Date of Award

11-13-2022

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Dr. Tazeen Saeed Ali

Second Advisor

Dr. Fauzia Basaria

Third Advisor

Ms Arusa Lakhani

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Genito-Pelvic Pain/Penetration Disorder (GPPPD) is a major issue among females during their first sexual contact. The American Psychiatric Association's most current version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) integrated dyspareunia and vaginismus into a unified diagnosis of genito-pelvic pain/penetration disorder. It has been determined that GPPPD has a detrimental impact on women's lives in general. Thus, it is critical to analyze and manage the components of women's sexual wellbeing.
Purpose: The current study sought to investigate the frequency and the associated variables of Genito-Pelvic Pain/Penetration Disorder in married women, in a gynecological setting, at a private tertiary care hospital in Karachi, Pakistan.
Method: An analytical cross-sectional study was conducted at the gynecological outpatient facility of a private tertiary care hospital in Karachi, Pakistan, from May to August 2022. A sample size of 145 was achieved via purposive sampling. The data was collected using Binik’s GPPPD assessment tool, Female Sexual Function Index, and a demographic questionnaire. Data was analyzed by applying logistic regression in SPSS version 26.
Findings: The results showed the prevalence of GPPPD to be 22.8%. Moreover, the final multivariate logistic regression model revealed that after adjusting for other variables, low sexual satisfaction (OR 21.18, 95% CI 2.39, 187.36), a history of sexual abuse (OR 6.09,95% CI 1.52, 24.37), medical co-morbidity (OR 21.44, 95% CI 5.77, 79.64), and the existence of any sexual dysfunction (OR 6.64, 95% CI 2.01, 21.94) were found to be the associated factors for the incidence of GPPPD.
Conclusion: An accurate diagnosis of GPPPD is critical. The study proposes that healthcare professionals, educators, and researchers develop tools, guidelines, and management strategies for women in need of sexual health assistance, particularly GPPPD, in the Pakistani culture. More research, however, is required to better evaluate and determine the relationship of various variables with the GPPPD, based on cultural and religious peculiarities unique to Islamic societies.

First Page

1

Last Page

60

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