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Prognostic variables in treating vaginismus.

¹Department of Obstetrics and Gynecology, North Shore University Hospital, Cornell University Medical College, Manhasset, New York.

Obstetrics and Gynecology

|August 1, 1988

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This study found that most vaginismus patients achieve successful outcomes with therapy. Factors like dysfunction duration and patient beliefs influenced treatment length, with long-term success rates remaining high.

Area of Science:

Sexology
Psychotherapy
Sexual Health

Background:

Vaginismus is a sexual dysfunction characterized by involuntary vaginal muscle spasms.
Successful treatment of vaginismus often requires a comprehensive therapeutic approach.
Understanding factors influencing treatment duration is crucial for optimizing patient care.

Purpose of the Study:

To evaluate the effectiveness of a Sexual Dysfunction Program for vaginismus.
To identify factors influencing the length of therapy for vaginismus.
To assess the long-term maintenance of sexual functioning after treatment.

Main Methods:

Retrospective analysis of 23 patients with vaginismus treated over five years.
Evaluation of therapy duration in relation to patient-specific factors.

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Follow-up assessment of sexual functioning maintenance.

Main Results:

Twenty out of 23 patients (87%) achieved successful outcomes.
Therapy length correlated with dysfunction duration, patient's perceived etiology, prior treatments, motivation, partner acceptance, sexual knowledge, and attitudes.
95% of couples maintained sexual functioning at 1-4 year follow-up.

Conclusions:

A significant majority of vaginismus patients experience successful outcomes with appropriate therapy.
Patient-related factors significantly influence treatment duration.
Long-term success is high, underscoring the efficacy of the therapeutic approach.