Presentation
The Lamont classification continues to be used to the present and allows for a common language among researchers and therapists. [fertilitypedia.org]
METHODS: A retrospective study of patients presenting with severe refractory vaginismus treated in Jeddah, Saudi Arabia. [ncbi.nlm.nih.gov]
The results of the present study also emphasize the importance of using a bio-psychosocial approach when investigating sexual pain disorders. In the present study, biological domain cannot always be emerged as a strong predictor. [reproductive-health-journal.biomedcentral.com]
The present article reports on a cognitive behavioural model for the assessment and treatment of patients with vaginismus. [doi.org]
The pain is not present at any other times aside from attempts at penetration. The patient is distressed that she will never be able to have sex, even though she wishes to do so. [step2.medbullets.com]
Entire Body System
- Pain
This may feel like a tightening, cramp, pressure or pain. [intimaterose.com]
It can cause severe physical and psychological pain. Copyright © Nucleus Medical Media, Inc. Causes Vaginismus is usually a response to past sexual trauma or other painful events. The fear of pain can start a painful muscle spasm. [wnyurology.com]
- Burning Pain
In 17 of 22 cases, burning pain preceded the appearance of itch and in four cases the two complaints coincided. The median time from the moment when burning pain started until itch appeared was 150 seconds. [ncbi.nlm.nih.gov]
Vaginismus is a sexual condition where there is involuntary tightness of the vagina during attempted intercourse, which can cause discomfort, burning, pain, penetration problems, or complete inability to have intercourse. [radiomd.com]
Some women may experience burning, pain, or stinging during intercourse, while for others, penetration may be completely impossible, as if there is a “wall” closing off any sort of entry [2]. [prudential.co.th]
- Weakness
Being herbal Sexual weakness treatment is absolutely safe and being herbal our Sexual weakness treatment is highly effective and result oriented. 20 ml for International Buyers. No. [benmoonpharma.com]
She is now emaciated, weak, debilitated, and wholly unable to attend to her household duties. Her former medical attendants diagnosed bi-lateral laceration of the cervix, and said nothing but a surgical operation would give permanent relief. [homeoint.org]
Another misconception is that a weak pelvic floor is the cause. [abc.net.au]
BOTULINUM NEUROTOXIN A (BOTOX) Produced by: Clostridium botulinum, Mechanism: Prevention of acetylcholine release: prevents neuromuscular transmission: muscle weakness Temporary muscle paralysis Onset: 3-7 d after injection Duration: 3-4 months. [slideshare.net]
- Disability
Please enable JS and disable any ad blocker [psychiatrictimes.com]
Click here to pitch a blog post to Rooted in Rights. sb. smith is a queer Disabled writer, editor, artist, and cat lover living in Vancouver, B.C. [rootedinrights.org]
For that reason, I prefer the term "sexually disabled." Getting society's toxic narrative out of your head about what your vagina is supposed to do can be super helpful in moving towards a more body pos attitude about your condition. [bustle.com]
Carer's Allowance Call 0800 587 0912 Email [email protected] Discretionary support / Short-term benefit advance Call 0800 587 2750 Email [email protected] Disability Living Allowance Call 0800 587 0912 [nidirect.gov.uk]
- Candidiasis
[…] sexual intercourse: provoked Vulvodynia (persistent vulval pain) (vestibulodynia) oversensitive nerves at the opening of the vagina previous surgery to the genital area such as an episiotomy during childbirth an infection of the genital area such as candidiasis [zana.com]
"Clinical Practice Guideline for the Management of Candidiasis: 2016 Update by the Infectious Diseases Society of America". Clinical Infectious Diseases. 62 (4): e1–50. doi:10.1093/cid/civ933. PMC 4725385. [en.wikipedia.org]
Eyes
- Prolapse
I found almost complete prolapse of the vagina, on the posterior surface of which, about an inch from the ostium vaginæ there was a tumor as described, on either side of which was a fissure, which with the tumor were exceedingly sensitive to touch. [homeoint.org]
Surgical operations: After operations such as, vaginal narrowing, vaginal hysterectomy (removing of the uterus from below), operations done in cases where the urine bladder prolapses (colporraphy) and the rectum (last section of the intestines) prolapses [vaginismus-center.com]
This work aims to assess success rate of outpatient (ambulatory) vaginal mesh surgery for genital prolapse. [read.qxmd.com]
The following are usually included in lists of possible organic causes of vaginismus: hymeneal abnormalities, congenital abnormalities, vaginal atrophy and adhesions, vaginal atrophy and adhesions due to vaginal surgery or intravaginal radiation, prolapsed [researchgate.net]
PERIOD DRAMA Menstrual cup misuse can cause pelvic organ prolapse - how to use one properly LOVE HURTS Sex was so painful it felt like burning & left me a virgin newlywed for 12 years RECORD RATES Abortion rates hit record high with almost one in four [thesun.co.uk]
Skin
- Urticaria
निम्बादी चूर्ण के चिकित्सीय उपयोग गठिया Amavata (Rheumatism) चर्मदल Carmadala (Exfoliative dermatosis) दाद Dadru (Taeniasis) गुल्म Gulma (Abdominal lump) पीलिया Kamala (Jaundice) खुजली Kandu (Itching) कितिभ Kitibha (Depigmentation) शीत पित्त Kotha (Urticaria [ayurvedasyt.com]
Musculoskeletal
- Back Pain
Symptoms of acute prostatitis include the following: Fever Chills Low back pain Abdominal pain (above the pubic bone) Perineal pain (pelvic floor) Pain and burning with urination (dysuria) Urinary retention (inability to completely empty bladder) Pain [studfile.net]
Some of the more common causes of vaginismus (tight pelvic floor muscles) include anxiety, stress, traumatic events, an abuse history, back pain, abnormal holding patterns with urine or breath, traumatic childbirth experience, injury to the hips, SI joints [pelvichealing.com]
— expresses stress as low back pain, sciatica, etc. [womentc.com]
Psychogenic pain, also called psychalgia, [1] is physical pain that is caused, increased, or prolonged by mental, emotional, or behavioral factors. [2] [3] [4] Headache, back pain, or stomach pain are some of the most common types of psychogenic pain. [ipfs.io]
“The rule of thumb is, if an adult comes in, you take a history — do you have back pain, you look at their joints, their hands, do you have any arthritis?” says Dr. Werner. [creakyjoints.org]
Psychiatrical
- Suggestibility
INTRODUCTION: Previous research suggests that anxiety may play a large role in the symptoms of vaginismus. [ncbi.nlm.nih.gov]
Other muscles such as the levator ani, bulbocavernosus, circumvaginal, and perivaginal muscles have also been suggested. A woman with vaginismus does not consciously control the spasm. [fertilitypedia.org]
Findings suggest that the spasm-based definition and resulting diagnostic reliability of vaginismus are not adequate. [worldcat.org]
- Loss of Libido
Being herbal Loss of libido treatment is absolutely safe and being herbal our Loss of libido treatment is highly effective and result oriented. [benmoonpharma.com]
Neurologic
- Clumsiness
Fear of intimacy or of losing control, poor self-esteem, sexual ignorance and misinformation, clumsy male partners, intrusive gynecological examinations, and physical or sexual abuse during childhood or adulthood may all be contributory factors. [health.am]
For example, an unpleasant experience at a young age, such as a clumsy, painful sexual encounter or gynaecological examination, can make the body respond in a protective way to preventfurther pain. [zana.com]
While many of us can probably relate to the awkwardness and clumsiness of a first sexual encounter, Isley's reaction was the result of a little talked about condition. [bbc.com]
- Stupor
[…] psychogenic myopia" in Chinese "psychogenic constipation" in Chinese "psychogenic amenorrhea" in Chinese "psychogenic aspermia" in Chinese Neighbors "psychogenic sleep rhythm inversion" in Chinese "psychogenic somatic syndrome" in Chinese "psychogenic stupor [eng.ichacha.net]
Urogenital
- Pelvic Pain
Pain or discomfort with the use of a tampon or during pelvic exams is common. [intimaterose.com]
Vaginismus is a condition involving a muscle spasm in the pelvic floor muscles. The term vaginismus is less commonly used alone. Instead, the DSM-5 classifies the condition under genito-pelvic pain/penetration disorder (GPPPD). [medicalnewstoday.com]
Genito-Pelvic Pain/Penetration Disorder (Vaginismus) is a topic covered in the 5-Minute Clinical Consult. [unboundmedicine.com]
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 [ncbi.nlm.nih.gov]
pain during intercourse or attempted intercourse; marked fear or anxiety about the experience of vaginal or pelvic pain as related to vaginal penetration; marked tensing of the pelvic floor muscles during attempted vaginal penetration. [psychiatrictimes.com]
- Vaginal Dryness
Some cases of vaginismus may be due to physical causes such as an injury, inflammation or vaginal dryness. Vaginismus may also be related to difficult or painful sexual intercourse (known as dyspareunia). [sandyford.org]
Using an unscented, unflavored lubricant during sex can reduce vaginal dryness, which causes pain during intercourse. [msdmanuals.com]
One patient in this large cohort developed excessive vaginal dryness, likely due to block of the parasympathetic nerves which govern "letdown". Several patients have become pregnant and delivered normal children by vaginal childbirth. [clinicaltrials.gov]
If this hasn’t helped then talk to your GP about vaginal dryness (officially “Genitourinary symptoms of the menopause” or “GSM”, what we used to call Atrophic Vaginitis) and get them to give you some vaginal lubricant specifically designed to help hydrate [jillybond.com]
- Vulvar Pain
But this may make the pain worse. Vulvar vestibulitis syndrome is pain in the vestibule. This is the entrance to the vagina. Often a burning sensation, this type of vulvar pain comes on only after touch or pressure, such as during intercourse. [forthealthcare.com]
By age 40, 7.8% of women reported vulvar pain. Diagnostic and Statistical Manual of Mental Disorders, fifth edition, has combined vaginismus and dyspareunia into the same diagnostic label. [journals.lww.com]
[…] strong convergence in their brain responses towards sexual penetration- and disgust-related pictures compared to sexually asymptomatic women (n = 21) and women suffering from vulvar pain (dyspareunia/also classified as GPPPD in the DSM-5, n = 21). [ncbi.nlm.nih.gov]
Some women have had pain since their first penetration (primary vulvar vestibulitis) while some have had it after a period of time with pain-free penetration (secondary vulvar vestibulitis). [en.wikipedia.org]
Some women could have partial penetration, while others with time and relaxation could achieve penetration but experienced excruciating vulvar pain. [psychiatrictimes.com]
- Dysmenorrhea
N94.5 Secondary dysmenorrhea N94.6 Dysmenorrhea, unspecified N94.8 Other specified conditions associated with female genital organs and menstrual cycle N94.89 Other specified conditions associated with female genital organs and menstrual cycle Reimbursement [icd10data.com]
N94.5 Secondary dysmenorrhea N94.6 Dysmenorrhea, unspecified N94.8 Other specified conditions associated with female genital organs and menstrual cycle N94.89 Other specified conditions associated with female genital organs and menstrual cycle Major [codelay.com]
Mappings (GEMS): ICD-10-CM Code: F52.5 - Vaginismus not due to a substance or known physiological condition ICD-9-CM Siblings (same level / similar specificity) of 306.51: 306.50 - Psychogenic genitourinary malfunction, unspecified 306.52 - Psychogenic dysmenorrhea [emedcodes.com]
306.2 Cardiovascular malfunction arising from mental factors 306.3 Skin disorder arising from mental factors 306.4 Gastrointestinal malfunction arising from mental factors 306.50 Psychogenic genitourinary malfunction, unspecified 306.52 Psychogenic dysmenorrhea [healthprovidersdata.com]
- Urinary Urgency
Urinary symptoms that can occur at menopause include a compelling need to urinate (urinary urgency) and frequent urinary tract infections. [msdmanuals.com]
Interstitial cystitis patients also struggle with urinary frequency and/or urinary urgency. [en.wikipedia.org]
Workup
“Every adult is entitled to one episode of uveitis before you do a workup,” he adds. [creakyjoints.org]
Treatment
Treatment Treatment usually combines counseling, education, and muscle exercises. Treatment options include: Kegel exercises Kegel exercises cause the repeated contraction and relaxation of the pelvic muscles. [wnyurology.com]
In the treatment of vaginismus, male sexual dysfunction should not be ignored. Spouses should be questioned for sexual dysfunction and included in the treatment process[6]. [patient.info]
Treatment Treatment usually combines counseling, education, and muscle exercises. Treatment options include: Kegel Exercises Kegel exercises cause the repeated contraction and relaxation of the pelvic muscles. [sh-ok.com]
There are several highly effective and largely non-invasive treatment options to help. [intimaterose.com]
Prognosis
Prevention, and Complications Prognosis vaginal dilators are typically very successful Please rate topic. [step2.medbullets.com]
Outlook / Prognosis What is the prognosis (outlook) for people with vaginismus? Many people with vaginismus no longer experience the problem after treatment. But successful treatment takes time, so you’ll need to be patient. [my.clevelandclinic.org]
Topics may include: Sexual anatomy Sexual response cycle Common myths about sex Outlook (Prognosis) Women who are treated by a sex therapy specialist can very often overcome this problem. Images References Cowley DS, Lentz GM. [ufhealth.org]
Etiology
As a result, there has been a lack of research interest with very few well-controlled diagnostic, etiological or treatment outcome studies. [ncbi.nlm.nih.gov]
Alexithymia and fear were found to be important etiological factors in vaginismus. [journals.lww.com]
A wide range of organic and psychogenic factors has been implicated in the etiology of primary and secondary vaginismus. [researchgate.net]
Reissing ED, Binik YM, Khalifé S, Cohen D, Amsel R (2003) Etiological correlates of vaginismus: sexual and physical abuse, sexual knowledge, sexual self-schema, and relationship adjustment. [doi.org]
Epidemiology
DMCA Epidemiology/Risk Factors of Sexual Dysfunction by Ronald W. Lewis, A Kersten S. Fugl-meyer, B R. Bosch, C Axel R. Fugl-meyer, Edward O. Laumann, D E. Lizza, Antonio Martin-morales, Edited T. F. Lue, R. Basson, R. Rosen, F. Giuliano, S. [citeseerx.ist.psu.edu]
Author information 1 Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. 2 Departments of Epidemiology and Biostatistics, School of Public Health, Isfahan University of Medical Sciences, Isfahan [ncbi.nlm.nih.gov]
Pathophysiology
Etiology and Pathophysiology Most often multifactorial in both primary and secondary vaginismus Primary Psychological and psychosocial issues Negative messages about sex and sexual relations in upbringing may cause phobic reaction. [unboundmedicine.com]
In the note accompanying that definition, the following can be found about pain that happens for psychological reasons: [5] Many people report pain in the absence of tissue damage or any likely pathophysiological cause; usually this happens for psychological [ipfs.io]
Generally, if the sleep disorder is one of the major complaints and is perceived as a condition in itself, the present code should be used along with other pertinent diagnoses describing the psychopathology and pathophysiology involved in a given case [apps.who.int]
"The Role of Stem Cells in the Etiology and Pathophysiology of Endometriosis". Seminars in Reproductive Medicine. 33 (5): 333–40. doi : 10.1055/s-0035-1564609. PMC 4986990. [en.wikipedia.org]
[…] maintenance and exacerbation of vaginismus (in lifelong vaginismus (LLV)).[17] Common psychological symptoms seen are depression, anxiety, low self-esteem, insecure attachment styles, histrionic/hysterical traits and an inability to describe own emotions.[15] Pathophysiology [physio-pedia.com]
Prevention
This can cause sexual intercourse to become painful or prevent it all together. [study.com]
Prevention There is no known way to successfully prevent vaginismus; however, maintaining open marital communication may help to prevent the disorder, or to encourage seeking help if it does arise. Resources BOOKS American Psychiatric Association. [minddisorders.com]
For other women, anxiety about penetration prevents them from getting aroused at all. [vuvatech.com]
Grade 4: during the examination, the patient lifts her hips, pulls herself back, closes her legs, and thus prevents the examination. [patient.info]