Document Detail

Different treatment modalities for refractory vaginismus in western Saudi Arabia.
MedLine Citation:
PMID:  21477018     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Although vaginismus is a common sexual dysfunction in Saudi Arabia, there are limited data concerning the treatment modalities associated with patients with symptoms of vaginismus.
AIM: This study is aimed to evaluate the presentation and different modalities of management in patients with severe refractory vaginismus in western Saudi Arabia.
MAIN OUTCOME MEASURES: Successful penetrative sexual intercourse suggesting that common elements of the therapies used were successful.
METHODS: A retrospective study of patients presenting with severe refractory vaginismus treated in Jeddah, Saudi Arabia. The subjects were 15 women with third to fourth degree vaginismus who presented to King Abdulazziz University Hospital between January 1, 2008 and January 1, 2009.
RESULTS: The mean age of the participants was 23 years. The mean duration of marriage before seeking medical advice was 12 months. Six patients had undergone conventional therapy successfully. The other six cases, four of which had a previous history of treatment failure, and two who were unresponsive to 4 months of conventional therapy were offered botulinum toxin type A. Five patients who received the Botox therapy had satisfactory intercourse on the same day of the treatment. One patient required a repeat injection after 2 months for recurrent vaginismus. Three of the 15 patients refused the treatment as they were already divorced and had only come in to exclude organic causes for their condition.
CONCLUSIONS: Vaginismus is an overlooked topic in conservative societies such as Saudi Arabia. For most patients, not knowing who to confide in or where to turn to plays a major role in the under diagnosis of vaginismus. Conventional therapy proved effective in mild and moderate cases, while botulinum toxin has a more rapid effect and was thus more effective in severe cases.
Wafa M K Fageeh
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2011-04-07
Journal Detail:
Title:  The journal of sexual medicine     Volume:  8     ISSN:  1743-6109     ISO Abbreviation:  J Sex Med     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-02     Completed Date:  2011-11-10     Revised Date:  2012-04-05    
Medline Journal Info:
Nlm Unique ID:  101230693     Medline TA:  J Sex Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1735-9     Citation Subset:  IM    
Copyright Information:
© 2011 International Society for Sexual Medicine.
King Abdulaziz University, Obstetrics and Gynecology Department, Jeddah, Saudi Arabia.
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MeSH Terms
Botulinum Toxins, Type A / therapeutic use*
Cross-Cultural Comparison*
Injections, Intramuscular
Retrospective Studies
Saudi Arabia
Treatment Failure
Vaginismus / drug therapy*,  epidemiology
Young Adult
Reg. No./Substance:
0/onabotulinumtoxinA; EC Toxins, Type A
Erratum In:
J Sex Med. 2012 Mar;9(3):945

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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