Treatment of a woman with seconder infertility and vaginismus

Demir Ö., Comba C.

MEDICAL SCIENCE, vol.23, no.96, pp.195-200, 2019 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 96
  • Publication Date: 2019
  • Journal Name: MEDICAL SCIENCE
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.195-200
  • Keywords: Vaginismus, treatment, infertility, BOTULINUM TOXIN, PREVALENCE, LIFELONG, WOMEN
  • Karadeniz Technical University Affiliated: No


Introduction: Vaginismus has traditionally referred to involuntary contraction of the muscles of the pelvic floor surrounding the vaginal orifice. Vaginismus is a disorder that is easy to diagnose but also has a psychiatric component that is difficult to assess and treat at the same time. We intend to write this article to show how the problem is recognized, approached, and treated in a county state hospital in the East of Turkey. Case Report: A patient with vaginismus who applied to our clinic with second child's wish was treated with different size of molds (dilators) for pelvic relaxation. The treatment efficacy was then tested with different validated tests. Results: After the patient's treatment has been completed and the sexual relationship has been established, the pre-treatment questionnaires were repeated, and significant improvements were observed in the questionnaire results. Conclusion: Vaginismus is a sexual dysfunction that is easy to diagnose but difficult to treat. The two most important factors that facilitate treatment are the understanding and patience demonstrated by the practitioner and the belief that those who experience this problem will be able to resolve this situation In our case, treatment has been successful and reflected in our surveys. If these conditions provided, vaginismus treatment can be performed with success, even in a region in eastern Turkey.