Sahoo Manoj K, Biswas Harshita
Psychiatry, Tata Main Hospital, Manipal Tata Medical College (Manipal Academy of Higher Education), Jamshedpur, IND.
Psychiatry, Tata Main Hospital, Jamshedpur, IND.
Cureus. 2024 Nov 10;16(11):e73414. doi: 10.7759/cureus.73414. eCollection 2024 Nov.
This article presents a case series examining the interplay between marital dynamics and the management of vaginismus. Vaginismus is a spasm of the perivaginal muscles sufficient to prevent penile entry or make it uncomfortable. Given the multifactorial nature of vaginismus, with psychological and relational factors playing significant roles, understanding these dynamics is crucial for effective treatment. The series involves three females, each experiencing vaginismus linked to poor marital adjustment, uncertainty about the relationship, and emotional disconnect. Treatment included psychotherapy and medication for anxiety, leading to varying degrees of symptom relief and improvement in marital satisfaction. These cases highlight how crucial it is to investigate sexual pain disorders like vaginismus using a bio-psychosocial approach. The biological realm alone is not necessarily the only reliable indicator. Rather, interpersonal and psychological factors are important predictors of vaginismus. Evaluation of women's psychosocial context may provide us with a deeper understanding of vaginismus and its impact on both women and their partners.
本文介绍了一个病例系列，研究婚姻动态与阴道痉挛管理之间的相互作用。阴道痉挛是阴道周围肌肉的痉挛，严重到足以阻止阴茎插入或使其感到不适。鉴于阴道痉挛的多因素性质，心理和关系因素起着重要作用，了解这些动态对于有效治疗至关重要。该系列包括三名女性，她们都经历了与婚姻适应不良、关系不确定和情感脱节相关的阴道痉挛。治疗包括心理治疗和抗焦虑药物治疗，症状得到了不同程度的缓解，婚姻满意度也有所提高。这些病例凸显了采用生物-心理-社会方法研究像阴道痉挛这样的性疼痛障碍的重要性。仅生物学领域不一定是唯一可靠的指标。相反，人际和心理因素是阴道痉挛的重要预测因素。评估女性的心理社会背景可能会让我们更深入地了解阴道痉挛及其对女性及其伴侣的影响。
