It Hurts Down There

Tracks the medical emergence and treatment of vulvar pain conditions in order to understand why so many US women are misinformed about their sexual bodies. How does a woman describe a part of her body that much of society teaches her to never discuss? It Hurts Down There analyzes the largest known set of qualitative research data about vulvar pain conditions. It tells the story of one hundred women who struggled with this dilemma as they sought treatment for chronic and unexplained vulvar pain. Christine Labuski argues that the medical condition of vulvar pain cannot be adequately understood without exposing and interrogating cultural attitudes about female genitalia. The author’s dual positioning as cultural anthropologist and former nurse practitioner strengthens her argument that discourses about “healthy” vulvas naturalize and reproduce heteronormative associations between genitalia, sex, and gender. Christine Labuski is Assistant Professor of Women’s and Gender Studies at Virginia Polytechnic Institute and State University and the coauthor (with Nicholas Copeland) of The World of Wal-Mart: Discounting the American Dream.

Tracks the medical emergence and treatment of vulvar pain conditions in order to understand why so many US women are misinformed about their sexual bodies. How does a woman describe a part of her body that much of society teaches her to never discuss? It Hurts Down There analyzes the largest known set of qualitative research data about vulvar pain conditions. It tells the story of one hundred women who struggled with this dilemma as they sought treatment for chronic and unexplained vulvar pain. Christine Labuski argues that the medical condition of vulvar pain cannot be adequately understood without exposing and interrogating cultural attitudes about female genitalia. The author’s dual positioning as cultural anthropologist and former nurse practitioner strengthens her argument that discourses about “healthy” vulvas naturalize and reproduce heteronormative associations between genitalia, sex, and gender. “This is an empirically engaged, ethnographically rich interpretation of genital pain in a cross section of women—but it is also so much more. Christine Labuski has a deep understanding of both the anatomical biomedical construction of female genitalia and manifestations of physical pain and suffering, which she combines with a marvelous cultural analysis of how entangled these biological ‘facts’ are with the contemporary culture of female loathing and self-loathing.” — Lisa Jean Moore, coauthor of The Body: Social and Cultural Dissections

For the 20 million people who suffer from pelvic pain: the completely revised and updated guide for making sex feel good again. Pelvic pain can lead to embarrassment, silence, and misdiagnosis. It can hurt your relationship as well as your sense of self. Tackling the stereotypes, myths, and realities of pelvic pain, this easy‑to‑understand, accessible guide will help readers get the help they need and deserve, offering key information on: The most urgent questions about the causes of pelvic pain The more than twenty causes of pelvic pain How to find the right doctor The relationship between pelvic sex and genetics The newest in treatment for pelvic pain and pelvic pain indications How psychological factors can contribute to and reduce pelvic pain Featuring groundbreaking research and stories from people who've lived it, When Sex Hurts provides the tools you need to stop hurting and start healing.

The WHO global health sector strategy on sexually transmitted infections, 2016–2021, endorsed by the World Health Assembly in 2016, aims to eliminate STIs as a public health threat by 2030. In 2019, WHO published estimates of new cases of chlamydia, gonorrhoea, syphilis and trichomoniasis. Recent changes in the epidemiology of STIs and progress in prevention, diagnosis and treatment of STIs and HIV have necessitated changes in approaches to STI prevention and management. To address these STIs, the most widely used approach in clinical settings is the syndromic management of STIs. In most resource-limited settings, the syndromic management flow charts are still the standard of care where laboratory diagnosis is not available or is hard to access. The objectives of these guidelines are to provide updated, evidence-informed clinical and practical recommendations on the case management of people with symptoms of STIs; and to support countries in updating their national guidelines for the case management of people with symptoms of STIs. These guidelines include the management of symptomatic infections related to urethral discharge syndrome, including persistent urethral discharge syndrome; vaginal discharge syndrome, including persistent vaginal discharge; anorectal infection; genital ulcer disease syndrome; and lower abdominal pain syndrome. These guidelines are intended for programme managers for STI prevention and control at the national level and the health-care providers at the frontline – primary, secondary and tertiary health care.

Bronze Medal Winner of a 2009 National Health Information Award Stop your pelvic pain . . . naturally! If you suffer from an agonizing and emotionally stressful pelvic floor disorder, including pelvic pain, irritable bowel syndrome, endometriosis, prostatitis, incontinence, or discomfort during sex, urination, or bowel movements, it's time to alleviate your symptoms and start healing--without drugs or surgery. Natural cures, in the form of exercise, nutrition, massage, and self-care therapy, focus on the underlying cause of your pain, heal your condition, and stop your pain forever. The life-changing plan in this book gets to the root of your disorder with: A stretching, muscle-strengthening, and massage program you can do at home Guidelines on foods that will ease your discomfort Suggestions for stress- and pain-reducing home spa treatments Exercises for building core strength and enhancing sexual pleasure

The number of studies on chronic and recurrent pain bears no relation to the frequency of these complaints in gynecologic practice, nor to the clinical and scientific problems that still need solving in this area. Several factors stand in the way of progress in this field, such as the strongly subjective nature of the complaints, the frequent lack of correlation between them and objective findings, and the complexity of the psychosomatic interac tions involved. Although progress in our knowledge has been much slower than we would have wished, and although we are well aware of these many gaps, it was considered useful to gather in a book what we think we have learned during 3 decades of active interest in pain patients and pain problems in gynecologic practice and 12 years of supervision of a pain clinic in the Department of Obstetrics and Gynecology of Leuven University. As there are many differences between acute pain - clinical as well as experi mental - on the one hand and chronic pain symptoms on the other, it was felt preferable to limit the scope of this book essentially to chronic and recurrent pain in gynecologic practice. When presented with a complaint of lower abdominal and/or low back pain, the gynecologist should constantly be on the lookout for nongynecologic causes, of which the most frequent will be either gastroenterologic or orthopedic and sometimes urologic. I have been fortunate in obtaining the collaboration of Dr.

Fungal infections in the female play an increasingly large role in everyday gynecological practice. This is the first book to deal comprehensively with vulvovaginal candidosis. Following an introduction outlining the incidence of yeasts in man, genital colonization in the female sex, yeast in pregnancy and neonatal mycoses, there is a description of the modes of infection and the known host reactions, as well as of the symptoms for diagnosis and therapy. Some 150 color illustrations depict all known facultative pathogenetic candida species and other potentially pathogenetic yeasts in pure culture and under the microscope. Clinical examples help explain the diagnosis and differential diagnosis. The volume provides the physician with handy, concise and practice-oriented guidelines to correct diagnosis and effective treatment of yeasts in the female patient.

Hiroshima is the story of six people—a clerk, a widowed seamstress, a physician, a Methodist minister, a young surgeon, and a German Catholic priest—who lived through the greatest single manmade disaster in history. In vivid and indelible prose, Pulitzer Prize–winner John Hersey traces the stories of these half-dozen individuals from 8:15 a.m. on August 6, 1945, when Hiroshima was destroyed by the first atomic bomb ever dropped on a city, through the hours and days that followed. Almost four decades after the original publication of this celebrated book, Hersey went back to Hiroshima in search of the people whose stories he had told, and his account of what he discovered is now the eloquent and moving final chapter of Hiroshima.