Affiliation:
1. Department of Psychiatry, Kars Harakani State Hospital
2. Department of Psychiatry, Oltu State Hospital, Erzurum
Abstract
Aim: Vaginismus is the most common reason for women to apply to psychiatry outpatient clinics due to sexual problems. It has been suggested that many psychological, social, and cultural factors may cause vaginismus; however, it has not been fully clarified. In this study, factors that may be associated with vaginismus were evaluated and compared with controls.
Methods: The case group was constituted of 28 females diagnosed with primary vaginismus, and the control group was constituted of 27 healthy individuals with no difficulty in vaginal penetration. All individuals participating in the study were evaluated with self-reported scales in terms of state-trait anxiety, social phobia, self-regard, childhood trauma, and sexual function. In addition, sociodemographic variables were collected for each participant.
Results: While the mean age was 25.04±2.62 in the vaginismus group, it was 26.48±2.83 in the control group. Compared to the control group, women with vaginismus were found to have significantly higher scores for age difference with their parents, state-trait anxiety, emotional neglect, physical neglect, emotional abuse, a total of childhood trauma scale, communication, satisfaction, touching, frequency, vaginismus, anorgasmia, and lower scores for self-esteem. In addition, a positive correlation was found between maternal education level, state and trait anxiety, childhood trauma, social phobia, self-esteem scale score and vaginismus.
Conclusion: It was considered that to evaluate vaginismus only as an entry difficulty would be deficient and that there may be comorbid or related conditions such as social phobia, anxiety, trauma, low self-esteem, and a holistic evaluation is necessary.
Keywords: psychological trauma, psychosocial factors, social phobia, vaginismus
Publisher
Eurasian Society of Family Medicine
Subject
Family Practice,Medicine (miscellaneous)
Reference38 articles.
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Fifth Edition. Arlington, VA: American Psychiatric Association; 2013.
2. Akbaş NB, Akbaş F, Yaluğ İA. Review of the etiology, differential diagnosis and therapeutic options of sexual pain disorders, from vaginismus to dyspareunia: review. Turkiye Klinikleri J Gnynecol Obst 2007;17(6):447.
3. Spector IP, Carey MP. Incidence and prevalence of the sexual dysfunctions: a critical review of the empirical literature. Arch Sex Behav 1990;19(4):389-408. doi: 10.1007/BF01541933
4. Yilmaz E, Zeytinci IE, Sari S, Karababa IF, Çilli AS, Kucur R. Investigation of sexual problems in married people living in the center of Konya. Turk Psikiyatri Derg 2010;21(2):126-34. PMID: 20514563
5. Oniz A, Keskinoglu P, Bezircioglu I. The prevalence and causes of sexual problems among premenopausal Turkish women. J Sex Med 2007;4(6):1575-81. doi: 10.1111/j.1743-6109.2007.00606.x