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Topical lignocaine for vaginismus: a case report
S K Praharaj1, P Verma, M Arora
1Central Institute of Psychiatry, Kanke, Ranchi, Jharkhand, India. samirpsyche@yahoo.co.in
Vaginismus, a condition causing painful intercourse, can be treated with lignocaine gel and systematic desensitization. This combined approach aids in managing pain and achieving successful sexual function.
Area of Science:
- Sexual health
- Gynecology
- Psychosomatic medicine
Background:
- Vaginismus is characterized by involuntary vaginal muscle spasms, often exacerbated by pain or fear of pain.
- This condition significantly impacts sexual function and quality of life for affected individuals.
Observation:
- A case of primary vaginismus with significant associated pain is presented.
- The patient experienced hyperesthesia in the introitus, contributing to the condition's maintenance.
Findings:
- Topical lignocaine gel combined with systematic desensitization led to successful consummation.
- Lignocaine gel effectively managed pain and hyperesthesia during treatment.
Implications:
- Topical lignocaine may be a valuable adjunct in treating vaginismus, particularly for patients with pain.
- This approach can improve treatment outcomes and facilitate successful penetrative intercourse.
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