病因

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1. 性交痛を有する女性へのアプローチ approach to the woman with sexual pain
2. 女性における性交痛の鑑別診断 differential diagnosis of sexual pain in women
3. 男性の性交時痛 male dyspareunia
4. 経膣メッシュ曝露と骨盤手術後の疼痛のマネージメント management of transvaginal mesh exposure and pain following pelvic surgery
5. 女性の癌生存者における性機能不全の概要 overview of sexual dysfunction in female cancer survivors

関連記事	「疼痛」「性交」「症」

下行性疼痛抑制系神経系は中脳水道周辺灰白質からの脊髄への入力からなる。具体的には大縫線核(セロトニン作動性)、巨大細胞網様核・傍巨大細胞網様核(ノルアドレナリン作動性)がの2系統が起点となる。抗うつ薬はこれらの神経伝達物質の再吸収を妨げ鎮痛作用を発揮する。

Adams and s Principles of Neurology, Ninth Edition Allan Ropper. table 8-2より抜粋

dysesthesia : Any abnormal sensation described as unpleasant by the patient.
hyperalgesia : Exaggerated pain response from a normally painful stimulus; usually includes aspects of summation with repeated stimulus of constant intensity and aftersensation.
hyperpathia : Abnormally painful and exaggerated reaction to a painful stimulus; related to hyperalgesia.
hyperesthesia (hypesthesia) : Exaggerated perception of touch stimulus.
allodynia : Abnormal perception of pain from a normally nonpainful mechanical or thermal stimulus; usually has elements of delay in perception and of aftersensation.
hypoalgesia (hypalgesia) : Decreased sensitivity and raised threshoid to painful stimuli.
anesthesia : Reduced perception of all sensation, mainly touch.
pallanesthesia : Loss of perception of vibration.
analgesia : Reduced perception of pain stimulus.
paresthesia : Mainly spontaneous abnormal sensation that is not unpleasant; usually described as "pins and needles".
causalgia : Buming pain in the distribution of one or more peripheral nerves.