Post-Coital Burning Pain and Pain at Micturition: Early Symptoms of Partial Vaginismus With or Without Vulvar Vestibulitis?

Engman, Maria; Wijma, Klaas; Wijma, Barbro

doi:10.1080/00926230802156210

Cited by 9 publications

(7 citation statements)

References 32 publications

(36 reference statements)

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“…The majority of women diagnosed with vaginismus also experience vulvar pain upon gynecological examination (e.g., Basson, 1996;de Kruiff, ter Kuile, Weijenborg, & van Lankveld, 2000;Engman et al, 2007Engman et al, , 2008Kaneko, 2001;Reissing et al, 2004). This vulvar pain is typically diagnosed as VVS.…”

Section: Painmentioning

confidence: 97%

The DSM Diagnostic Criteria for Vaginismus

Binik

2009

Arch Sex Behav

123

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Vaginal spasm has been considered the defining diagnostic characteristic of vaginismus for approximately 150 years. This remarkable consensus, based primarily on expert clinical opinion, is preserved in the DSM-IV-TR. The available empirical research, however, does not support this definition nor does it support the validity of the DSM-IV-TR distinction between vaginismus and dyspareunia. The small body of research concerning other possible ways or methods of diagnosing vaginismus is critically reviewed. Based on this review, it is proposed that the diagnoses of vaginismus and dyspareunia be collapsed into a single diagnostic entity called "genito-pelvic pain/penetration disorder." This diagnostic category is defined according to the following five dimensions: percentage success of vaginal penetration; pain with vaginal penetration; fear of vaginal penetration or of genito-pelvic pain during vaginal penetration; pelvic floor muscle dysfunction; medical co-morbidity.

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Section: Painmentioning

confidence: 97%

The DSM Diagnostic Criteria for Vaginismus

Binik

2009

Arch Sex Behav

123

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“…The differential diagnostic problems with the entities vaginismus, vulvar vestibulitis, and dyspareunia have been the focus of several reports (Basson et al, 2003;Engman, 2007;Engman et al, 2007;Engman et al, 2008;Payne et al, 2005;Reissing et al, 1999;Reissing, Binik, Khalife, Cohen, & Amsel, 2004), and there is at least an agreement that consensus about the nomenclature remains to be reached.…”

Section: Diagnostic Criteria For Vaginismus and Vulvar Vestibulitismentioning

confidence: 96%

“…We, therefore, suggest the terms "total" and "partial," which describe the degree of the reflex contraction (intensity) and which correspond to different characteristics in the patient's history as well as with the DSM-IV-TR criteria. The patient with total vaginismus refrains from coitus, whereas the patient with partial vaginismus has intercourse but suffers from burning pain during and/or after intercourse (Engman, Wijma, & Wijma, 2008). We find clinically that patients can often easily be referred to one or the other of these two diagnostic groups (i.e., total, partial) based on history.…”

mentioning

confidence: 98%

“…Women with vulvar vestibulitis have symptoms of severe pain on vestibular touch or attempted vaginal entry, tenderness to pressure localized within the vulvar vestibule, and localized erythema in the same area (Friedrich, 1987). The intercourserelated pain described by this group is clinically very difficult, or impossible, to distinguish from the pain described by women with partial vaginismus (Engman et al, 2008).…”

mentioning

confidence: 99%

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Long-Term Coital Behaviour in Women Treated with Cognitive Behaviour Therapy for Superficial Coital Pain and Vaginismus

Engman

Wijma

2010

Cognitive Behaviour Therapy

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The purpose of the present study was to investigate long-term coital behaviour in women treated with cognitive behaviour therapy (CBT) for superficial coital pain and vaginismus. Data were taken from a questionnaire concerning long-term coital behaviour sent to 59 women who presented to Linköping University Hospital because of superficial coital pain, had been diagnosed with vaginismus, and had been treated with CBT. Data were also traced from therapy records: mean follow-up time was 39 months, the women had suffered for an average of almost 4 years, and required a mean of 14 treatment sessions. Forty-four of the 59 women returned the questionnaire, for a response rate of 74.6%. At follow-up, 81% of the treated women had had intercourse. A majority (61%) rated their ability to have intercourse without pain as 6 or higher (on a scale from 0-10), and 61% rated their ability to enjoy intercourse as 6 or higher (on a scale from 0-10). The proportion of women with positive treatment outcome at follow-up ranged from 81% (able to have intercourse) to 6% (able to have pain-free intercourse). An ability to have intercourse at end of therapy was maintained at follow-up. Two-thirds of the women reported high fulfillment of individual treatment goals. At follow-up, the women estimated a significantly higher self-worth as sex partners, and as women and human beings, than before treatment. Twelve per cent of the original sample had healed after a few assessment sessions and without treatment.

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“…Due to different types of pain during VIC, as well as different definitions and study populations, prevalence studies provide diverse estimates in young and adult women. Recently, studies have also paid attention not only to pain during VIC, but also to physical discomfort and other sensations associated with VIC, such as itching and burning pain, which have been suggested as symptoms of partial vaginismus [1,2]. (Henceforth in this article we use the term 'pain', as equivalent to pain and/or discomfort).…”

Section: Introductionmentioning

confidence: 99%

Prioritizing the partner’s enjoyment: a population-based study on young Swedish women with experience of pain during vaginal intercourse

Elmerstig

Wijma

Swahnberg

2013

Journal of Psychosomatic Obstetrics & Gynecology

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The present study examines the prevalence of women who continue to have vaginal intercourse (VIC) despite pain, avoid telling the partner, and feign enjoyment. It also considers the reasons for this behavior. A sample of 1566 female senior high school students (aged 18-22 years) completed a questionnaire concerning their experiences and attitudes toward their body and sexuality. Forty-seven percent (270/576) of those women who reported pain during VIC continued to have VIC despite the pain. The most common reasons were that they did not want to spoil sex for or hurt the partner by interrupting VIC. Feigning enjoyment and not telling the partner about their pain were reported by 22% and 33% respectively. Continuing to have VIC despite pain was associated with feelings of being inferior to the partner during sex, dissatisfaction with their own sex lives, and feigning enjoyment while having pain. Pain during VIC is reported by every third young Swedish woman, and almost half of those still continue to have VIC. The major reason given is noteworthy ---prioritizing the partner's enjoyment before their own ---and indicates that young women who continue to have VIC despite pain take a subordinate position in sexual interactions. ___________________________________________________________________________

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Post-Coital Burning Pain and Pain at Micturition: Early Symptoms of Partial Vaginismus With or Without Vulvar Vestibulitis?

Cited by 9 publications

References 32 publications

The DSM Diagnostic Criteria for Vaginismus

The DSM Diagnostic Criteria for Vaginismus

Long-Term Coital Behaviour in Women Treated with Cognitive Behaviour Therapy for Superficial Coital Pain and Vaginismus

Prioritizing the partner’s enjoyment: a population-based study on young Swedish women with experience of pain during vaginal intercourse

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