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~K_9~'עZZZ0v@@HYC" wM T/9׋_RlĭHﶷDih>G*?˾^,K[{!n~Ŋ$˝ql{~۩sr۳Q'i5Ė'( - D s92Graphique Microsoft Excel Excel.Chart.802Graphique Microsoft Excel;2Graphique Microsoft Excel Excel.Chart.802Graphique Microsoft Excel >2Graphique Microsoft Excel Excel.Chart.802Graphique Microsoft Excel]G2Graphique Microsoft Excel Excel.Chart.802Graphique Microsoft Excel/ 00DArialSans0,MQ0,0$DGaramonds0,MQ0,0$ DTimes New Roman,MQ0,0$0DComic Sans MSn,MQ0,0$B@ .  @n?" dd@  @@`` ,$ L//  #             "$GL|Ƥ: "$"XG3р}  "$OJ _,uJ8 $$$$$"$ ..{ZNd8H 0AA 3fff@F g42d2dD0@$ppp@  <4KdKdpY0<4!d!dpY0g4(d(dD00p@ ppuC ʚ;ʚ;<4ddddp 0\\___PPT10< pp.$ dianou.Z___PPT9<4!?  %O =  LES DYSPAREUNIES : ETUDE CLINIQUE ET PRISE EN CHARGE PLURIDISCIPLINAIRE *** Laure-Diane Subtil -Chauvin de Vendmois Congrs de la FAFORMEC 27 novembre 2004 P(J,,$)(3 # INTRODUCTION Douleur pelvienne chronique (40%)* 15 19% femmes** 20 40% coelioscopies*** Examen clinique rigoureux *Mimoun S, La douleur en gyncol. 1997 ** Graziottin A, Dyspareunia what should we look for?, Menop. review ,1999 *** Lauman EO, Sexual dysfunction in USA, JAMA , 1999ZZiZZff ,ff$i$$&t   FC!ETIOLOGIES ORGANIQUES4 ff ffNDyspareunies superficielles Dyspareunies profondes : Gnitales Non-gnitales^5"  5$ $E#DIMENSION NON ORGANIQUE ffINvrose Etat-limite et psychose Traumatismes et violence Conjuguopathie &IJ$H$4En Mdecine chinoise: STAGNATION DU FOYER INFERIEUR"54 ff Par PLENITUDE (de nature yin): Rte 1, Rte8, Rte 13, RM4 et RM5 en moxas. Par VIDE: de sang : Rte 10 ocan du sang de qi: RM4 et RM5, RM 2 et RM 3, F3. + J + ,        I% Viscres et fonctions impliques ! ffFonction Rchauffeur infrieur. Foie et Rein lis au Sang: Rate,CSur,Matre cSur, Foie. Les mridiens: zu jue yin (Foie) shu jue yin (Matre cSur) Rein (tendino-musculaire) Curieux: Chong mo, VC, VG, Dai Mo et Qiao. llrlrJ&De notre exprience clinique: ff Topographie de la dyspareunie et motions: Dyspareunie superficielle: tendinomusculaire Foie Rvolte, colre Dyspareunie profonde: tendinomusculaire Rein Crainte, peur --,-  -  ,4PLURIDISCIPLINARITEffApproche* Centre douleur pelvienne chronique Equipe unit de lieu et de temps *Conloli Sg, Gyne Obs Fer ,2003 Jensen JT, Am J Obstet Gynecol, 2003 Pukall CF, Pain,2002 Peters AA, Obst Gyne, 1991.lOZZO$(}Rv6ETUDE DESCRIPTIVEffr22 patientes dyspareunie Rythme, dure = 18 mois 4 temps valuation 11 paramtres (ANAES) Mthode statistique Brq$:CARACTERISTIQUES PSYCHOSOCIALES ffOAngoisse > dpression 70% violences Faible estime soi 2/3 normalit ou nvrose 09P$8 RESULTATS (1)&(ff$ dpression, anxit comportement ^P#" PP    5 % Comportement Douleur Confort de vie TZ$Z$  ? gIndice soulagement de douleur Effectif et conclusions statistiques Etudes complmentaires ? jd  A   A"PRISE EN CHARGE PLURIDISCIPLINAIRE##ffliminer tiologie organique curable Soulager douleur Evnements de vie violents Non reconduction somatisation Mutation physique et psychique Autonomisation patiente>$$ $D"-PRINCIPE DE CAUSALITE EN MEDECINE OCCIDENTALE..ff~Etiologie uniquement psychique ? uniquement organique ? 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