The following are the most important diseases or complications that can be caused by vaginismus (vaginismus) as well: Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Dyspareunia (pain during intercourse). Female sterility – involuntary childlessness. Further Problems in the partnership Sexual isolation
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination (cautious). Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix) or portio (cervix; … Vaginal Spasm: Examination
Obligatory medical device diagnostics. Abdominal sonography (ultrasound examination of abdominal organs) – for basic diagnostics. Vaginal sonography (ultrasound using an ultrasound probe inserted into the vagina (vagina)) – as far as possible.
To prevent vaginismus (vaginismus), attention must be paid to reducing individual risk factors. Behavioral risk factors Psychosocial situation Psychological conflicts Stress
The following symptoms and complaints may indicate vaginismus (vaginismus): Pathognomonic (indicative of a disease). When attempting to insert the penis (or a tampon or, during gynecologic examination, the instrument) into the vagina, the vaginal wall cramps; this results in significant pain
General measures Limited alcohol consumption (max. 12 g alcohol per day). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis. BMI ≥ 25 → participation in a medically supervised weight loss program. Falling below the BMI lower limit (from the age of … Vaginal Spasm: Therapy
Pathogenesis (development of disease) In vaginismus, reflexive contractions of the vagina (vagina) occur when trying to penetrate. These can make coitus (sexual intercourse), insertion of a tampon, or gynecologic examination impossible. Etiology (causes) Biographic causes Antisexual education/tabooing of sexuality. Negative sexual experience Sexual abuse (traumatic experience) Behavioral causes Psycho-social situation Psychological conflicts Stress Causes related … Vaginal Spasm: Causes
Medical history (history of illness) represents an important component in the diagnosis of vaginismus (vaginismus). Family history Are there frequent gynecologic conditions in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). How long have you been experiencing … Vaginal Spasm: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Menopause (menopause). Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Irritable bowel syndrome (IBS). Neoplasms – tumor diseases (C00-D48) Cervical carcinoma (cervical cancer). Psyche – nervous system (F00-F99; G00-G99) Dyspareunia – pain during sexual intercourse. Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99). Adhesions (adhesions) after abdominal … Vaginal Spasm: Or something else? Differential Diagnosis
