VAGINISMUS: A CASE REPORT AND REVIEW OF LITERATURE

Nguyen Quang1, Nguyen Anh Tu2, Pham Minh Ngoc2
1 Viet Duc University Hospital
2 Andrology and Fertility Hospital of Hanoi

Main Article Content

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.

Article Details

References

[1] Pichot PL, DSM-III: the 3d edition of
the Diagnostic and Statistical Manual
of Mental Disorders from the American
Psychiatric Association. Rev Neurol
(Paris);142(5):489-99, 1986. French.
[2] Basson R, Leiblum S, Brotto L et al., Revised
definitions of women’s sexual dysfunction. J
Sex Med;1:40-48, 2004.
[3] Spector IP, Carey MP, Incidence and
prevalence of the sexual dysfunctions: a
critical review of the empirical literature.
Arch Sex Behav;19:389-408, 1990.
[4] Lahaie MA, Boyer SC, Amsel R et al.,
Vaginismus: a review of the literature on
the classification/diagnosis, etiology and
treatment. Womens Health (Lond);6:705-
719, 2010.
[5] Fugl-Meyer KS, Bohm-Starke N, Damsted
PC et al., Standard operating procedures for
female genital sexual pain. J Sex Med;10:83-
93, 2013.
[6] Pacik PT, Understanding and treating
vaginismus: a multimodal approach. Int
Urogynecol J;25:1613-1620, 2014.
[7] Rosenbaum T, An integrated mindfulnessbased approach to the treatment of women
with sexual pain and anxiety: promoting
autonomy and mind/body connection. Sex
Relatsh Ther;28, 2013.
[8] Ozdemir O, Simsek F, Ozkardes S et al., Incesu
C, Karakoc B. The unconsummated marriage:96
its frequency and clinical characteristics in a
sexual dysfunction clinic. Journal of sex &
marital therapy;34(3):268-79, 2008.
[9] Pacik PT, When sex seems impossible.
Stories of vaginismus & how you can
achieve intimacy. Manchester, NH: Odyne
Publishing, 2010.
[10] Rosen R, Brown C, Heiman J et al., Leiblum
S, Meston C, Shabsigh R, et al. The
Female Sexual Function Index (FSFI): a
multidimensional self-report instrument for
the assessment of female sexual function.
Journal of sex & marital therapy; 26(2):191-
208, 2000.
[11] Pacik PT, Vaginismus: review of current
concepts and treatment using Botox
injections, bupivacaine injections, and
progressive dilation with the patient under
anesthesia. Aesthetic Plast Surg;35:1160-
1164, 2011.
[12] Pacik PT, Geletta S, Vaginismus Treatment:
Clinical Trials Follow Up 241 Patients. Sex
Med. Jun;5(2):e114-e123, 2017.
[13] Bokaie M, Bostani KZ, Couple Therapy and
Vaginismus: A single case approach. Journal
of Sex & Marital Therapy, 2019.