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[Vaginism - a surgical or consultative problem? (author's transl)]
Geburtshilfe Und Frauenheilkunde
|April 1, 1982
Summary
Vaginismus, a functional sexual disturbance, is often treated with ineffective surgical methods despite its recognized psychogenetic origins. This approach overlooks the benefits of consultative treatment and the potential psychosocial advantages vaginismus may offer some women.
Area of Science:
- Psychiatry
- Gynecology
- Sexology
Context:
- Vaginismus has been recognized as a functional sexual disturbance for over a century.
- Despite understanding its psychogenetic nature 70 years ago, surgical interventions persist.
- Current medical practices often focus on organic causes rather than psychogenetic factors.
Purpose:
- To critique the continued use of surgical and mechanical interventions for vaginismus.
- To advocate for consultative treatment approaches for vaginismus.
- To highlight the psychogenetic underpinnings of vaginismus.
Summary:
- The psychogenetic nature of vaginismus is well-established, yet surgical interventions remain common.
- These interventions are often unsuccessful and distract from psychogenetic causes.
- Consultative treatment is recommended, acknowledging potential psychosocial benefits for patients.
Impact:
- Shifting focus from ineffective surgical methods to psychogenetic understanding and consultative care for vaginismus.
- Improving patient outcomes by addressing the root causes of vaginismus.
- Recognizing the complex psychosocial dimensions of sexual disturbances like vaginismus.