Abstract

The persistent or recurrent difficulties of the woman to allow vaginal entry of a penis, a finger, and/or any object, despite the woman’s expressed wish to do so” is vaginismus. Early traumatic sexual experiences (e.g. sexual abuse), religious orthodoxy, low self-esteem and body image, negative attitudes about sexuality, lack of knowledge about sex and fear responses are some of the traditional etiological correlates of vaginismus. Vaginismus is largely a diagnosis of exclusion. An interview is crucial in differentiating the causes of this disease and it should involve the following key questions: -whether the contraction of the vaginal muscles was recorded from the first sexual contact and still remains a need for sexual satisfaction is achieved without relations vaginal or -symptom occurs for some time and what circumstances it bound or -contraction of the muscles is independent of the will, reflex and is at the very idea of sexual intercourse, and -that the contraction of the vaginal muscles occurs when you try to enter the member into the vagina which is very painful. The physical, gynecological and sexuological examinations exclude local causes of the disease. The mainstay of treatment in the majority of cases is psychosexual support. The cause of organic vaginismus is congenital malformation of the genital tract. It results from abnormal development of genital paramesonephric (Müllerian) ducts and the urogenital sinus, which are structures involved in the process of oviduct, uterus, and vagina organogenesis. This has strong implications in the practices of gynecology and sexuology in general, not only in adolescent gynecology and sexuology. Vaginismus with congenital malformation is animportant problem in these fields.

References

• 1. Aleksandrowicz J.: Nerwice. Psychopatologia i psychoterapia.Wyd. I, PZWL, Warszawa 1988
  Google Scholar
• 2. Beisert M., Chodecka A., Kapczuk K., Walczyk-Matyja K., Friebe Z.,Kędzia W.: Seksualność kobiety z zespołem Mayera-Rokitanskyego–Küstera-Hausera – opis przypadku. Ginekol. Pol., 2013; 84: 811-814
  Google Scholar
• 3. Friebe Z., Kapczuk K.: Wady wrodzone żeńskich narządów płciowych.W: Położnictwo i ginekologia, red.: G.H. Bręborowicz, tom 2,Warszawa 2005, PZWL; 593-600
  Google Scholar
• 4. Gott M., Hinchliff S.: How important is sex in later life? The viewsof older people. Soc. Sci. Med., 2003; 56: 1617-1628
  Google Scholar
• 5. Grys E., Jarząbek G.: Pacjentki z wrodzonymi wadami rozwojowymiżeńskich narządów płciowych. Nowiny Lek., 2000; 69: 692-699
  Google Scholar
• 6. Hope M.E., Farmer L., McAllister K.F., Cumming G.P.: Vaginismusin peri- and postmenopausal women: a pragmatic approachfor general practitioners and gynaecologists. Menopause Int., 2010;16: 68-73
  Google Scholar
• 7. Horney K.: Psychologia kobiety. Wyd. II, REBIS, Poznań 2001
  Google Scholar
• 8. Imieliński K.: Patologia seksualna. Seksiatria, t.2, Wyd. I, PWN,Warszawa 1990
  Google Scholar
• 9. Kingsberg S.A., Janata J.W.: Female sexual disorders: assessment,Piśmiennictwodiagnosis, and treatment. Urol. Clin. North Am., 2007; 34:497-506
  Google Scholar
• 10. Leiblum S.R., Rosen R.C.: Terapia zaburzeń seksualnych, red.S.R. Leiblum, R.C. Rosen, Wyd. I, GWP, Gdańsk 2005
  Google Scholar
• 11. Lew-Starowicz Z.: Raport seksualności Polaków 2002, Wyd. I,SMG/KRC, Warszawa 2002
  Google Scholar
• 12. Łabęcka M., Jarząbek-Bielecka G., Lorkiewicz-Muszyńska D.:Przestępstwa seksualne – wybrane przypadki. Ginekol. Pol., 2013;84: 309-313
  Google Scholar
• 13. Reed B.D., Haefner H.K., Edwards L.: A survey on diagnosis andtreatment of vulvodynia among vulvodynia researchers and membersof the International Society for the Study of Vulvovaginal Disease.J. Reprod. Med., 2008; 53: 921-929
  Google Scholar
• 14. Sowińska-Przepiera E., Jarząbek-Bielecka G., Andrysiak-MamosE., Syrenicz A, Friebe Z., Kędzia W., Pawlaczyk M.: Wybraneaspekty prawne w ginekologii wieku rozwojowego. Ginekol. Pol.,2013; 84: 131-136
  Google Scholar
• 15. Stępniak M., Jarząbek-Bielecka G.: Pochwica jako problem ginekologicznyi seksuologiczny. W: Nauka o płci. Zagadnienia wybrane,red.: G. Jarząbek-Bielecka; Wyd. I, UM Poznań 2012; 80-85
  Google Scholar

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