Psychosexual aspects of vulvovaginal pain.

Vulvovaginal pain problems are major health concerns in women of childbearing age. Controlled studies have shown that vulvovaginal pain can adversely affect women and their partners’ general psychological well-being, relationship adjustment and overall quality of life. These women have significantly lower levels of sexual desire, arousal, and satisfaction, as well as a lower intercourse frequency than normal controls. They also report more anxiety and depression, in addition to more distress about their body image and genital self-image. Empirical studies indicate that specific psychological and relationship factors may increase vulvovaginal pain intensity and its psychosexual sequelae. Randomized clinical trials have shown that psychosexual interventions, namely cognitive-behavioral therapy (CBT), are efficacious in reducing vulvovaginal pain and improving associated psychosexual outcomes. Women reporting significant psychological, sexual and/or relationship distress should be referred for psychosexual treatment. A multimodal approach to care integrating psychosexual and medical management is thought to be optimal.

Studies on Some Aspects of the Physics of the Early Universe Using Gravitationally Coupled Scalar Field –

This thesis deals with some aspects of the Physics of the early universe, like phase transitions, bubble nucleations and premodial density perturbations which lead to the formation structures in the universe. Quantum aspects of the gravitational interaction play an essential role in retical high-energy physics. The questions of the quantum gravity are naturally connected with early universe and Grand Unification Theories. In spite of numerous efforts, the various problems of quantum gravity remain still unsolved. In this condition, the consideration of different quantum gravity models is an inevitable stage to study the quantum aspects of gravitational interaction. The important role of gravitationally coupled scalar field in the physics of the early universe is discussed in this thesis. The study shows that the scalar-gravitational coupling and the scalar curvature did play a crucial role in determining the nature of phase transitions that took place in the early universe. The key idea in studying the formation structure in the universe is that of gravitational instability.