Vajinismus sorunu yaşayan kadınların deneyimleri: bir forum sitesi analizi

Yıl 2023, Cilt: 10 Sayı: 4, 593 - 602, 01.12.2023

Zehra Acar , Mehtap Gümüşay , İlkay Güngör Satılmış

https://doi.org/10.52880/sagakaderg.1269947

Öz

Amaç: Bu araştırma kadınların bir forum sitesinde paylaştıkları vajinismus deneyimlerini belirlemek amacıyla yapılmıştır.
Gereç ve yöntem: Bu araştırma nitel araştırma tipindedir. Araştırma verileri Türkiye’de kadınların enyaygın kullandığı bir forum sitesinde, Mart 2019-Mart 2020 tarihleri arasında yer alan mesajlardan “vajinismus” anahtar kelimesi kullanılarak toplanmıştır. Araştırma kriterineuygun 147 konu başlığında yer alan mesaj araştırmanın örneklemini oluşturmuştur. Verilerin analizinde tümevarımsal içerik analizi yöntemi kullanılmıştır. Mesaj içerikleri incelenerek, belirlenen kod listesi üzerinden analiz edilerek veriler elde edilmiştir.
Bulgular: Çalışma sonucunda vajinismus sorunu devam eden kadınların forumu tavsiye ve bilgi isteği, doktor arayışı, tedavi yöntemleri hakkında bilgi almak için kullandığı belirlenmiştir. Vajinismus sorunu biten kadınların ise doktor tavsiyesi, deneyim paylaşımı ve tedavi yöntemleri gibi konularda vajinismuslu kadınlara yardımcı olabilmek için konu başlığı açtığı gözlemlenmiştir. Mesaj içerikleri kodlanarak sekiz alt temayı oluşturmuştur. Bu temalar; fiziksel nedenler, psikolojik nedenler, cinsel ilişki ile ilgili mesajlar, vajinismus tedavisi ile ilgili mesajlar, alternatif yöntemler, psikolojik etkiler, aile hayatına etkileri ve gebelik ile ilgili mesajlardır.
Sonuç: Kadınlar forum sitelerinden cinsellik, vajinismus ve vajinismus tedavisi hakkında bilgi ve tavsiye almaktadırlar. Yanlış bilgi ve öneriler doğrultusunda vajinismusla başetmek çiftlerin vajinismus sorununu daha da kötüleştirebilir ve tedaviyi geciktirebilir. Bu nedenle ebe ve hemşirelerin çiftlere üreme ve cinsel sağlık konusunda verecekleri eğitim ve danışmanlık büyük önem taşımaktadır.

Anahtar Kelimeler

Vajinismus, deneyim, görüş, forum

Experiences of women with vaginismus problem: Analysis of a forum website

Öz

Aim: This study was conducted to determine women’s experiences about vaginismus that they shared on a forum.
Material and methods: This study was designed as a qualitative study. Data were collected from the messages written between March 2019 and March 2020 on the most commonly used forum website by women in Turkey using the keyword of “vaginismus.”147 messages under this subject title that met the inclusion criteria formed the sample of this study. Inductive content analysis method was used in the analysis of the data. The data were obtained after examining the content of the messages and analyzing them based on the determined code list. Results: The study found that women with the problem of continuing vaginismus used the forum to look for recommendation, information, doctors and treatment methods. It was also found that women whose vaginismus problem is over have opened a topic to help women with vaginismus on issues such as doctor's advice, experience sharing and treatment methods.The message contents were coded to form eight sub-themes. These themes are; Themes; physical reasons, psychological reasons, messages regarding sexual intercourse, messages related to vaginismus treatment, alternative methods, psychological effects, effects on the family life and messages on pregnancy.
Conclusion: Women get information and advice on sexuality, vaginismus and vaginismus treatment from forum sites. Coping with vaginismus in line with false information and suggestions may worsen the vaginismus problem and delay the treatment of women. For this reason, the education and counseling that midwives and nurses will give to couples regarding reproductive and sexual health is of great importance.

Anahtar Kelimeler

Vaginismus, experience, opinion, forum.

Kaynakça

• Akbaş, N.B., Akbaş, F., & Yaluğ, İ. (2007). A review of the etiology, differential diagnosis and therapeutic options of sexual pain disorders, from vaginismus to dyspareunia. Turkiye Klinikleri J Gynecol Obst, 17(6), 447-453.
• Aslan, M., Yavuzkır, Ş., & Baykara, S. (2020). Is “dilator use” more effective than “finger use” in exposure therapy in vaginismus treatment?. Journal of Sex & Marital Therapy, 46(4), 354-360. https://doi.org/10.1080/0092623X.2020.1716907
• Ciocca, G., Limoncin, E., Di Tommaso, S., Mollaioli, D., Gravina, G.L., Marcozzi, A. et al. (2015). Attachment styles and sexual dysfunctions: a case-control study of female and male sexuality. Int J Impot Res, 27(3), 81-85. https://doi.org/10.1038/ijir.2014.33. Epub 2014 Aug 14.
• Dağ, H., Dönmez, S., & Kavlak, O. (2012). The hidden aspect of women sexuality: vaginismus and the role of the nurse. Journal of Continuing Medical Education, 21(5), 43-47.
• Deliktas-Demirci, A., & Kabukcuoglu, K. (2019). “Being a Woman” in the shadow of vaginismus: The implications of vaginismus for women. Current Psychiatry Research and Reviews Formerly: Current Psychiatry Reviews, 15(4), 231-236. https://doi.org/10.2174/2666082215666190917153811
• Demirezen, E., & Karaçam, Z.D. (2021). Midwives role in supporting women with vaginismus diagnosis. Andrology Bulletin, 23(1), 56-61. https://doi.org/10.24898/tandro.2021.71224
• Dişsiz, M., Mamuk, R., & Oskay, Ü. (2019). Genito-pelvic pain/penetration disorders and current approaches. JDU Health Sci Inst, 9(3), 201-207. https://doi.org/10.33631/duzcesbed.498022
• Doğan, S., & Saraçoğlu, G.V. (2009). The assessment of sexual knowledge, marital characteristics, sexual function and satisfaction in women with lifelong vaginismus. Medical Journal of Trakya University, 26(2), 151-158.
• Donaldson, R.L., & Meana, M. (2011). Early dyspareunia experience in young women: confusion, consequences, and help-seeking barriers. Journal of Sexual Medicine, 8(3), 814–823. https://doi.org/10.1111/j.1743-6109.2010.02150.x
• Erdoğan, T., Aydemir, Y., Aydin, A., İnci, M. B., Ekerbi̇çer, H., Muratdaği, G., & Kurban, A. (2020). Health information seeking behaviour from internet and television and related factors. Sakarya Med J, 10(Özel Sayı), 1-10. https://doi.org/10.31832 smj.739127
• Fadul, R., Garcia, R., Zapata-Boluda, R., Aranda-Pastor, C., Brotto, L., Parron-Carreño, T., & Alarcon-Rodriguez, R. (2019). Psychosocial correlates of vaginismus diagnosis: A case-control study. Journal of Sex & Marital Therapy, 45(1), 73-83. https://doi.org/10.1080/0092623X.2018.1484401
• Farnam, F., Janghorbani, M., Merghati-Khoei, E., & Raisi, F. (2014). Vaginismus and its correlates in an Iranian clinical sample. International Journal of Impotence Research, 26(6), 230-234. https://doi.org/10.1038/ijir.2014.16 Fugl-Meyer, K.S., Bohm-Starke, N., Damsted Petersen, C., Fugl-Meyer, A., Parish, S., & Giraldi, A. (2013). Standard operating procedures for female genital sexual pain. J Sex Med, 10(1), 83-93. https://doi.org/10.1111/j.1743-6109.2012.02867.x.
• Karagüzel, E. Ö., Arslan, F. C., Tiryaki, A., Osmanağaoğlu, M. A., & Kaygusuz, E. Ş. (2016). Sociodemographic features, depression and anxiety in women with life-long vaginismus. Anatolian Journal of Psychiatry, 17(6), 489-495. https://doi.org/10.5455/apd.215372
• Konkan, R., Bayrak, M., Gönüllü, O.G., & Sungur, M.Z. (2012). Sexual function and satisfaction of women with vaginismus. Dusunen Adam: Journal of Psychiatry & Neurological Sciences, 25(4), 305-311. https://doi.org/10.5350/DAJPN2012250402
• Kurban, D., Eserdag, S., Yakut, E., & Mishra, P.C. (2021). The treatment analysis of the patients suffering from vaginismus and the correlation with the psychological issues. Int J Reprod Contracept Obstet Gynecol, 10(4), 1328-1336. https://doi.org/10.18203/2320-1770.ijrcog20211107
• Maseroli, E., Scavello, I., Rastrelli, G., Limoncin, E., Cipriani, S., Corona, G., et. al. (2018). Outcome of medical and psychosexual interventions for vaginismus: a systematic review and meta-analysis. J Sex Med, 15, 1752–64. https://doi.org/10.1016/j.jsxm.2018.10.003
• Moreira, E.D., Brock, G., Glasser, D.B., Nicolosi, A., Laumann, E. O., Paik, A. et al. (2005). Help‐seeking behavior for sexual problems: The global study of sexual attitudes and behaviors. International Journal of Clinical Practice, 59(1), 6-16. https://doi.org/10.1111/j.1742-1241.2005.00382.x
• Moreira, E.D., Glasser, D.B., King, R., Duarte, F.G., & Gingell, C. (2008). Sexual difficulties and help-seeking among matur adults in Australia: results from the Global Study of Sexual Attitudes and Behaviors. Sexual Health, 5(3), 227–234. https://doi.org/10.1071/sh07055.
• Mutlu, E.A., & Koç, M. (2021). The role of religiosity in the etiology of vaginismus in the light of socio-cultural features: The case of Turkey. Dicle Tıp Dergisi, 48(3), 404-415. https://doi.org/10.5798/dicletip.987807 Ng, A.H.N., & Boey, K.W. (2016). Difficulty in vaginal intercourse and its correlates: a survey study among Chinese Women in Hong Kong. International Medical Journal, 23(6), 648-652.
• Nobre, P.J., & Pinto-Gouveia, J. (2009). Cognitives chemas associated with negative sexual events: a comparison of men and women with and without sexual dysfunction. Archieves of Sexual Behaviour, 38(5), 842-851. https://doi.org/10.1007/s10508-008-9450-x
• Özdemir, N.U., & Çiydem, E. (2020). Management of vaginismus man in the treatment process. Androl Bul, 22(2), 137−143. https://doi.org/24898/tandro.2020.16362
• Pacik, P.T., & Geletta, S. (2017). Vaginismus treatment: clinical trials follow up 241 patients. Sexual Medicine, 5(2), e114-e123. https://doi.org/10.1016/j.esxm.2017.02.002
• Potki, R., Ziaei, T., Faramarzi, M., Moosazadeh, M., & Shahhosseini, Z. (2017). Bio-psycho-social factors affecting sexual self-concept: A systematic review. Electronic physician, 9(9), 5172-5178. https://doi.org/10.19082/5172 Rosen, R.C., Connor, M.K., Miyasato, G., Link, C., Shifren, J.L., Fisher, W.A. et al. (2012). Sexual desire problems in women seeking healthcare: A novel study design for ascertaining prevalence of hypoactive sexual desire disorder in clinic-based samples of U.S. women. Journal of Women’s Health, 21(5), 505–515. https://doi.org/10.1089/jwh.2011.3002
• Sadati-Kiadehi, S.M., Pazira, R., & Alavijeh, F.S. (2020). Comparing positive and negative emotional experiences between women with and without vaginismus. Archives of Pharmacy Practice, 1, 138.
• Torun, F. (2010). Treatment of vaginismus with EMDR: two case reports. Turkish Journal of Psychiatry, 21(3), 243-248.
• Velayati, A., Jahanian-Sadatmahalleh, S., Ziaei, S., & Kazemnejad, A. (2021a). Psychological predictors of sexual quality of life among Iranian women with vaginismus: A cross-sectional study. International Journal of Sexual Health, 1-9. https://doi.org/10.1080/19317611.2021.1954576
• Velayati, A., Sadatmahalleh, S.J., Ziaei, S., & Kazemnejad, A. (2021b). The role of personal factors in quality of life among Iranian women with vaginismus: a path analysis. Health and Quality of Life Outcomes, 19(1), 1-10. https://doi.org/10.1186/s12955-021-01799-5
• Watts, G., & Nettle, D. (2010). The role of anxiety in vaginismus: a case-control study. The Journal of Sexual Medicine, 7(1), 143-148. https://doi.org/10.1111/j.1743-6109.2009.01365.x.
• Weijmar-Schultz, W., Basson, R., Binik, Y., Eschenbach, D., Wesselmann, U., & Lankveld, J.V. (2005). Women’s sexual pain and its management. J Sex Med, 2(3), 301-316. https://doi.org/10.1111/j.1743-6109.2005.20347.x.
• Wendt, E.K., Lidell, E.A.S., Westerstahl, A.K.E., Marklund, B.R.G., & Hildingh, C.I. (2009). Young women’s perceptions of being asked questions about sexuality and sexual abuse: a content analysis. Midwifery, 27(2), 250–256. https://doi.org/10.1016/j.midw.2009.06.008
• Yaşar, H., Özkan, L.,& Tepeler, A. (2010). Current approach to sexual disfunctions in women. Journal of Clinical and Experimental Investigations, 1(3), 235-240. https://doi.org/10.5799/ahinjs.01.2010.03.0201
• Yıldırım, E.A., Hacıoğlu Yıldırım, M., & Karaş, H. (2019). Prevalence of depression and anxiety disorders and their relationship with sexual functions in women diagnosed with lifelong vaginismus. Turkish Journal of Psychiatry, 30(1), 9-15. https://doi.org/10.5080/u22858
• Yıldırım, M.H. (2017). Socio-demographical and clinical characteristics of vaginismus comparison with other female sexual dysfunction. Turkish Journal of Clinical Psychiatry, 20(1), 37-44. https://doi.org/10.5505/kpd.2017.07379
• Zarski, A.C., Berking, M., & Ebert, D.D. (2018). Efficacy of internet-based guided treatment for genito-pelvic pain/penetration disorder: Rationale, treatment protocol, and design of a randomized controlled trial. Frontiers in Psychiatry, 8, 260. https://doi.org/10.3389/fpsyt.2017.00260
• Zeinab, K.R., Mirghafourvand, M., Jamileh, M., Alizadeh-Charandabi, S. M., Jafarabadi, M. A., & Ghanbari, S. (2015). Sexual dysfunction and help seeking behaviors in newly married women in Sari, Iran: A cross-sectional study. Payesh (Health Monitor),14(6), 677-686.