Sexual function and satisfaction of women with vaginismus Objective: Vaginismus is one of the sexual dysfunctions that affects couples' sexual life. There is a common opinion that women with vaginismus have a satisfied sexual life even there is no vaginal entry. But contrary to this opinion, several studies reported that sexual function and satisfaction of women with vaginismus were impaired. In our study, our purpose was to evaluate sexual function and satisfaction in women with vaginismus and to compare the findings with that of healty women's. Method: Forty women with vaginismus who referred to Sexual Dysfunction Therapy Outpatient Unit and fifty healthy voluntary women who had no sexual complaint participated in the study. Questionnaire regarding demographic characteristics, Symptom Check List (SCL-90 R), Cloninger's Temperament and Character Inventory (TCI), Golombok-Rust Inventory of Sexual Satisfaction (GRISS) were evaluated. Results: It was found that women with vaginismus avoided sexual intercourse, were more emotional and needed approval more frequently. Also, vaginismus history was more frequent in their family and among close relatives. They found inadequate their and their partners' level of sexual knowledge. They had typical fears and they had problems in all other domains of sexual function as well as the vaginal entry. There were statistically significant differences in GRISS vaginismus, avoidance, satisfaction, frequency, lack of orgasm subscales and total GRISS score between vaginismus and control groups. Conclusions: Unlike general opinion, women with vaginismus have problems in many domains of sexual function. We think that it would be inadequate if vaginismus is considered only a problem of vaginal entry, that all domains of sexual function, avoidance and enviromental factors should be evaluated together.

702ğrı, var olan ya da doku hasarı ile ilişkili olarak tarif edilen hoş olmayan duyumsal ve duygusal bir deneyimdir. Üç ay ve daha uzun süren ağrılar süreğen ağrı olarak tanımlanır. A An na ah ht ta ar r K Ke el li im me el le er r: : Depresyon; boyun ağrısı; anksiyete; somatoform bozukluklar; yaşam kalitesi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In our study, we aimed to investigate the relationship between disability and the level of depression and anxiety, alexithymia and exaggeration of somatic sensation in patients, who presented with chronic neck pain. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : One hundred and seventy-eight patients, who presented to the neurosurgery clinic with chronic neck pain were included in the study. Subjects were evaluated by using socio-demographic data form, Visual Analog Scale (VAS), neck disability index (NDI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Somatosensory Amplification Scale (SAS), Toronto Alexithymia Scale (TAS), and Short Form -36 (SF-36). R Re es su ul lt ts s: : The study revealed a mild-moderate positive correlation between the severity of pain and the level of neck disability and a mild-moderate positive correlation between the level of depression and anxiety and the level of neck disability. A negative correlation was found between the quality of life and the level of neck disability, depression and anxiety. The level of pain, depression and anxiety were found to be the predictors of neck pain. In contrast to expectations, the lineer regression model revealed that alexithymia was not a positive predictor for patients with chronic neck pain. C Co on nc cl lu us si io on n: : Biopsychosocial modality should be considered in patients, who present with neck pain. We suggest that a comprehensive psychiatric examination, even with unstructured psychiatric scales is important for patients, presenting with neck pain.K Ke ey y W Wo or rd ds s: : Depression; neck pain; anxiety; somatoform disorders; quality of life

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