Vaginismus and subfertility: Case reports on the association observed in clinical practice

Objective: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before being referred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentations of Asian women with vaginismus. Vaginismus is c...

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Main Authors: Musa, Ramli, Ramli, Roszaman, Sidi, Hatta
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2012
Subjects:
Online Access:http://irep.iium.edu.my/27214/
http://irep.iium.edu.my/27214/1/29.Vaginismus-and-subfertility.pdf
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author Musa, Ramli
Ramli, Roszaman
Sidi, Hatta
author_facet Musa, Ramli
Ramli, Roszaman
Sidi, Hatta
author_sort Musa, Ramli
building IIUM Repository
collection Online Access
description Objective: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before being referred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentations of Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despite the woman’s wish for coitus. Avoidance, phobia,anticipatory fear of pain and involuntary pelvic muscle contraction are the most common symptoms. Method: We report a series of cases of Malaysian women who had been suffering from vaginismus and ‘infertility’. All the cases had never been attended to medically and there were long delays in seeking intervention. There was no history of traumatic sexual experience or any major psychiatric illness in these patients. Majority of the patients had prominent symptoms of anxiety. Conclusion: The cases illustrate that it is important to rule out the possibility of vaginismus among patients with infertility. The former have unique psychological features which require psychological interventions. Keywords: Case reports, vaginismus, infertility, psychological approach, Malaysian women.
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spelling iium-272142012-12-03T07:09:09Z http://irep.iium.edu.my/27214/ Vaginismus and subfertility: Case reports on the association observed in clinical practice Musa, Ramli Ramli, Roszaman Sidi, Hatta RZ400 Mental healing Objective: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before being referred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentations of Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despite the woman’s wish for coitus. Avoidance, phobia,anticipatory fear of pain and involuntary pelvic muscle contraction are the most common symptoms. Method: We report a series of cases of Malaysian women who had been suffering from vaginismus and ‘infertility’. All the cases had never been attended to medically and there were long delays in seeking intervention. There was no history of traumatic sexual experience or any major psychiatric illness in these patients. Majority of the patients had prominent symptoms of anxiety. Conclusion: The cases illustrate that it is important to rule out the possibility of vaginismus among patients with infertility. The former have unique psychological features which require psychological interventions. Keywords: Case reports, vaginismus, infertility, psychological approach, Malaysian women. Academy of Family Physicians of Malaysia 2012-01-04 Article PeerReviewed application/pdf en http://irep.iium.edu.my/27214/1/29.Vaginismus-and-subfertility.pdf Musa, Ramli and Ramli, Roszaman and Sidi, Hatta (2012) Vaginismus and subfertility: Case reports on the association observed in clinical practice. Malaysian Family Physician, 7 (1). pp. 24-27. ISSN 1985-2274 (O), 1985-207X (P) http://www.e-mfp.org/2012v7n1/vaginismus-and-subfertility.html
spellingShingle RZ400 Mental healing
Musa, Ramli
Ramli, Roszaman
Sidi, Hatta
Vaginismus and subfertility: Case reports on the association observed in clinical practice
title Vaginismus and subfertility: Case reports on the association observed in clinical practice
title_full Vaginismus and subfertility: Case reports on the association observed in clinical practice
title_fullStr Vaginismus and subfertility: Case reports on the association observed in clinical practice
title_full_unstemmed Vaginismus and subfertility: Case reports on the association observed in clinical practice
title_short Vaginismus and subfertility: Case reports on the association observed in clinical practice
title_sort vaginismus and subfertility: case reports on the association observed in clinical practice
topic RZ400 Mental healing
url http://irep.iium.edu.my/27214/
http://irep.iium.edu.my/27214/
http://irep.iium.edu.my/27214/1/29.Vaginismus-and-subfertility.pdf