Gynecology Book

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Vaginismus

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  1. Pathophysiology
    1. Involuntary muscle spasm of outer third of vagina
      1. Bulbocavernous Muscles
    2. Associated with negative attitudes toward sex
    3. Results
      1. Dyspareunia
      2. Prevents vaginal penetration
  2. Symptoms
    1. Painful Intercourse
    2. Triggered by penis, finger or tampon insertion
  3. Associated Conditions
    1. Chronic Pain
    2. Concurrent mood disturbance
      1. Anxiety
      2. Major Depression
  4. Evaluation
    1. Rule-out other causes of Vulvodynia
  5. Management
    1. Biofeedback
    2. Counseling
    3. Avoid perineoplasty (only indicated for Vestibulitis)
  6. References
    1. Heim (2001) Am Fam Physician 63(8):1535

Psychologic vaginismus (C0042266)

Definition (MSH)Recurrent or persistent involuntary SPASM of the outer muscles of the VAGINA, occurring during vaginal penetration.
ConceptsMental or Behavioral Dysfunction (T048)
ICD9306.51, 306.51
MSHD052065
EnglishFunctional vaginismus, Non-organic vaginismus, Psychogenic Vaginismus, Psychologic vaginismus, Vaginismus
Spanishvaginismo psicologico
Parent ConceptsPsychologic dyspareunia (C0154466), Genitourinary Malfunction Arising from Mental Factor (C0154552), Psychosexual Disorders (C0033953), Vaginal Diseases (C0042251), Physiological Sexual Disorders (C0237873), Genitourinary Signs and Symptoms (C1333811), Reproductive System Finding (C1335757), Duplicate concept (C1274013)
SourcesAOD, ICD9CM, MEDLINEPLUS, MSH, MTH, MTHICD9, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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