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伊朗的阴道痉挛:一项7年单中心经验报告。

Vaginismus in Iran: A Single Center Report of 7 Years Experience.

作者信息

Akhavan-Taghavi Mohammad Hossein, Asghari-Moghaddam Mohammad Ali, Froutan Seyed Kazem, Jadid-Milani Maryam

机构信息

Mostafa Khomeini Hospital, Shahed University, Tehran, IR Iran.

出版信息

Nephrourol Mon. 2015 Nov 29;7(6):e30077. doi: 10.5812/numonthly.30077. eCollection 2015 Nov.

Abstract

BACKGROUND

Vaginismus is a sexual disorder that can cause painful intercourse. Although several studies have shown a relationship between higher education and socio-economic level of women with vaginismus, the relationship between demographic characteristics and other variables remains unclear.

OBJECTIVES

The present study was conducted to determine the demographic characteristics of women with vaginismus, coming to family health clinic, between 2007 and 2013.

PATIENTS AND METHODS

This study is a cross-sectional study that was conducted on 115 clinical records, from early 2007 until the end of 2013, that have received a diagnosis of vaginismus. In these clinical records, the data on female and male age, education and employment, duration of marriage, type of marriage (traditional, virtual, etc.), being a virgin, erectile dysfunction of husband, information of families, sexual satisfaction, marital satisfaction, residential, non-medical types of medical treatment and hymenectomy were derived.

RESULTS

The results showed that the average age of women was 29 ± 5 years and the average age of the spouses was 33 ± 6 years. Undergraduate education most prominent among women (52%) and spouses (42%). In terms of employment status, most women were housewives (54%) and the majority of male were employees (54%). The most frequent form of marriage was traditional (80%). The maximum elapsed time of marriage was between 1 - 3 years (43%). In most women, the first attempt for intercourse was from the second day of marriage to the end of the first week (73%). Hymenectomy was done by 9% of women. Totally, 45% of the men, the wives of whom were suffering from vaginismus, experienced erectile dysfunction. In 37% of couples, their sexual life was satisfactory. The most referred specialist for treatment was the urologist (17%). In 27% of women with vaginismus, numerous references to a variety of medical specialists and psychologists were also recorded. Of the total, 7% of couples experienced traditional and non-academic treatments.

CONCLUSIONS

As vaginismus can affect the stability of marriage, it is necessary to assess sexual dysfunction from all directions, including demographic characteristics and variables that affect the incidence of vaginismus. Therefore, based on the data obtained, we can diagnose and properly treat sexual dysfunction, in time, and teach couples how to deal with it.

摘要

背景

阴道痉挛是一种可导致性交疼痛的性功能障碍。尽管多项研究表明受过高等教育和社会经济水平较高的女性与阴道痉挛之间存在关联,但人口统计学特征与其他变量之间的关系仍不明确。

目的

本研究旨在确定2007年至2013年间前往家庭健康诊所就诊的阴道痉挛女性的人口统计学特征。

患者与方法

本研究为横断面研究,对2007年初至2013年底期间115份被诊断为阴道痉挛的临床记录进行分析。从这些临床记录中获取了关于男女年龄、教育程度和就业情况、婚姻持续时间、婚姻类型(传统型、虚拟型等)、是否为处女、丈夫勃起功能障碍、家庭信息、性满意度、婚姻满意度、居住情况、非医学治疗方式以及处女膜切除术等数据。

结果

结果显示,女性平均年龄为29±5岁,配偶平均年龄为33±6岁。女性中本科教育程度最为突出(52%),配偶中本科教育程度占比为42%。就就业状况而言,大多数女性为家庭主妇(54%),大多数男性为雇员(54%)。最常见的婚姻形式是传统型(80%)。婚姻最长持续时间为1至3年(43%)。大多数女性首次尝试性交的时间是从婚后第二天至第一周结束(73%)。9%的女性接受了处女膜切除术。在其妻子患有阴道痉挛的男性中,共有45%经历过勃起功能障碍。37%的夫妻性生活满意。最常被转诊治疗的专科医生是泌尿科医生(17%)。在27%患有阴道痉挛的女性中,还记录了她们多次转诊至各类医学专科医生和心理医生处就诊的情况。总体而言,7%的夫妻接受过传统和非正规治疗。

结论

由于阴道痉挛会影响婚姻稳定性,有必要从各个方面评估性功能障碍,包括人口统计学特征以及影响阴道痉挛发生率的变量。因此,基于所获得的数据,我们能够及时诊断并妥善治疗性功能障碍,同时教导夫妻如何应对。

相似文献

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Vaginismus in Iran: A Single Center Report of 7 Years Experience.伊朗的阴道痉挛:一项7年单中心经验报告。
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本文引用的文献

1
Vaginismus and its correlates in an Iranian clinical sample.伊朗临床样本中的阴道痉挛及其相关因素。
Int J Impot Res. 2014 Nov-Dec;26(6):230-4. doi: 10.1038/ijir.2014.16. Epub 2014 May 15.
3
Vaginismus and dyspareunia: automatic vs. deliberate disgust responsivity.阴道痉挛和性交困难:自动与故意厌恶反应。
J Sex Med. 2010 Jun;7(6):2149-2157. doi: 10.1111/j.1743-6109.2010.01800.x. Epub 2010 Mar 30.
4
Diagnosing and managing vaginismus.阴道痉挛的诊断与处理
BMJ. 2009 Jun 18;338:b2284. doi: 10.1136/bmj.b2284.
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Botulinum toxin in the treatment of refractory vaginismus.肉毒杆菌毒素治疗难治性阴道痉挛
Obstet Gynecol. 2004 Nov;104(5 Pt 1):922-5. doi: 10.1097/01.AOG.0000141441.41178.6b.
7
Couple characteristics and outcome of therapy in vaginismus.
Ceylon Med J. 2004 Jun;49(2):54-7. doi: 10.4038/cmj.v49i2.3262.

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