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Successful management of vaginismus: An eclectic approach
Thippeswamy Harish1, Krishnaprasad Muliyala, Pratima Murthy
1Department of Psychiatry, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore, Karnataka, India.
Abstract:
Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty. In this report, we describe the successful treatment of vaginismus in a 25-year-old lady based on a model proposed by Keith Hawton. The eclectic approach involved education, graded insertion of fingers, Kegel's exercises and usage of local anesthesia with vaginal containment along with the prescription of Escitalopram.
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