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 beingreferred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentationsof Asian women with vaginismus. Vaginismus is cha...

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Main Authors: M Ramli, MZ Nora, R Roszaman, S Hatta
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2012-08-01
Series:Malaysian Family Physician
Subjects:
Online Access:http://e-mfp.org/2012v7n1/pdf/vaginismus-and-subfertility.pdf
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author M Ramli
MZ Nora
R Roszaman
S Hatta
author_facet M Ramli
MZ Nora
R Roszaman
S Hatta
author_sort M Ramli
collection DOAJ
description Objective: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before beingreferred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentationsof Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despitethe woman’s wish for coitus. Avoidance, phobia, anticipatory fear of pain and involuntary pelvic muscle contraction are the mostcommon symptoms.Method: We report a series of cases of Malaysian women who had been suffering from vaginismus and ‘infertility’. All the caseshad never been attended to medically and there were long delays in seeking intervention. There was no history of traumaticsexual 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. Theformer have unique psychological features which require psychological interventions.
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spelling doaj.art-6b34118b057a45b89373302500b016582022-12-22T03:23:08ZengAcademy of Family Physicians of MalaysiaMalaysian Family Physician1985-207X1985-22742012-08-01712427VAGINISMUS AND SUBFERTILITY: CASE REPORTS ON THE ASSOCIATION OBSERVED IN CLINICAL PRACTICEM RamliMZ NoraR RoszamanS HattaObjective: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before beingreferred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentationsof Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despitethe woman’s wish for coitus. Avoidance, phobia, anticipatory fear of pain and involuntary pelvic muscle contraction are the mostcommon symptoms.Method: We report a series of cases of Malaysian women who had been suffering from vaginismus and ‘infertility’. All the caseshad never been attended to medically and there were long delays in seeking intervention. There was no history of traumaticsexual 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. Theformer have unique psychological features which require psychological interventions.http://e-mfp.org/2012v7n1/pdf/vaginismus-and-subfertility.pdfCase reportsvaginismusinfertilitypsychological approachMalaysian women.
spellingShingle M Ramli
MZ Nora
R Roszaman
S Hatta
VAGINISMUS AND SUBFERTILITY: CASE REPORTS ON THE ASSOCIATION OBSERVED IN CLINICAL PRACTICE
Malaysian Family Physician
Case reports
vaginismus
infertility
psychological approach
Malaysian women.
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 Case reports
vaginismus
infertility
psychological approach
Malaysian women.
url http://e-mfp.org/2012v7n1/pdf/vaginismus-and-subfertility.pdf
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AT mznora vaginismusandsubfertilitycasereportsontheassociationobservedinclinicalpractice
AT rroszaman vaginismusandsubfertilitycasereportsontheassociationobservedinclinicalpractice
AT shatta vaginismusandsubfertilitycasereportsontheassociationobservedinclinicalpractice