Vaginismus – who takes interest in it?

Czech version

Authors: Jana Daňková Kučerová ^1,2,3; Š. Machač ^1,4; P. Vrzáčková ^5,6; Kateřina Klapilová ^7,8; P. Kovář ²; L. Zábranská ^2,3; Z. Damborská ⁹; P. Wiecek ³; T. Vrána ¹
Authors‘ workplace: Reprofit International, Ostrava, vedoucí lékař MUDr. T. Vrána ¹; Centrum ambulantní hysteroskopie, Gynprenatal s. r. o. Havířov, Gynenatal s. r. o. Hlučín, vedoucí lékař MUDr. P. Kovář ²; Gynekologické oddělení Nemocnice s poliklinikou Havířov, primář MUDr. P. Wiecek ³; IVF Clinic, Olomouc, vedoucí lékař MUDr. Š. Machač, Ph. D. ⁴; TH Klinika, Praha, vedoucí lékař MUDr. O. Trojan, Ph. D., FECSM ⁵; Gynekologicko-porodnická klinika VFN a 1. LF UK, Praha, přednosta prof. A. Martan, DrSc. ⁶; Národní ústav duševního zdraví, Klecany, ředitel prof. MUDr. C. Höschl, DrSc., FRCPsych. ⁷; Fakulta humanitních studií LF UK, Praha, děkan Ing. arch. Mgr. M. Pětová, Ph. D. ⁸; Oddělení rehabilitace Nemocnice Vítkovice, Ostrava, primářka MUDr. J. Štveráková ⁹
Published in: Ceska Gynekol 2019; 84(3): 233-239
Category:

Overview

Objective: Vaginismus is caused by involuntary spasm of muscle surrounding the vaginal wall, a condition which makes it impossible to have a comfortable sexual intercourse. Due to its significant psychogenic part this topic is often neglected by specialists, however it is a very sensitive one for women patients. We are bringing a summary of literature dealing with vaginismus, clarifying the possibilities of diagnostics, therapy and we are discussing relation of this dysfuntion to reproduction.

Design: Review article.

Material a methods: Recent scientific articles indexed in Pubmed, Medline, Web of Science, consultation of Czech specialists and discussion forums of patients have been used.

Results: Vaginismus influences the quality of life, in the most serious form in can result in unconsumated marriage, sterility and thus can lead to the separation of a couple. When adeaquately approached the problem can mostly be solved.

Conclusions: There are women for whom vaginismus is a serious problem and who are not able to cope with the situation without specialists help. Deepening the specialists‘ knowledge in this field is essential for successful treatment.

Keywords:

vaginismus – dilatation of the vagina – vaginismus and reproduction

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