Factors affecting the recovery time in vaginismus

Year 2021, Volume: 6 Issue: 1, 52 - 63, 01.04.2021

Elif Aktan Mutlu Rıfat Karlıdağ

https://doi.org/10.25279/sak.552121

Abstract

Aim:
To examine the factors that had an impact on the treatment duration in patients
presenting with a diagnosis of vaginismus. 

Method:
This retrospective study included 62 patients who received cognitive behavioral
therapy for vaginismus. Golombok Rusk Inventory of Sexual Satisfaction (GRISS),
Sexual Myths Scale tests and a socio-demographic questionnaire were applied to
all patients. Those who responded to the treatment in the first 7 weeks were
classified as 'early responders' and others as 'non-early responders’ and
factors that may affect the responses were investigated.

Results:
Thirty-two patients were early responders (52%) and 30 patients were late/no
responders (48%). Concerns regarding the pain experienced by the spouse
(OR:7.4, 95% CI: 1.02-54.2, p=0.048) and the idea that sexual intercourse
should always be initiated by the male partner (OR:8.98, 05% CI:1.07-75.38,
p=0.043) emerged as predictors of late/no response in multivariate analysis.

Conclusion:
Concern for female partners’ pain during sexual intercourse among male
partners, and the sexual myth of “sexual intercourse should always be initiated
by the male partner” among female partners seems to effect treatment response. Prospective
studies in different populations are needed in the future. Prospective studies
in different populations are needed in the future. 

Keywords

Vaginismus, Treatment response, Cognitive behavioral therapy

Vajinismusda iyileşme süresine etki eden faktörler

Abstract

Giriş: Vajinismus tanısı almış
hastaların tedavi süresine etki eden faktörleri belirlemektir.

Gereç ve Yöntem: Bu çalışmaya
vajinismus için bilişsel davranışçı tedavi almış 62 hasta dahil edilmiştir. Tüm
hastalara Golombok Rusk Inventory of Sexual Satisfaction (GRISS), Sexual Myths
Scale testleri uygulanmış ve bir sosyo-demografik soru formu verilmiştir.
Tedaviye ilk 7 haftada yanıt verenler ‘erken yanıt verenler’, diğerleri ise
‘geç yanıt veren ya da yanıt vermeyenler’ olarak sınıflandırılmış, yanıt durumu
üzerine etki edebilecek faktörler araştırılmıştır.

Bulgular: Otuz iki hasta erken
yanıt vermiş (52%), 30 hasta ise geç yanıt vermiş ya da yanıt vermemiştir
(48%). Çok değişkenli analizde, eşin acı çekeceği endişesi (OR:7.4, 95% CI:
1.02-54.2, p=0.048) ve cinsel ilişkiyi her zaman erkek başlatmalıdır düşüncesi (OR:8.98,
05% CI:1.07-75.38, p=0.043) geç yanıt/yanıtsızlık için belirleyici olarak
bulunmuştur.  Sonuç: Erkek partnerin
eşinin cinsel ilişki sırasında acı çekeceği endişesi ve kadın partnerin cinsel
ilişkiyi her zaman erkek başlatmalıdır şeklindeki düşüncesi tedavi yanıtını
etkiliyor görünmektedir. Gelecekte değişik popülasyonlarda yapılacak prospektif
çalışmalara ihtiyaç vardır.

Keywords

vaginismus, tedavi yanıtı, bilişsel davranışçı terapi

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