une formation officielle aux m\u00e9thodes Creighton et FEMM de sensibilisation \u00e0 la fertilit\u00e9 et \u00e0 leurs protocoles de m\u00e9decine reproductive r\u00e9paratrice. Il conna\u00eet les diverses causes profondes des rapports sexuels douloureux chez les femmes et sait comment les identifier et les traiter de mani\u00e8re \u00e0 respecter et \u00e0 r\u00e9tablir la sant\u00e9 g\u00e9n\u00e9sique de la femme.<\/p>\n\n\n\n

Les douleurs musculaires \u00e0 l'origine des rapports sexuels douloureux <\/strong><\/span><\/h2>\n\n\n\n

Comme indiqu\u00e9 dans le document Natural Womanhood article<\/a> \"Les rapports sexuels douloureux avant les r\u00e8gles sont souvent dus \u00e0 des douleurs musculaires. C'est pourquoi la kin\u00e9sith\u00e9rapie du plancher pelvien, qui permet de d\u00e9tendre les muscles pelviens contract\u00e9s, peut apporter un soulagement efficace aux rapports sexuels douloureux. Mais le Dr Kongoasa pr\u00e9cise qu'avant de recourir \u00e0 la kin\u00e9sith\u00e9rapie du plancher pelvien, il est imp\u00e9ratif de creuser un peu plus loin : pour aller au fond des choses en cas de rapports sexuels douloureux, il faut d'abord d\u00e9terminer la cause de la douleur musculaire.<\/p>\n\n\n\n

\"Je pense que la douleur musculaire, bien qu'elle soit un facteur important de la douleur pelvienne, n'est que secondaire \u00e0 quelque chose d'autre\", d\u00e9clare le Dr Kongoasa. \"La douleur musculaire est une douleur r\u00e9active, ce qui signifie qu'il existe g\u00e9n\u00e9ralement une cause sous-jacente \u00e0 l'origine du spasme musculaire.\" Par exemple, l'une des causes fondamentales des douleurs pelviennes et des rapports sexuels douloureux est la suivante endom\u00e9triose<\/a>. L'endom\u00e9triose provoque une inflammation et une cicatrisation qui, \u00e0 leur tour, entra\u00eenent des douleurs. \"La r\u00e9ponse naturelle du corps \u00e0 cette douleur est de resserrer les muscles entourant la zone pour la prot\u00e9ger (pensez \u00e0 un disque bomb\u00e9 qui provoque des douleurs dorsales)\", explique le Dr Kongoasa. \"Or, si un muscle est perp\u00e9tuellement tendu, il s'affaiblit, et un muscle affaibli se spasme plus rapidement\". Ces spasmes \"provoquent une amplification de la douleur pelvienne\".<\/p>\n\n\n\n

C'est pourquoi le Dr Kongoasa estime que la th\u00e9rapie physique du plancher pelvien est g\u00e9n\u00e9ralement plus efficace si la cause sous-jacente de la douleur pelvienne de la patiente est \u00e9galement trait\u00e9e ou contr\u00f4l\u00e9e de mani\u00e8re ad\u00e9quate. Dans le cas de l'endom\u00e9triose, il s'agit de contr\u00f4ler l'inflammation, ce qui est le plus efficace gr\u00e2ce \u00e0 l'excision chirurgicale des l\u00e9sions endom\u00e9triales.<\/p>\n\n\n\n

\"D'autre part, explique le Dr Kongoasa, si l'origine de la douleur pelvienne n'est pas trait\u00e9e de mani\u00e8re ad\u00e9quate, la r\u00e9\u00e9ducation du plancher pelvien peut n'\u00eatre b\u00e9n\u00e9fique que temporairement, ou le kin\u00e9sith\u00e9rapeute peut se heurter \u00e0 un obstacle apr\u00e8s quelques s\u00e9ances, incapable de lib\u00e9rer le muscle de ses spasmes. Il est donc imp\u00e9ratif de s'attaquer \u00e0 la cause profonde des spasmes musculaires pour que le traitement soit efficace.<\/p>\n\n\n\n

D\u00e9terminer la ou les causes profondes des rapports sexuels douloureux <\/strong><\/span><\/h2>\n\n\n\n

Le Dr Kongoasa explique que les muscles du bassin peuvent se contracter, provoquant des douleurs pelviennes et des rapports sexuels douloureux, pour diff\u00e9rentes raisons. Il classe ces causes profondes dans les cat\u00e9gories suivantes :<\/p>\n\n\n\n

1. Trouble inflammatoire focal  <\/strong><\/span><\/h3>\n\n\n\n

Il s'agit notamment de troubles connus pour provoquer une inflammation dans la r\u00e9gion pelvienne, tels que l'endom\u00e9triose, la cystite interstitielle et la maladie de la vache folle. le syndrome des ovaires polykystiques (SOPK)<\/a>et ainsi de suite. Une fois que le docteur Kongoasa a d\u00e9duit que la douleur pelvienne est le r\u00e9sultat d'une sorte de trouble inflammatoire focal, il recommandera un traitement pour r\u00e9duire l'inflammation. La premi\u00e8re ligne de traitement consiste g\u00e9n\u00e9ralement \u00e0 modifier l'alimentation et le mode de vie, \u00e0 prendre des suppl\u00e9ments anti-inflammatoires et \u00e0 \u00e9tablir des graphiques pour faciliter le diagnostic d'un ou de plusieurs de ces probl\u00e8mes. Apr\u00e8s cette premi\u00e8re approche, d'autres examens permettront de d\u00e9terminer si une intervention chirurgicale ou d'autres traitements plus agressifs sont justifi\u00e9s.<\/p>\n\n\n\n

2. Trouble inflammatoire g\u00e9n\u00e9ral  <\/strong><\/span><\/h3>\n\n\n\n

Il s'agit notamment de troubles tels que sensibilit\u00e9 au gluten<\/a>Le docteur Kongoasa explique que l'inflammation du corps amplifie la douleur. \"Si le corps est enflamm\u00e9, explique le Dr Kongoasa, la douleur est amplifi\u00e9e. Selon lui, c'est un peu comme si vous aviez la grippe et une plaie \u00e0 la main caus\u00e9e par une coupure. Votre blessure sera plus douloureuse et gu\u00e9rira plus lentement si vous avez la grippe en m\u00eame temps\".<\/p>\n\n\n\n

3. L'infection <\/strong><\/span><\/h3>\n\n\n\n

Il peut s'agir d'endom\u00e9trites chroniques, de vaginites, etc. Dans le cas d'une source infectieuse de douleur pelvienne chez une patiente, le Dr. diagramme du cycle de fertilit\u00e9<\/a> sera particuli\u00e8rement utile, car \"le tableau montrera des signes de saignement persistant\".<\/p>\n\n\n\n

4. \u00c9tat hypoestrog\u00e9nique  <\/strong><\/span><\/h3>\n\n\n\n

Les femmes qui souffrent d'une grave carence en \u0153strog\u00e8nes pr\u00e9sentent un \u00e9tat appel\u00e9 hypoestrog\u00e9nie. Les femmes en \u00e9tat d'hypoestrog\u00e9nie comprennent celles qui sont post-m\u00e9nopause<\/a>les femmes dont les cycles sont supprim\u00e9s par le contr\u00f4le hormonal des naissances<\/a>athl\u00e8tes f\u00e9minines souffrant d'am\u00e9norrh\u00e9e hypothalamique, femmes soumis \u00e0 un stress \u00e9norme<\/a>ou les femmes souffrant de troubles de l'alimentation<\/a>. L\u00e0 encore, le Dr Kongoasa souligne que le sch\u00e9ma menstruel d'une femme peut \u00eatre une source d'information inestimable pour d\u00e9terminer si une douleur pelvienne peut \u00eatre due \u00e0 un \u00e9tat hypo-\u0153strog\u00e9nique.<\/p>\n\n\n\n

5. Anomalies ut\u00e9rines  <\/strong><\/span><\/h3>\n\n\n\n

\"Est-ce l'ut\u00e9rus lui-m\u00eame qui est \u00e0 l'origine de la douleur ? demande le Dr Kongoasa. Par exemple, les femmes atteintes d'ad\u00e9nomyose (une affection dans laquelle la muqueuse ut\u00e9rine se d\u00e9veloppe dans la paroi de l'ut\u00e9rus) \"auront des douleurs sexuelles tr\u00e8s sp\u00e9cifiques \u00e0 la douleur ut\u00e9rine, provoquant une sensation douloureuse de \"coups\" port\u00e9s \u00e0 l'ut\u00e9rus pendant les rapports sexuels\". L'ad\u00e9nomyose est \"\u00e9galement associ\u00e9e \u00e0 des saignements abondants, et plus les saignements sont abondants, plus la douleur est importante\". \"L\u00e0 encore, note le Dr Kongoasa, il est n\u00e9cessaire d'\u00e9tablir une corr\u00e9lation avec un diagramme de fertilit\u00e9.<\/p>\n\n\n\n

6. Syndrome de sensibilisation centrale (fibromyalgie, etc.) <\/strong><\/span><\/h3>\n\n\n\n

Chez les femmes atteintes de le syndrome de sensibilisation centrale<\/a>Le Dr Kongoasa explique que \"le cerveau est reprogramm\u00e9 pour percevoir certains stimuli\/touch\u00e9s normaux comme de la douleur\". Il note que cette cause profonde des rapports sexuels douloureux est particuli\u00e8rement difficile \u00e0 traiter. Heureusement, des recherches sont men\u00e9es sur ce myst\u00e9rieux ensemble de syndromes, qui peut \u00e9galement inclure l'endom\u00e9triose. D\u00e9partement d'obst\u00e9trique et de gyn\u00e9cologie de l'universit\u00e9 de Colombie-Britannique. notes<\/a> que :<\/p>\n\n\n\n

\"Les personnes souffrant de sensibilisation centrale ont une sensibilit\u00e9 accrue \u00e0 la douleur et peuvent ressentir de la douleur m\u00eame en cas de contact l\u00e9ger. Le laboratoire de recherche sur l'endom\u00e9triose et les douleurs pelviennes a constat\u00e9 que les personnes pr\u00e9sentant une sensibilit\u00e9 de la vessie et\/ou du plancher pelvien et\/ou un syndrome de la vessie douloureuse, consid\u00e9r\u00e9s comme des marqueurs cliniques de la sensibilisation centrale, \u00e9prouvaient des douleurs sexuelles plus intenses en cas de p\u00e9n\u00e9tration profonde, quelle que soit la gravit\u00e9 de l'endom\u00e9triose. Ces r\u00e9sultats sugg\u00e8rent que la sensibilisation centrale pourrait jouer un r\u00f4le dans la douleur sexuelle lors de la p\u00e9n\u00e9tration profonde plut\u00f4t que les l\u00e9sions d'endom\u00e9triose chez certaines personnes. Nous \u00e9tudions maintenant plus en d\u00e9tail la sensibilisation centrale et sa relation avec cette douleur, car cela pourrait conduire \u00e0 des plans de traitement individualis\u00e9s et \u00e0 une meilleure prise en charge\".<\/p>\n\n\n\n

Traitement m\u00e9dical r\u00e9parateur de la reproduction en cas de rapports sexuels douloureux <\/strong><\/span><\/h3>\n\n\n\n

Apr\u00e8s avoir d\u00e9termin\u00e9 laquelle des cat\u00e9gories ci-dessus est la cause premi\u00e8re probable de la douleur pelvienne d'une femme, \"nous nous tournons ensuite vers le muscle\", explique le Dr Kongoasa. \"Apr\u00e8s tout, le muscle r\u00e9agit \u00e0 une ou plusieurs des causes susmentionn\u00e9es. <\/p>\n\n\n\n

Cette approche m\u00e9thodologique minutieuse des causes profondes des rapports sexuels douloureux, telle qu'elle est d\u00e9crite par le Dr Kongoasa, est un excellent exemple de la puissance de la technologie de l'information et de la communication. M\u00e9decine reproductive restauratrice (MRR)<\/a>. Le MRR ne cherche pas une solution \"rapide\" pour couvrir les sympt\u00f4mes, mais cherche plut\u00f4t \u00e0 gu\u00e9rir le probl\u00e8me \u00e0 la racine tout en prot\u00e9geant la capacit\u00e9 reproductive des femmes.<\/p>\n\n\n\n

Si vous avez des rapports sexuels douloureux, vous n'avez pas besoin de vivre avec pour le reste de votre vie. Avec l'aide de 10-28% de femmes ayant d\u00e9clar\u00e9 avoir eu des rapports sexuels douloureux au cours de leur vie<\/a>Il s'agit d'un probl\u00e8me f\u00e9minin n\u00e9glig\u00e9, mais vous n'\u00eates pas seule et, comme l'explique cet article, il existe des traitements. Vous m\u00e9ritez les soins attentifs d'une personne qui cherchera \u00e0 traiter et \u00e0 gu\u00e9rir votre probl\u00e8me de mani\u00e8re efficace, afin que vous puissiez jouir de la sexualit\u00e9 de mani\u00e8re naturelle.<\/p>\n\n\n\n

Lecture compl\u00e9mentaire :<\/span><\/h4>\n\n\n\n

Des rapports sexuels douloureux avant les r\u00e8gles ? Comment le suivi de votre cycle peut vous aider \u00e0 \u00e9viter les rapports sexuels douloureux<\/a><\/p>\n\n\n\n

La sexualit\u00e9 apr\u00e8s l'accouchement : comment savoir si (et quand) vous \u00eates pr\u00eate<\/a><\/p>\n\n\n\n

Les raisons choquantes pour lesquelles les contraceptifs diminuent la libido des femmes<\/a><\/p>\n\n\n\n

Quand les probl\u00e8mes de libido ne sont pas uniquement une question de t\u00eate<\/a><\/p>\n\n\n\n

Les cycles et le changement : La fertilit\u00e9 apr\u00e8s 35 ans<\/a><\/p>\n\n\n\n

5 fa\u00e7ons dont le stress peut affecter vos r\u00e8gles et le reste de votre cycle<\/a><\/p>","protected":false},"excerpt":{"rendered":"L'expression \u201csexe douloureux\u201d fait l'objet d'environ 17 000 recherches par mois sur Google. Il est int\u00e9ressant de noter que toutes les premi\u00e8res pages...","protected":false},"author":31,"featured_media":12000,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5364,5181],"tags":[5487,5407,5417],"class_list":{"0":"post-11999","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-endometriosis","8":"category-reproductive-and-menstrual-disorders","9":"tag-shes-not-herself-when-someone-you-love-is-struggling-with-birth-control-side-effects","10":"tag-relationship-health-nfp-vs-birth-control","11":"tag-reproductive-and-menstrual-disorders","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"\nWhy are so many women experiencing painful sex? - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"There are several potential root causes of painful sex. 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