Vaginismus in Iran: A Single Center Report of 7 Years Experience

Abstract

Background:Vaginismus is a sexual disorder that can cause painful intercourse. Although several studies have shown a relationship between higher education and socio-economic level of women with vaginismus, the relationship between demographic characteristics and other variables remains unclear.Objectives:The present study was conducted to determine the demographic characteristics of women with vaginismus, coming to family health clinic, between 2007 and 2013.Patients and Methods:This study is a cross-sectional study that was conducted on 115 clinical records, from early 2007 until the end of 2013, that have received a diagnosis of vaginismus. In these clinical records, the data on female and male age, education and employment, duration of marriage, type of marriage (traditional, virtual, etc.), being a virgin, erectile dysfunction of husband, information of families, sexual satisfaction, marital satisfaction, residential, non-medical types of medical treatment and hymenectomy were derived.Results:The results showed that the average age of women was 29 ± 5 years and the average age of the spouses was 33 ± 6 years. Undergraduate education most prominent among women (52%) and spouses (42%). In terms of employment status, most women were housewives (54%) and the majority of male were employees (54%). The most frequent form of marriage was traditional (80%). The maximum elapsed time of marriage was between 1 - 3 years (43%). In most women, the first attempt for intercourse was from the second day of marriage to the end of the first week (73%). Hymenectomy was done by 9% of women. Totally, 45% of the men, the wives of whom were suffering from vaginismus, experienced erectile dysfunction. In 37% of couples, their sexual life was satisfactory. The most referred specialist for treatment was the urologist (17%). In 27% of women with vaginismus, numerous references to a variety of medical specialists and psychologists were also recorded. Of the total, 7% of couples experienced traditional and non-academic treatments.Conclusions:As vaginismus can affect the stability of marriage, it is necessary to assess sexual dysfunction from all directions, including demographic characteristics and variables that affect the incidence of vaginismus. Therefore, based on the data obtained, we can diagnose and properly treat sexual dysfunction, in time, and teach couples how to deal with it.

The treatment analysis of the patients suffering from vaginismus and the correlation with the psychological issues

“…21 It was seen that the educational level of the participants in our study was higher than the normal population, with 66.1% of the female patients and 58.7% of their spouses being university graduates or having a higher degree. Similarly high educational levels were reported in the studies of Akhavan-Taghavi et al and Tuğrul et al 7,22 Since these results represent only the patients that applied to our clinic, not the general population, it is not possible to state that vaginismus is a problem of women with a high level of education. However, it can be inferred that it is easier for women with higher education to seek treatment and access specialized clinics.…”

The role of religiosity in the etiology of vaginismus in the light of socio-cultural features: The case of Turkey

“…However, lack of sexual education courses in the Turkish education system 23 may eliminate the positive contribution of being educated. Although women with a high educational level are also seen to have vaginismus 24 in our study, knowledge level of the participants could not be exactly revealed, and this could not be compared with religiosity as a limitation. However similar religiosity and educational levels between both groups may be an important indicator showing that the effect of religious belief on vaginismus is less than it is thought.…”

The Importance of Sociocultural Factors for Understanding and Managing Genito-Pelvic Pain/Penetration Disorder

“…The consultation of traditional healers and the use of traditional medicine were outlined by Akhavan-Taghavi et al (2015). Gynecologists, urologists, and general practitioners (GPs) were the first health care specialists visited by the patients (Akhavan-Taghavi et al, 2015; Fageeh, 2011; Yasan et al, 2009; Zulfikaroglu, 2020). The referral to sexual health specialists was not done immediately but after many unsuccessful attempts of conventional and unconventional interventions (Bokaie et al, 2017).…”