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Psychologic vaginismus

MedGen UID:
52970
•Concept ID:
C0042266
•
Mental or Behavioral Dysfunction
Synonyms: functional vaginismus; non-organic vaginismus; Psychogenic Vaginismus; psychogenic vaginismus; psychologic vaginismus
SNOMED CT: Psychologic vaginismus (71787009)
 
Monarch Initiative: MONDO:0000946

Definition

Involuntary spasm of the outer muscles of the vagina during penetration that results from a psychological cause. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPsychologic vaginismus

Professional guidelines

PubMed

The Overactive Pelvic Floor (OPF) and Sexual Dysfunction. Part 2: Evaluation and Treatment of Sexual Dysfunction in OPF Patients.
Padoa A, McLean L, Morin M, Vandyken C
Sex Med Rev 2021 Jan;9(1):76-92. Epub 2020 Jul 4 doi: 10.1016/j.sxmr.2020.04.002. PMID: 32631813
The Neurobiology and Psychiatric Perspective of Vaginismus: Linking the Pharmacological and Psycho-Social Interventions.
Kadir ZS, Sidi H, Kumar J, Das S, Midin M, Baharuddin N
Curr Drug Targets 2018;19(8):916-926. doi: 10.2174/1389450118666170222153908. PMID: 28228081
Management of female sexual pain disorders.
Boyer SC, Goldfinger C, Thibault-Gagnon S, Pukall CF
Adv Psychosom Med 2011;31:83-104. Epub 2011 Oct 10 doi: 10.1159/000328810. PMID: 22005206

Recent clinical studies

Etiology

Dyspareunia in Women.
Hill DA, Taylor CA
Am Fam Physician 2021 May 15;103(10):597-604. PMID: 33983001
Outcome of Medical and Psychosexual Interventions for Vaginismus: A Systematic Review and Meta-Analysis.
Maseroli E, Scavello I, Rastrelli G, Limoncin E, Cipriani S, Corona G, Fambrini M, Magini A, Jannini EA, Maggi M, Vignozzi L
J Sex Med 2018 Dec;15(12):1752-1764. Epub 2018 Nov 13 doi: 10.1016/j.jsxm.2018.10.003. PMID: 30446469
Interventions for vaginismus.
Melnik T, Hawton K, McGuire H
Cochrane Database Syst Rev 2012 Dec 12;12(12):CD001760. doi: 10.1002/14651858.CD001760.pub2. PMID: 23235583Free PMC Article
Management of female sexual pain disorders.
Boyer SC, Goldfinger C, Thibault-Gagnon S, Pukall CF
Adv Psychosom Med 2011;31:83-104. Epub 2011 Oct 10 doi: 10.1159/000328810. PMID: 22005206
Does vaginismus exist? A critical review of the literature.
Reissing ED, Binik YM, Khalifé S
J Nerv Ment Dis 1999 May;187(5):261-74. doi: 10.1097/00005053-199905000-00001. PMID: 10348080

Diagnosis

Dyspareunia in Women.
Hill DA, Taylor CA
Am Fam Physician 2021 May 15;103(10):597-604. PMID: 33983001
The Overactive Pelvic Floor (OPF) and Sexual Dysfunction. Part 2: Evaluation and Treatment of Sexual Dysfunction in OPF Patients.
Padoa A, McLean L, Morin M, Vandyken C
Sex Med Rev 2021 Jan;9(1):76-92. Epub 2020 Jul 4 doi: 10.1016/j.sxmr.2020.04.002. PMID: 32631813
Female Genito-Pelvic Pain/Penetration Disorder: Review of the Related Factors and Overall Approach.
Dias-Amaral A, Marques-Pinto A
Rev Bras Ginecol Obstet 2018 Dec;40(12):787-793. Epub 2018 Nov 14 doi: 10.1055/s-0038-1675805. PMID: 30428492Free PMC Article
The Neurobiology and Psychiatric Perspective of Vaginismus: Linking the Pharmacological and Psycho-Social Interventions.
Kadir ZS, Sidi H, Kumar J, Das S, Midin M, Baharuddin N
Curr Drug Targets 2018;19(8):916-926. doi: 10.2174/1389450118666170222153908. PMID: 28228081
Vulvodynia.
Shah M, Hoffstetter S
Obstet Gynecol Clin North Am 2014 Sep;41(3):453-64. Epub 2014 Jul 9 doi: 10.1016/j.ogc.2014.05.005. PMID: 25155125

Therapy

Vulvodynia.
Shah M, Hoffstetter S
Obstet Gynecol Clin North Am 2014 Sep;41(3):453-64. Epub 2014 Jul 9 doi: 10.1016/j.ogc.2014.05.005. PMID: 25155125
Interventions for vaginismus.
Melnik T, Hawton K, McGuire H
Cochrane Database Syst Rev 2012 Dec 12;12(12):CD001760. doi: 10.1002/14651858.CD001760.pub2. PMID: 23235583Free PMC Article
Interventions for vaginismus.
McGuire H, Hawton K
Cochrane Database Syst Rev 2003;(1):CD001760. doi: 10.1002/14651858.CD001760. PMID: 12535412
Interventions for vaginismus.
McGuire H, Hawton K
Cochrane Database Syst Rev 2001;(2):CD001760. doi: 10.1002/14651858.CD001760. PMID: 11406006
Does vaginismus exist? A critical review of the literature.
Reissing ED, Binik YM, Khalifé S
J Nerv Ment Dis 1999 May;187(5):261-74. doi: 10.1097/00005053-199905000-00001. PMID: 10348080

Prognosis

Bio-psychosocial factor of vaginismus in Iranian women.
Banaei M, Kariman N, Ozgoli G, Nasiri M
Reprod Health 2021 Oct 18;18(1):210. doi: 10.1186/s12978-021-01260-2. PMID: 34663378Free PMC Article
The Neurobiology and Psychiatric Perspective of Vaginismus: Linking the Pharmacological and Psycho-Social Interventions.
Kadir ZS, Sidi H, Kumar J, Das S, Midin M, Baharuddin N
Curr Drug Targets 2018;19(8):916-926. doi: 10.2174/1389450118666170222153908. PMID: 28228081
Does vaginismus exist? A critical review of the literature.
Reissing ED, Binik YM, Khalifé S
J Nerv Ment Dis 1999 May;187(5):261-74. doi: 10.1097/00005053-199905000-00001. PMID: 10348080
Sexual dysfunction, Part II: Diagnosis, management, and prognosis.
Halvorsen JG, Metz ME
J Am Board Fam Pract 1992 Mar-Apr;5(2):177-92. PMID: 1575070
Vaginismus: a review.
Fertel NS
J Sex Marital Ther 1977 Summer;3(2):113-21. doi: 10.1080/00926237708402976. PMID: 881738

Clinical prediction guides

Unconsummated marriage: a systematic review of etiological factors and clinical management.
Krishnappa P, Manfredi C, Jayaramaiah S, Ditonno F, Matippa P, Shah R, Moncada I
J Sex Med 2023 Dec 22;21(1):20-28. doi: 10.1093/jsxmed/qdad146. PMID: 37952223
Bio-psychosocial factor of vaginismus in Iranian women.
Banaei M, Kariman N, Ozgoli G, Nasiri M
Reprod Health 2021 Oct 18;18(1):210. doi: 10.1186/s12978-021-01260-2. PMID: 34663378Free PMC Article
Factors influencing sexual functions in Turkish female patients with migraine.
Ertem DH, Ayan Saatçioğlu Ş, Bingol A, Mercan Ö, Erdogan G, Kokar S, Saglam H, Uluduz D
Agri 2020 Nov;32(4):193-201. doi: 10.14744/agri.2020.47640. PMID: 33398864
Outcome of Medical and Psychosexual Interventions for Vaginismus: A Systematic Review and Meta-Analysis.
Maseroli E, Scavello I, Rastrelli G, Limoncin E, Cipriani S, Corona G, Fambrini M, Magini A, Jannini EA, Maggi M, Vignozzi L
J Sex Med 2018 Dec;15(12):1752-1764. Epub 2018 Nov 13 doi: 10.1016/j.jsxm.2018.10.003. PMID: 30446469
Vaginismus and its correlates in an Iranian clinical sample.
Farnam F, Janghorbani M, Merghati-Khoei E, Raisi F
Int J Impot Res 2014 Nov-Dec;26(6):230-4. Epub 2014 May 15 doi: 10.1038/ijir.2014.16. PMID: 24830673

Recent systematic reviews

Unconsummated marriage: a systematic review of etiological factors and clinical management.
Krishnappa P, Manfredi C, Jayaramaiah S, Ditonno F, Matippa P, Shah R, Moncada I
J Sex Med 2023 Dec 22;21(1):20-28. doi: 10.1093/jsxmed/qdad146. PMID: 37952223
Outcome of Medical and Psychosexual Interventions for Vaginismus: A Systematic Review and Meta-Analysis.
Maseroli E, Scavello I, Rastrelli G, Limoncin E, Cipriani S, Corona G, Fambrini M, Magini A, Jannini EA, Maggi M, Vignozzi L
J Sex Med 2018 Dec;15(12):1752-1764. Epub 2018 Nov 13 doi: 10.1016/j.jsxm.2018.10.003. PMID: 30446469
Interventions for vaginismus.
Melnik T, Hawton K, McGuire H
Cochrane Database Syst Rev 2012 Dec 12;12(12):CD001760. doi: 10.1002/14651858.CD001760.pub2. PMID: 23235583Free PMC Article
Interventions for vaginismus.
McGuire H, Hawton K
Cochrane Database Syst Rev 2003;(1):CD001760. doi: 10.1002/14651858.CD001760. PMID: 12535412
Interventions for vaginismus.
McGuire H, Hawton K
Cochrane Database Syst Rev 2001;(2):CD001760. doi: 10.1002/14651858.CD001760. PMID: 11406006

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