Abstract

Vaginismus is a condition, in which vaginal spasms occur preventing penetration during sexual intercourse. This single-center report aims to evaluate the demography of vaginismus and the efficacy of vaginismus therapy given by the women health clinic. This study was conducted to determine the demographic characteristics of vaginismus patients came to women health clinic between 2010 and 2019. The patients who participated in this prospective study had vaginismus according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders Fifth Revision. Face-to-face interviews were conducted with the patients, and gynecologic examinations were given to them before and after the treatment, as well as at the three-month follow-ups. Cognitive behavioral sex therapies and medical hypnotherapy were used in the process. A total of 150 (31.77%) patients were classified as first degree, 174 (36.86%) as second degree, 120 (25.42%) as third degree, and 28 (5.93%) as fourth degree. While 25 (5.29%) patients were diagnosed as secondary vaginismus, 447 (94.71%) of them were primary vaginismus. After the treatment and at the three-month follow-up, it was reported that 472 (100%) women had had successful sexual intercourse. Stratifying the severity of vaginismus has been found to be of value in helping to determine the best course of treatment. The combined approach included cognitive and behavioral therapy, dilation exercises, hypnotherapy (if necessary), and post-procedure counseling. Support also has proven safe and effective in the treatment of vaginismus.

摘要

阴道痉挛是一种在性交过程中发生阴道痉挛以防止插入的病症。这份单中心报告旨在评估阴道痉挛的人口统计学和妇女健康诊所提供的阴道痉挛治疗的疗效。本研究旨在确定 2010 年至 2019 年期间来妇女健康诊所就诊的阴道痉挛患者的人口学特征。参与本前瞻性研究的患者根据精神障碍诊断和统计手册第五版的标准患有阴道痉挛。对患者进行面对面访谈，并在治疗前后及三个月随访时对患者进行妇科检查。在此过程中使用了认知行为性疗法和医学催眠疗法。共有 150 个（31. 77%的患者为一级，174名（36.86%）为二级，120名（25.42%）为三级，28名（5.93%）为四级。继发性阴道痉挛25例（5.29%），原发性阴道痉挛447例（94.71%）。治疗后和三个月的随访中，据报道有 472 名 (100%) 女性性交成功。已发现对阴道痉挛的严重程度进行分层有助于确定最佳治疗方案。综合方法包括认知和行为疗法、扩张练习、催眠疗法（如有必要）和术后咨询。支持也被证明在治疗阴道痉挛方面安全有效。93%) 为四级。继发性阴道痉挛25例（5.29%），原发性阴道痉挛447例（94.71%）。治疗后和三个月的随访中，据报道有 472 名 (100%) 女性性交成功。已发现对阴道痉挛的严重程度进行分层有助于确定最佳治疗方案。综合方法包括认知和行为疗法、扩张练习、催眠疗法（如有必要）和术后咨询。支持也被证明在治疗阴道痉挛方面安全有效。93%) 为四级。继发性阴道痉挛25例（5.29%），原发性阴道痉挛447例（94.71%）。治疗后和三个月的随访中，据报道有 472 名 (100%) 女性性交成功。已发现对阴道痉挛的严重程度进行分层有助于确定最佳治疗方案。综合方法包括认知和行为疗法、扩张练习、催眠疗法（如有必要）和术后咨询。支持也被证明在治疗阴道痉挛方面安全有效。已发现对阴道痉挛的严重程度进行分层有助于确定最佳治疗方案。综合方法包括认知和行为疗法、扩张练习、催眠疗法（如有必要）和术后咨询。支持也被证明在治疗阴道痉挛方面安全有效。已发现对阴道痉挛的严重程度进行分层有助于确定最佳治疗方案。综合方法包括认知和行为疗法、扩张练习、催眠疗法（如有必要）和术后咨询。支持也被证明在治疗阴道痉挛方面安全有效。