Fordney D S
Clin Obstet Gynecol. 1978 Mar;21(1):205-21. doi: 10.1097/00003081-197803000-00018.
Dyspareunia and vaginismus are discussed to present information and a structural concept allowing the gynecologist to evaluate these conditions. The presence of subtle pelvic organic factors is frequently found in dyspareunic women referred for sex therapy by physicians. Thus a need for scrupulous evaluation, including laboratory work and other diagnostic tests, with close attention to the history of the patient is urged. In the remaining dyspareunic women and in those with vaginismus, a psychophysiologic conditioned response is present. Treatment approaches are discussed and the techniques of perineal muscle exercise and vaginal self-dilation are presented in detail. Used appropriately, these techniques produce a very high symptom elimination rate in these female sexual dysfunctions.
本文讨论性交困难和阴道痉挛，旨在提供相关信息并提出一种结构概念，以便妇科医生评估这些病症。在因性交困难而被医生转介至性治疗门诊的女性中，常常发现存在细微的盆腔器质性因素。因此，强烈建议进行细致的评估，包括实验室检查及其他诊断测试，并密切关注患者的病史。在其余性交困难的女性以及患有阴道痉挛的女性中，存在心理生理条件反应。文中讨论了治疗方法，并详细介绍了会阴肌肉锻炼和阴道自我扩张技术。合理运用这些技术，在这些女性性功能障碍中可产生极高的症状消除率。
