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Related Experiment Videos

Interventions for vaginismus.

H McGuire1, K Hawton

  • 1PO Box 32, Health Services Research, King's College Institute of Psychiatry, The David Goldberg Centre, De Crespigny Park, London, UK, E11 4PS. h.mcguire@iop.kcl.ac.uk

The Cochrane Database of Systematic Reviews
|January 22, 2003
PubMed
Summary

Limited controlled trials exist for vaginismus treatments, despite commonality as a female psychosexual issue. More research is needed to compare therapies against waiting lists and other interventions.

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Area of Science:

  • Gynecology
  • Psychology
  • Sexual Health

Background:

  • Vaginismus involves involuntary vaginal muscle contractions, causing painful or impossible sexual intercourse.
  • It is a prevalent psychosexual concern among women.
  • Previous therapeutic strategies lack robust evidence from controlled studies.

Purpose of the Study:

  • To evaluate the clinical effectiveness of vaginismus treatments.
  • To assess the impact of partner involvement on treatment outcomes.

Main Methods:

  • Comprehensive literature search of multiple databases (Cochrane, MEDLINE, EMBASE, PsycINFO, CINAHL) and journals.
  • Handsearching of relevant journals and conference abstracts.
  • Inclusion of controlled trials comparing vaginismus treatments against placebo, usual care, or waiting list controls.

Main Results:

  • Only two controlled trials were identified; data was available from one.
  • The second trial found no significant difference between two forms of systematic desensitization.

Conclusions:

  • There is insufficient controlled trial evidence to confirm the effectiveness of vaginismus treatments.
  • Further high-quality randomized controlled trials are necessary.
  • Future research should compare various therapies against waiting list controls and each other.

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