Drenth J J, Andriessen S, Heringa M P, Mourits M J, van de Wiel H B, Weijmar Schultz W C
Rutgersstichting Groningen, University Hospital Groningen, The Netherlands.
J Psychosom Obstet Gynaecol. 1996 Dec;17(4):195-201. doi: 10.3109/01674829609025683.
So far, the literature on vaginismus has mainly been contemplative. Quantitative data are scarce, while fertility and obstetrical aspects are almost never considered. In this article, these two aspects are addressed. A cohort of patients received a questionnaire, developed to obtain information about possible connections between the vaginistic reaction, the patient's treatment goals and, if relevant, obstetrical characteristics. Our data reveal that the desire to have a child is not a negative predictor for treatment outcome in terms of consummation. In some instances, however, self-insemination, as a bedroom procedure, is an effective treatment option to enable the couple to reach their fertility goal. Some women will conceive without intercourse experience; according to our data, delivery in this group is hardly more problematic than in a group of women who, after treatment for vaginismus, conceived by sexual intercourse. Having delivered a child may have a slightly positive effect on the capability to have intercourse, but only in a minority. Obstetricians should be aware that not infrequently, women give birth who suffer from severe penetration phobias.
到目前为止，关于阴道痉挛的文献主要是思辨性的。定量数据稀缺，而生育和产科方面几乎从未被考虑过。在本文中，将探讨这两个方面。一组患者收到了一份问卷，该问卷旨在获取有关阴道痉挛反应、患者治疗目标以及（如相关）产科特征之间可能联系的信息。我们的数据显示，就性体验而言，想要孩子的愿望并非治疗结果的负面预测因素。然而，在某些情况下，作为一种卧室操作的自我授精是一种有效的治疗选择，能使夫妻实现生育目标。一些女性在没有性交经历的情况下也能怀孕；根据我们的数据，这组女性分娩时的问题并不比经过阴道痉挛治疗后通过性交怀孕的女性组更多。生育可能对性交能力有轻微的积极影响，但只是少数情况。产科医生应该意识到，患有严重插入恐惧症的女性分娩的情况并不少见。
