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Vaginismus, Vaginismus

Women who have vaginismus may not be aware of their condition until they attempt vaginal penetration.

In third degree, the patient elevates the buttocks to avoid being examined. In fourth degree vaginismus (also known as grade 4 vaginismus), the most severe form of vaginismus, the patient elevates the buttocks, retreats and tightly closes the thighs to avoid examination. The Lamont classification continues to be use to the present and allows for a common language among researchers and therapists.

Treatment of vaginismus with botulinum toxin injections. (1997). Lancet. 349: 252-253 . Ghazizadeh and Nikzad reported on the use of botulinum toxin in the treatment of refractory vaginismus in 24 patients. In this study, Dysport (a type of Botox) 150-400 mIU (Ipsen Ltd, United Kingdom) was used. 23 patients were able to have vaginal examinations one week post procedure showing little or no vaginismus. One patient refused vaginal examination and did not attempt coitus. Of the 23 patients, 18 (75%) achieved satisfactory intercourse, 4 (17%) had mild pain and one patient was unable to have intercourse because of her husbands impotence.

Most women acknowledge sexual arousal as vital to achieving comfortable penetration, so self-exploration of the vaginal area through masturbation can be beneficial in addressing vaginismus.

Source: Wikipedia > Vaginismus





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