Etiology, Consequences and Treatments of Vginismus: A Psychological Perspective Systematic Review
Subject Areas :
shiva
zare
1
(M.A in in psychology. Department of psychology. Fatemiyeh shiraz, Institute of Higher Education. Shiraz. انشناسی. موسسه آموزش عالی فاطمیه(س) شیراز)
soode
dashtiane
2
(Department of Psychology. Fatemiyeh Shiraz Institute of H2. PhD student in Psychology, Department of Psychology, Marodasht Branch, Islamic Azad University, Marodasht, Iran.igher Education)
Zahra
Shomali
3
(Fellowship of Infertility. Department of Obstetrics and Gynecology. Samar Fertility Center. Shiraz. Iran. )
Keywords: Disorder, Vaginismus, genital pain/ penetration disorder, Women,
Abstract :
Vaginismus is one of the most common sexual disorders among women and has a significant impact on women and couples. The present review article was aimed at investigating the etiology, consequences, and treatments of Vaginismus from a psychological perspective. The current study was a systematic review. Relevant keywords such as vaginismus psychology, vaginismus disorder, genital pain/ penetration disorder, etc. have been searched and extracted in Springer, Science Direct, PubMed, SID, Magiran, Noormags, and Civilica database from 1940 to 2021. By reviewing the related articles, it was conducted that genital pain/ penetration disorder is the most common disorder among women. This disorder has an important impact on the quality of sexual intercourse as well as couples’ mental health. It can be concluded that changing the way of thinking, parenting and cultural building is very important. Furthermore, proper education about sex and preparing the educational content and related tools for adolescence boys and girls can be functional.
1. کجباف، م، ¬ب. (1387). روانشناسی رفتار جنسی. انتشارات روان
2. رستمی، ر. رامش، ر. همت¬بلند، ا. اثربخشی ترکیب درمان شناختی رفتاري و بیوفیدبک در درمان مبتلایان به واژینیسموس: یک مطالعه پایلوت. مجله سلامت جامعه. دوره دهم. شماره ۱. بهار ۱۳۹۵.
3. Abbott, J. A., Jarvis, S. K., Lyons, S. D., Thomson, A., & Vancaille, T. G. (2006). Botulinum toxin type A for chronic pain and pelvic floor spasm in women: a randomized controlled trial. Obstetrics & Gynecology, 108(4), 915-923.
4. Achour, R., Koch, M., Zgueb, Y., Ouali, U., & Hmid, R. B. (2019). Vaginismus and pregnancy: epidemiological profile and management difficulties. Psychology research and behavior management, 12, 137.
5. Addar, M. H. (2004). The unconsummated marriage: causes and management. Clinical and experimental obstetrics & gynecology, 31(4), 279-281.
6. Akhavan-Taghavi, M. H., Asghari-Moghaddam, M. A., Froutan, S. K., & Jadid-Milani, M. (2015). Vaginismus in Iran: a single center report of 7 years experience. Nephro-urology monthly, 7(6).
7. Al-Sughayir, M. A. (2005). Vaginismus treatment. Hypnotherapy versus behavior therapy. Neurosciences Journal, 10(2), 163-167.
8. Anğın, A. D., Gün, İ., Sakin, Ö., Çıkman, M. S., Eserdağ, S., & Anğın, P. (2020). Effects of predisposing factors on the success and treatment period in vaginismus. JBRA assisted reproduction, 24(2), 180.
9. Araoz D .Hypnosis in human sexuality problems. Am J Clin Hypn 2005 Apr;47(4):229-42.
10. Badran, W., Moamen, N., Fahmy, I., El-Karaksy, A., Abdel-Nasser, T. M., & Ghanem, H. (2006). Etiological factors of unconsummated marriage. International Journal of impotence research, 18(5), 458-463.
11. Bertolasi, L., Frasson, E., Cappelletti, J. Y., Vicentini, S., Bordignon, M., & Graziottin, A. (2009). Botulinum neurotoxin type A injections for vaginismus secondary to vulvar vestibulitis syndrome. Obstetrics & Gynecology, 114(5), 1008-1016.
12. Binik YM. The DSM diagnostic criteria for vaginismus. Arch Sex Behav. 2010;39(2):278–291
13. Bokaie M, Khalesi ZB, Yasini-Ardekani SM. Diagnosis and treatment of unconsummated marriage in an Iranian couple. Afr Health Sci. 2017;17(3):632–636
14. Collier F, Cour F. En pratique, comment faire devant une femme exprimant une plainte sexuelle? [How to manage a woman with a sexual complaint in clinical practice?] Prog Urol. 2013;23:612–620.
15. Crowley, T., Goldmeier, D., & Hiller, J. (2009). Diagnosing and managing vaginismus. Bmj, 338.
16. Dawkins, S., & Taylor, R. (1961). Non-consummation of marriage: A survey of seventy cases. The Lancet, 278(7210), 1029-1033.
17. Duddle, M. (1977). Etiological factors in the unconsummated marriage. Journal of Psychosomatic Research, 21(2), 157-160.
18. Ellison, C. (1968). Psychosomatic factors in the unconsummated marriage. Journal of Psychosomatic Research, 12(1), 61-65.
19. Ellison, C. (1968). Psychosomatic factors in the unconsummated marriage. Journal of Psychosomatic Research, 12(1), 61-65.
20. Ellison, C. (1972). Vaginismus. Med Aspects Hum Sex, 6, 34-54.
21. El-Sibai, A. S. O. (2000). Vaginismus: results of treatment with botulin toxin. Journal of Obstetrics and Gynaecology, 20(3), 300-302.
22. Engman M, Wijma K, Wijma B. Long-term coital behaviour in women treated with cognitive behaviour therapy for superficial coital pain and vaginismus. Cognitive behaviour therapy 2010;39(3):193-202.
23. Engman, M., Wijma, K., & Wijma, B. (2010). Long-term coital behaviour in women treated with cognitive behaviour therapy for superficial coital pain and vaginismus. Cognitive behaviour therapy, 39(3), 193-202.
24. Fageeh, W. M. (2011). Different treatment modalities for refractory vaginismus in western Saudi Arabia. The journal of sexual medicine, 8(6), 1735-1739.
25. Farnam, F., Janghorbani, M., Merghati-Khoei, E., & Raisi, F. (2014). Vaginismus and its correlates in an Iranian clinical sample. International journal of impotence research, 26(6), 230-234.
26. Flanagan, E., Herron, K. A., O'Driscoll, C., & Williams, A. C. D. C. (2015). psychological treatment for vaginal pain: does etiology matter? A systematic review and meta‐analysis. The journal of sexual medicine, 12(1), 3-16.
27. Forero, M., Adhikary, S. D., Lopez, H., Tsui, C., & Chin, K. J. (2016). The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Regional Anesthesia & Pain Medicine, 41(5), 621-627
28. Frasson, E., Graziottin, A., Priori, A., Dall’Ora, E., Didonè, G., Garbin, E. L., ... & Bertolasi, L. (2009). Central nervous system abnormalities in vaginismus. Clinical neurophysiology, 120(1), 117-122.
29. Ghazizadeh, S., & Nikzad, M. (2004). Botulinum toxin in the treatment of refractory vaginismus. Obstetrics & gynecology, 104(5), 922-925.
30. Goldsmith T, Levy A, Sheiner E, Goldsmith T, Levy A, Sheiner E. Vaginismus as an independent risk factor for cesarean delivery. J Matern Fetal Neonatal Med. 2009;22(10):863–866.
31. Gupta, A., Kansal, S., & Gupta, N. (2020). “Common Sense” Approach to the Management of Vaginismus: A Case Series. Journal of Psychosexual Health, 2(2), 186-189.
32. Hallvorsen JG, Metz MF. Sexual dysfunction, part II: Diagnostic, management, and prognostic. Journal of American Board of Family Practice 1992; 5: 177-199.
33. Huber JD, Pukall CF, Boyer SC, Reissing ED, Chamberlain SM. “Just relax”: Physicians' experiences with women who are difficult or impossible to examine gynecologically. The journal of sexual medicine 2009;6(3):791-9.
34. Kabakçi, E., & Batur, S. (2003). Who benefits from cognitive behavioral therapy for vaginismus?. Journal of Sex &Marital Therapy, 29(4), 277-288.
35. Klein, V., Koops, T., Lange, C., & Briken, P. (2015). Sexual history of male partners of women with the diagnosis vaginismus. Sexual and Relationship Therapy, 30(3), 376-384.
36. Konkan, R., Bayrak, M., Gönüllü, O. G., & Sungur, M. Z. (2012). Sexual function and satisfaction of women with vaginismus. Dusunen Adam: Journal of Psychiatry & Neurological Sciences, 25(4).
37. Lahaie, M. A., Boyer, S. C., Amsel, R., Khalifé, S., & Binik, Y. M. (2010). Vaginismus: a review of the literature on the classification/diagnosis, etiology and treatment. Women’s Health, 6(5), 705-719.
38. Liang, H. S., Jeng, C. J., Yang, K. H., Chou, L. T., Chiang, H. S., Tzeng, C. R., & Yang, Y. C. (2003). Evaluation and management of primary vaginal penetration failure. Taiwanese Journal of Obstetrics & Gynecology, 42(3), 171-177.
39. Macey K, Gregory A, Nunns D, Das Nair R. Women’s experiences of using vaginal trainers (dilators) to treat vaginal penetration difficulties diagnosed as vaginismus: a qualitative interview study. BMC women's health 2015;15(1):1.
40. Malleson, J. (1942). Vaginismus: Its management and psychogenesis. British medical journal, 2(4259), 213.
41. Mehrabi F, Dadfar M, Ghime N. The effectiveness of cognitive-behavioral techniques in the treatment of erectile dysfunction/performance anxiety type. Iran J Psych Clin Psychol 2006; 12(1):9-15. (Persian).
42. Melzack, R. (2005). Evolution of the neuromatrix theory of pain. The Prithvi Raj Lecture: presented at the third World Congress of World Institute of Pain, Barcelona 2004. Pain practice, 5(2), 85-94.
43. Mhiri, M. N., Smaoui, W., Bouassida, M., Chabchoub, K., Masmoudi, J., Hadjslimen, M., ... & Bahloul, A. (2013). Unconsummated marriage in the Arab Islamic world: Tunisian experience. Sexologies, 22(3), e71-e76.
44. Mohammadi MM , Moosavifard Z, Beirami A, Zaree Sh, Shilan Azizi Sh. Investigating the Factors Associated with Vaginismus Disorder: Systematic Review. The Fourth Biology International Congress.
45. Möller L, Josefsson A, Bladh M, Lilliecreutz C, Sydsjö G. Reproduction and mode of delivery in women with vaginismus or localised provoked vestibulodynia: a Swedish register-based study. BJOG. 2015;122(3):329–334.
46. Mousavi Nasab, M., & Farnoosh, Z. (2015). Management of vaginismus with cognitive–behavioral therapy, self-finger approach: a study of 70 cases. Iranian Journal of Medical Sciences, 28(2), 69-71.
47. Muammar T, McWalter P, Alkhenizan A, Shoukri M, Gabr A, Bin AA. Management of vaginal penetration phobia in Arab women: a retrospective study. Ann Saudi Med. 2015;35(2):120–126.
48. Özdemir, Ö., Şimşek, F., Özkardeş, S., Incesu, C., & Karakoç, B. (2008). The unconsummated marriage: its frequency and clinical characteristics in a sexual dysfunction clinic. Journal of sex & marital therapy, 34(3), 268-279.
49. Pacik, P. T. (2010). When sex seems impossible. Stories of vaginismus & how you can achieve intimacy. Manchester, NH: Odyne Publishing.
50. Pacik, P. T. (2011). Vaginismus: review of current concepts and treatment using botox injections, bupivacaine injections, and progressive dilation with the patient under anesthesia. Aesthetic plastic surgery, 35(6), 1160-1164.
51. Pacik, P. T. (2014). Understanding and treating vaginismus: a multimodal approach. International urogynecology journal, 25(12), 1613-1620.
52. Pacik, P. T., & Cole, J. B. (2010). When sex seems impossible: stories of vaginismus & how you can achieve intimacy. Odyne Publishing.
53. Pacik, P. T., & Geletta, S. (2017). Vaginismus treatment: clinical trials follow up 241 patients. Sexual medicine, 5(2), e114-e123.
54. Praharaj, S. K., Verma, P., & Arora, M. (2006). Topical lignocaine for vaginismus: a case report. International journal of impotence research, 18(6), 568-569.
55. Ramli, M., Nora, M. Z., Roszaman, R., & Hatta, S. (2012). Vaginismus and subfertility: case reports on the association observed in clinical practice. Malaysian family physician: the official journal of the Academy of Family Physicians of Malaysia, 7(1), 24.
56. Reissing, E. D. (2009). Vaginismus: Evaluation and management. Female sexual pain disorders: Evaluation and management, 229-234.
57. Reissing, E. D., Binik, Y. M., & Khalifé, S. (1999). Does vaginismus exist?: A critical review of the literature. The Journal of nervous and mental disease, 187(5), 261-274.
58. Reissing, E. D., Binik, Y. M., KHALIF, S., Cohen, D., & Amsel, R. (2003). Etiological correlates of vaginismus: Sexual and physical abuse, sexual knowledge, sexual self-schema, and relationship adjustment. Journal of Sex &Marital Therapy, 29(1), 47-59.
59. Reissing, E. D., Binik, Y. M., KHALIF, S., Cohen, D., & Amsel, R. (2003). Etiological correlates of vaginismus: Sexual and physical abuse, sexual knowledge, sexual self-schema, and relationship adjustment. Journal of Sex &Marital Therapy, 29(1), 47-59.
60. Reissing, E. D., Binik, Y. M., Khalifé, S., Cohen, D., & Amsel, R. (2004). Vaginal spasm, pain, and behavior: an empirical investigation of the diagnosis of vaginismus. Archives of sexual behavior, 33(1), 5-17.
61. Rosenbaum TY, Padoa A. Managing pregnancy and delivery in women with sexual pain disorders. J Sex Med. 2012;9(7):1726–1735.
62. Saadat, S. H. (2014). Vaginismus: A Review of literature and Recent Updated Treatments. International Journal of Medical Reviews, 1(3), 97-100.
63. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock’s comprehensive textbook of psychiatry. Philadelphia:Lippincott Williams & Wilkins;2009:353-7.
64. Şafakozturk, C., & Arkar, H. (2017). Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus. Turk Psikiyatri Dergisi, 28(3).
65. ŞAFAKÖZTÜRK, C., & Arkar, H. (2017). Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus. Turk Psikiyatri Dergisi, 28(3).
66. Safarinejad, M. R. (2006). Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. International journal of impotence research, 18(4), 382-395.
67. Schultz, W. W., Basson, R., Binik, Y., Eschenbach, D., Wesselmann, U., & Van Lankveld, J. (2005). Women's sexual pain and its management. The journal of sexual medicine, 2(3), 301-316.
68. Schwartz MS, Andrasik F, editors. Biofeedback: A practitioner's guide. Guilford Publications; 2015 Nov 3.
69. Seo JT, Choe JH, Lee WS, Kim KH (2005). Efficacy of functional electrical stimulation-biofeedback with sexual cognitive-behavioral therapy as treatment of vaginismus. Urology Journal 66, 77–81.
70. Shokrollahi, P., Mirmohamadi, M., Mehrabi, F., & Babaei, G. H. (1999). Prevalence of sexual dysfunction in women seeking services at family planning centers in Tehran. Journal of sex & marital therapy, 25(3), 211-215.
71. Shortle, B., & Jewelewicz, R. (1986). Psychogenic vaginismus. Medical Aspects of Human Sexuality.
72. Silverstein, J. L. (1989). Origins of psychogenic vaginismus. Psychotherapy and psychosomatics, 52(4), 197-204.
73. Simons JS, Carey MP. Prevalence of sexual dysfunctions: results from a decade of research. Arch Sex Behav. 2001;30(2):177–219
74. Van Lankveld, J. J., Granot, M., Schultz, W. C. W., Binik, Y. M., Wesselmann, U., Pukall, C. F., Bohm-Strake, N. and Achtrari, C. (2010). Women's sexual pain disorders. The journal of sexual medicine, 7(1), 615-631.
75. Van Lankveld, J. J., ter Kuile, M. M., de Groot, H. E., Melles, R., Nefs, J., & Zandbergen, M. (2006). Cognitive-behavioral therapy for women with lifelong vaginismus: A randomized waiting-list controlled trial of efficacy. Journal of consulting and clinical psychology, 74(1), 168.
76. Watts, G., & Nettle, D. (2010). The role of anxiety in vaginismus: a case-control study. The journal of sexual medicine, 7(1), 143-148.
77. Weinberger, J. M., Houman, J., Caron, A. T., & Anger, J. (2019). Female sexual dysfunction: a systematic review of outcomes across various treatment modalities. Sexual medicine reviews, 7(2), 223-250.
78. Yasan, A., & Gürgen, F. (2008). Marital satisfaction, sexual problems, and the possible difficulties on sex therapy in traditional Islamic culture. Journal of sex & marital therapy, 35(1), 68-75.
79. Yilmaz, E. P. T., Ahiskalioglu, E. O., Ahiskalioglu, A., Tulgar, S., Aydin, M. E., & Kumtepe, Y. (2020). A Novel Multimodal Treatment Method and Pilot Feasibility Study for Vaginismus: Initial Experience With the Combination of Sacral Erector Spinae Plane Block and Progressive Dilatation. Cureus, 12(10).
80. Zgueb, Y., Ouali, U., Achour, R., Jomli, R., & Nacef, F. (2019). Cultural aspects of vaginismus therapy: a case series of Arab-Muslim patients. The Cognitive Behaviour Therapist, 12(3): 1-10.
81. Zgueb, Y., Ouali, U., Achour, R., Jomli, R., & Nacef, F. (2019). Cultural aspects of vaginismus therapy: a case series of Arab-Muslim patients. The Cognitive Behaviour Therapist, 12.
82. Zukerman, Z., Roslik, Y., & Orvieto, R. (2005). Treatment of vaginismus with the Paula Garburg sphincter muscle exercises. Harefuah, 144(4), 246-8.