Gynecology Book

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Vaginismus

Aka: 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):1535-44

Psychologic vaginismus (C0042266)

Definition (MSH) Recurrent or persistent involuntary SPASM of the outer muscles of the VAGINA, occurring during vaginal penetration.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D052065
ICD9 306.51
ICD10 F52.5
SnomedCT 192469003, 71787009, 154924008, 268773000
DSM4 306.51
English Psychogenic vaginismus, Vaginismus (Not Due to a General Medical Condition), Psychologic vaginismus, Non-organic vaginismus, Nonorganic vaginismus, vaginismus, Non-organic vaginismus (disorder), vaginismus not due to physical condition (diagnosis), vaginismus not due to physical condition, Vaginismus psychogenic, Vaginismus [Disease/Finding], Vaginismus;psychogenic, Psychologic vaginismus (disorder), nonorganic origin; vaginismus, vaginismus; nonorganic, Psychogenic Vaginismus, Functional vaginismus, Vaginismus, psychogenic vaginismus
Dutch psychogeen vaginisme, vaginisme psychogeen, niet-organische oorsprong; vaginisme, vaginisme; niet-organisch, Niet-organisch vaginisme
French Vaginisme psychogène, Vaginisme
German Vaginismus psychogen, psychogener Vaginismus, Scheidenkrampf, Nichtorganischer Vaginismus, Vaginismus
Italian Vaginismo psicogeno, Vaginismo
Portuguese Vaginismo psicogénico, Vaginismo
Spanish Vaginismo psicógeno, Psychogenic vaginismus, Non-organic vaginismus, vaginismo psicológico (trastorno), vaginismo psicológico, Vaginismo
Japanese 心因性腟痙, ｼﾝｲﾝｾｲﾁﾂｹｲ
Swedish Vaginism
Czech vaginismus, Psychogenní vaginismus
Finnish Vaginismi
Russian VAGINIZM, ВАГИНИЗМ
Korean 비기질성 질경련증
Polish Pochwica
Hungarian psychogen vaginismus, Psychogen vaginismus
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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