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OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK

Year 2007, Volume: 20 Issue: 3, 182 - 185, 25.06.2015

Ersin Akpınar Esra Saatçı

Abstract

Vajinismus, penis, parmak, tampon veya spekulum penetrasyon girişimi halinde vajenin dış 1/3’ünü
çevreleyen perineal kasların tekrarlayıcı veya persistan istemsiz kontraksiyonu olarak tanımlanır. Bu olgu
sunumu, aile hekimliği polikliniğine başvuran ve Bilişsel Davranış Terapisi’nden (BDT) yarar gören
vajinismuslu bir hastanın tedavi modelini ele almaktadır. Çift 19 aydır evliydi ancak cinsel birleşme
sağlanamamıştı. Tanı DSM-IV kriterlerine göre kondu. Tedavi öncesi ve sonrasında çifte Golombok-Rust
Inventory of Sexual Satisfaction (GRISS) endeksi uygulandı. İletişim, cinsel istek, erektil disfonksiyon,
prematür ejekülasyon puanları ve toplam puan, erkekte de cinsel disfonksiyon olduğunu gösterdi. Tedavide,
bilişsel yeniden yapılandırma teknikleri ile birlikte sensate focus ve kademeli duyarsızlaştırma (kendi
kendine vajinal dilatasyon) yöntemleri kullanıldı. Kadının cinsel fonksiyonları iyileşme gösterdi.

Keywords

Vajinismus Birinci basamak Bilişsel davranışsal terapi

References

  • 1. Frank E, Anderson C, Rubinstein D. Frequency of sexual dysfunction in normal couples. N Engl J Med 1978; 299: 111-115.
  • 2. Spector I, Carey M. Incidence and prevalence of the sexual dysfunction: a critical review of the empirical literature. Arch Sex Behav 1990; 19: 389-408.
  • 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed. Revised. Washington, DC. American Psychiatric Press, 1987. 290-296.
  • 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC. American Psychiatric Press, 1994. 493-538.
  • 5. Basson R, Berman J, Burnett A, et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163: 888-893.
  • 6. Perry JD, Whipple B. Pelvic muscle strength of female ejaculators: evidence in support of a new theory of orgasm. J Sex Res 1981; 17: 22-39.
  • 7. Dekkers WJ. F.J.J. Buytendijk's concept of an anthropological physiology. Theor Med Bioeth. 1995;16:15-39.
  • 8. Rust J, Golombok S. The GRISS: A psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav 1986; 15: 153-161.
  • 9. Tugrul C, Oztan N, Kabakci E: The standardization of Golombok-Rust Inventory of Sexual Satisfaction. J Turkish Psychiat 1993; 4: 83-88 [in Turkish].
  • 10. Biswas A, Ratman S. Vaginismus and outcome of treatment. Ann Acad Med Singapore 1995; 24 : 755- 758.
  • 11. Schnyder U, Schnyder-Luthi C, Ballinari P, Blaser A: Therapy for vaginismus in vivo versus in vitro desensitization. Can J Psychiatry 1998; 43 : 941-944.
  • 12. Wolff CG. Sexual dysfunction to the rescue. Prim care companion J Clin Psychiatry 2003;5:139-140.
  • 13. Bancroft J, Tyrer G, Warner P. The classification of sexual problems in women. J Sex Med 1982;2:30-37.
  • 14. Gabbard GO. Musings on the report of the International Consensus Development Conference on Female Sexual Dysfunction: definitions and classifications. J Sex Marital Ther 2001; 27 : 145-147.
  • 15. Sadovsky R. Asking the questions and offering solutions: The ongoing dialogue between the primary care physician and the patient with erectile dysfunction Rev Urol 2003;5(Suppl 7):35-48.
  • 16. Masters W, Johnson V. Human sexual inadequacy. Boston: Little Brown. 1970.18-24.
  • 17. Kabakci E, Batur S. Who benefits from cognitive behavioral therapy for vaginismus? J Sex Marital Ther 2003; 29 : 277-288.
  • 18. Nazareth I, Boynton P, King M. Problems with sexual function in people attending London general practitioners: cross sectional study. BMJ 2003;327:423- 429.
  • 19. Humphery S, Nazareth I. GPs’ views on their management of sexual dysfunction. Fam Pract 2001;18:516-8.

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Year 2007, Volume: 20 Issue: 3, 182 - 185, 25.06.2015

Ersin Akpınar Esra Saatçı

Abstract

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Keywords

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References

  • 1. Frank E, Anderson C, Rubinstein D. Frequency of sexual dysfunction in normal couples. N Engl J Med 1978; 299: 111-115.
  • 2. Spector I, Carey M. Incidence and prevalence of the sexual dysfunction: a critical review of the empirical literature. Arch Sex Behav 1990; 19: 389-408.
  • 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd ed. Revised. Washington, DC. American Psychiatric Press, 1987. 290-296.
  • 4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC. American Psychiatric Press, 1994. 493-538.
  • 5. Basson R, Berman J, Burnett A, et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163: 888-893.
  • 6. Perry JD, Whipple B. Pelvic muscle strength of female ejaculators: evidence in support of a new theory of orgasm. J Sex Res 1981; 17: 22-39.
  • 7. Dekkers WJ. F.J.J. Buytendijk's concept of an anthropological physiology. Theor Med Bioeth. 1995;16:15-39.
  • 8. Rust J, Golombok S. The GRISS: A psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav 1986; 15: 153-161.
  • 9. Tugrul C, Oztan N, Kabakci E: The standardization of Golombok-Rust Inventory of Sexual Satisfaction. J Turkish Psychiat 1993; 4: 83-88 [in Turkish].
  • 10. Biswas A, Ratman S. Vaginismus and outcome of treatment. Ann Acad Med Singapore 1995; 24 : 755- 758.
  • 11. Schnyder U, Schnyder-Luthi C, Ballinari P, Blaser A: Therapy for vaginismus in vivo versus in vitro desensitization. Can J Psychiatry 1998; 43 : 941-944.
  • 12. Wolff CG. Sexual dysfunction to the rescue. Prim care companion J Clin Psychiatry 2003;5:139-140.
  • 13. Bancroft J, Tyrer G, Warner P. The classification of sexual problems in women. J Sex Med 1982;2:30-37.
  • 14. Gabbard GO. Musings on the report of the International Consensus Development Conference on Female Sexual Dysfunction: definitions and classifications. J Sex Marital Ther 2001; 27 : 145-147.
  • 15. Sadovsky R. Asking the questions and offering solutions: The ongoing dialogue between the primary care physician and the patient with erectile dysfunction Rev Urol 2003;5(Suppl 7):35-48.
  • 16. Masters W, Johnson V. Human sexual inadequacy. Boston: Little Brown. 1970.18-24.
  • 17. Kabakci E, Batur S. Who benefits from cognitive behavioral therapy for vaginismus? J Sex Marital Ther 2003; 29 : 277-288.
  • 18. Nazareth I, Boynton P, King M. Problems with sexual function in people attending London general practitioners: cross sectional study. BMJ 2003;327:423- 429.
  • 19. Humphery S, Nazareth I. GPs’ views on their management of sexual dysfunction. Fam Pract 2001;18:516-8.
There are 19 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Ersin Akpınar This is me

Esra Saatçı

Publication Date June 25, 2015
Published in Issue Year 2007 Volume: 20 Issue: 3

Cite

APA Akpınar, E., & Saatçı, E. (2015). OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK. Marmara Medical Journal, 20(3), 182-185.
AMA Akpınar E, Saatçı E. OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK. Marmara Med J. August 2015;20(3):182-185.
Chicago Akpınar, Ersin, and Esra Saatçı. “OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK”. Marmara Medical Journal 20, no. 3 (August 2015): 182-85.
EndNote Akpınar E, Saatçı E (August 1, 2015) OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK. Marmara Medical Journal 20 3 182–185.
IEEE E. Akpınar and E. Saatçı, “OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK”, Marmara Med J, vol. 20, no. 3, pp. 182–185, 2015.
ISNAD Akpınar, Ersin - Saatçı, Esra. “OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK”. Marmara Medical Journal 20/3 (August2015), 182-185.
JAMA Akpınar E, Saatçı E. OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK. Marmara Med J. 2015;20:182–185.
MLA Akpınar, Ersin and Esra Saatçı. “OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK”. Marmara Medical Journal, vol. 20, no. 3, 2015, pp. 182-5.
Vancouver Akpınar E, Saatçı E. OLGU SUNUMU: TAMAMLANMAMIŞ BİR EVLİLİK. Marmara Med J. 2015;20(3):182-5.