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Case Series: Redefining Severe Grade 5 Vaginismus.

Peter T Pacik1, Corey R Babb2, Andrew Polio3

  • 128 Holiday Shore Drive, Dunbarton, NH, USA.

Sexual Medicine
|September 2, 2019
PubMed
Summary
This summary is machine-generated.

Severe vaginismus, characterized by visceral reactions and bulbocavernosum spasm during exams, is newly defined as Grade 5. This classification aids diagnosis and treatment for affected women.

Keywords:
DyspareuniaFemale Sexual DysfunctionFemale Sexual Pain DisorderPainful IntercoursePainful SexSecondary VaginismusSevere VaginismusVaginal Muscle SpasmVaginismus

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Area of Science:

  • Gynecology
  • Sexual Medicine
  • Clinical Classification

Background:

  • Vaginismus is often poorly understood by healthcare providers.
  • Accurate severity assessment is crucial for effective diagnosis and treatment of vaginismus.
  • Classifying vaginismus severity enhances understanding of the patient's experience.

Purpose of the Study:

  • To identify features distinguishing severe grade 5 vaginismus.
  • To determine the presence of vaginal spasm in severe vaginismus.
  • To establish criteria for the Pacik grade 5 classification of vaginismus.

Main Methods:

  • A pretreatment questionnaire was administered to 553 women unable to tolerate intercourse.
  • Vaginal examinations were performed on 391 women in a certified surgicenter, with sedation/anesthesia as needed.
  • Outcome measures included detecting visceral reactions and vaginal spasm during gynecologic examinations in Grade 5 patients.

Main Results:

  • Patients with severe vaginismus exhibited visceral response reactions to routine gynecologic examinations.
  • Spasm of the bulbocavernosum muscle was observed in patients with severe vaginismus.
  • These findings indicate specific physiological responses associated with severe vaginismus.

Conclusions:

  • Severe grade 5 vaginismus is newly defined by visceral response manifestations during gynecologic exams, inability to have intercourse, and bulbocavernosum spasm.
  • This refined classification provides a clearer diagnostic framework for severe vaginismus.
  • The study redefines severe vaginismus, offering improved clinical guidance.