Articles Vol. 63 No. chuyên đề 2-HN Y học Giới tính (2022) 18/11/2022

VAGINISMUS: A CASE REPORT AND REVIEW OF LITERATURE

Nguyen Quang1,2, Nguyen Anh Tu3,4, Pham Minh Ngoc3,4
1 Viet Duc University Hospital
2 Bệnh viện Việt Đức
3 Andrology and Fertility Hospital of Hanoi
4 Bệnh viện Nam học và hiếm muộn Hà Nội
Corresponding author: quangvietduc@gmail.com
DOI: 10.52163/yhc.v63i7.488
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Keywords
Vaginismus, female sexual dysfunciton.
Abstract

Background: Vaginismus is a female sexual disorder characterized by reflex contractions
of the muscle group going from the pubic bone to the coccyx, causing the muscles in the
pelvis to become tense suddenly, not allowing any movement. Due to its rarity and poorly
understood pathophysiology, the diagnosis and management of vaginismus is challenging.
Aim: To report the case of primary vaginismus.
Methods: A case with is vaginismus presented including subjective reporting, clinical
findings, diagnostics, and follow-up are presented. Female sexual function index (FSFI) was
recorded before and after treatment. The patient’s consent was explained and signed before
treatment.
Results:We present a case of a 33-year-old woman with a vaginismus treated by Sex education,
Psychotherapy and Sex therapy. The patient had penetrative sex after 5 treatment sessions.
The FSFI score increased from 4 point to 24,4 point after treatment. No complications were
recorded during treatment.
Conclusions: Sex education, Psychotherapy and Sex therapy seems as a safe and successful,
low-cost methods of treating primary vaginismus.

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