Evaluation Of Characteristics And Clinical Outcomes Of Vaginismus Treatment During Pregnancy

Abstract

Objective: Vaginismus is a common female psychosexual dysfunction that can cause a significant deterioration in quality of life. The aim of this study was to evaluate the characteristics of vaginismus during pregnancy and treatment outcomes. Methods: A total of 17 pregnant women with a normal-risk pregnancy and vaginismus, and 34 vaginismus patients who were not pregnant (control group) and their partners were included in the study. All of the patients were treated with cognitive therapy and behavioral therapy. Treatment did not result in any pregnancy complications. Results: The control group required significantly more therapy sessions and a greater total number of treatment days than the pregnant vaginismus group. Twelve of the pregnant women with vaginismus had a cesarean section, and 5 had a vaginal delivery. Seven of the cesarean deliveries were elective, and 5 were due to medical indications. After treatment, 16 couples (94.1%) from the pregnant group reported that they had very comfortable, full penetrative sexual intercourse, while 1 couple said that they had achieved full penetration, but it was painful. Conclusion: This is believed to be the first study to examine vaginismus treatment during pregnancy. The findings indicated that vaginismus patients can undergo sexual therapy during pregnancy safely, and that results may be achieved sooner than with non-pregnant vaginismus patients with valuable benefits. Treatment can reduce the preference for a caesarean section, lessen anxiety related to gynecological exams and delivery. [ABSTRACT FROM AUTHOR]