Effects of predisposing factors on the success and treatment period in vaginismus

Abstract

Objective: There are many predisposing factors associated with vaginismus, but there is lack of data in the literature regarding which and how of these factors influence the success rate of treatment. Our aim is to investigate the effects of factors that are considered as predisposing factors for vaginismus on treatment prognosis and success rate, with cognitive-behavioral therapy and desensitization exercises after sexual therapy.Methods: Patients with vaginismus were divided into three groups. Group 1: patients who successfully completed vaginal penetration exercises after sexual therapy and experienced vaginal sexual intercourse; Group 2: patients who started penetration exercises but could not reach success; Group 3: patients who discontinued treatment before starting exercises. Demographic and sexual parameters were compared between the groups.Results: There were statistically significant differences between the groups in terms of history of vaginismus in relatives (4.3%, 23% and 35.7%, p=0.047, respectively), the unsuccessful therapy history (69%, 61% and 21.4%, p=0.014, respectively), and anal and/or oral sex ratios (47.8%, 7.7% and 57.1%, p=0.019, respectively). Mean number of sessions were significantly higher in patients saying, "It is my fault" than among those perceiving it as a common problem (10.6±2.9 ve 7.5±5.7, p=0.042, respectively), and in patients with sexual disorder in their male partners than those not having any problem (13.3±3.7 ve 8.2±3.7, p=0.013, respectively). Conclusion:Patients are more resistant to treatment if they have a history of vaginismus among relatives or when one of the couple say, it is his or her fault.

Examination of Treatment Duration, Treatment Success and Obstetric Results According to the Vaginismus Grades

“…In the study conducted by Angin et al they determined the long duration of marriage at the first application for treatment as a poor prognostic factor for success. 29 Supporting this result, in our study, only 28.6% of grade 1 patients had a marriage duration longer than 12 months, while 80% of grade 4 patients had a marriage duration longer than 12 months. According to these results, patients should make their treatment applications to valid centers without delay.…”

Comparative Study of 150 vs. 200 Units of Botulinum Toxin as Treatment for Vaginismus

“…According to the previous studies, the selfreported duration of vaginismus ranges from 3 months to 44 years. 3,[15][16][17] In our study, the mean duration of vaginismus was 19.3 months (range: < 1-96 months). The shorter duration of our study could result from religious and cultural norms where procreation is considered an important aspect; many women approached marriage at an earlier stage.…”

Abordagens Terapêuticas Em Pacientes Com Vaginismo: Uma Revisão De Literatura

“…Esse método é recomendado como terapia de primeira linha, de baixo risco e minimamente invasiva para prevenir e tratar a disfunção do assoalho pélvico. 25 Outra opção de tratamento mais recente é a injeção de botox, sendo seu uso descrito pela primeira vez em 1997 por Brin e Vepnek. Desde então a técnica tem sido modificada e adaptada.…”