Genital pain associated with sex is a prevalent and distressing problem with a complex research and clinical profile. This article reviews the historical context of the “sexual pain disorders” and the circuitous trajectory that has led from the first mention of painful sex in ancient documents to the latest diagnostic category of genito-pelvic pain penetration disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders as well as in other existing and proposed nomenclatures. Prominent etiologic research and emergent theoretical models are critically assessed, as is the latest treatment outcome research of note. Finally, the review points to a number of extant needs in the research and clinical effort, including an integrated biopsychosocial and multidisciplinary approach, randomized clinical trials, targeting of treatment barriers, and expansion of the entire enterprise to include populations that have not been considered.

中文翻译：

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性交痛苦的生物心理社会之谜


与性有关的生殖器疼痛是一个普遍且令人痛苦的问题，具有复杂的研究和临床特征。本文回顾了“性疼痛障碍”的历史背景，以及从古代文献中首次提及性交疼痛到第五版《诊断与治疗》中最新诊断类别“生殖盆腔疼痛穿透障碍”的迂回轨迹。精神疾病统计手册以及其他现有和拟议的术语。重要的病因学研究和新兴理论模型以及值得注意的最新治疗结果研究都受到严格评估。最后，审查指出了研究和临床工作中的一些现有需求，包括综合生物心理社会和多学科方法、随机临床试验、针对治疗障碍以及扩大整个事业以包括尚未考虑的人群。