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VAGINISMUS AND SUBFERTILITY: CASE REPORTS ON THE ASSOCIATION OBSERVED IN CLINICAL PRACTICE
M Ramli
简介
【 文献重点摘要 】
Objective
To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before being referred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentations of Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despite the woman’s wish for coitus. Avoidance, phobia, anticipatory fear of pain and involuntary pelvic muscle contraction are the most common symptoms.
Method
We report a series of cases of Malaysian women who had been suffering from vaginismus and ‘infertility’. All the cases had never been attended to medically and there were long delays in seeking intervention. There was no history of traumatic sexual experience or any major psychiatric illness in these patients. Majority of the patients had prominent symptoms of anxiety.
Conclusion
The cases illustrate that it is important to rule out the possibility of vaginismus among patients with infertility. The former have unique psychological features which require psychological interventions.
Keywords
Case reports, vaginismus, infertility, psychological approach, Malaysian women
目的
分析首次就诊于妇科不孕症的阴道痉挛患者在转诊至精神科进行评估和治疗前的特点。该系列病例旨在为亚洲女性阴道痉挛的特征和表现提供一些见解。阴道痉挛的特点是持续或反复出现阴道穿透困难，尽管女性希望发生性交。回避、恐惧症、对疼痛的预期恐惧和骨盆肌肉不自主收缩是最常见的症状。
方法
我们报告了一系列马来西亚妇女患有阴道痉挛和“不孕”的病例。所有病例都从未得到医疗救治，在寻求干预方面拖延了很长时间。这些患者没有创伤性经历或任何重大精神疾病的病史。大多数患者有明显的焦虑症状。
结论
这些病例说明在不孕症患者中排除阴道痉挛的可能性是很重要的。前者具有独特的心理特征，需要进行心理干预。
关键词
病例报道，阴道痉挛，不孕症，心理学方法，马来西亚妇女
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