Prevalence of Vaginismus in Reproductive Age Group: Observational Study
Ashwini S Bulbuli, Vaishnavi A Kokate
Keywords :
Female sexual dysfunction, Reproductive age group, Prevalence, Vaginal penetration, Vaginismus
Citation Information :
Bulbuli AS, Kokate VA. Prevalence of Vaginismus in Reproductive Age Group: Observational Study. J South Asian Feder Obs Gynae 2024; 16 (2):198-201.
Background: Vaginismus is a multifaceted disorder encompassing increased muscle tension, pain, anxiety, and fear due to psychosocial perspectives which makes vaginal penetration impossible. Vaginismus has irreparable effects on self-identity. It also negatively impacts the quality of life.
Aim: To find the prevalence of vaginismus in the female reproductive age group of 20–35 years.
Materials and methods: The current observational study comprised 160 married females in the age group of 20–35 years residing in Belagavi city in Karnataka, India. Women were screened according to the criteria from a tertiary care hospital.
Outcome measures: The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition by the American Psychiatric Association was used to assess vaginismus.
Results: Females who were sexually active were included in this study. Out of the total sample, 28% were reported with primary vaginismus and 30% with secondary vaginismus. There was no specific relation between age and vaginismus.
Conclusion: The study concludes that vaginismus is a common disorder that is highly prevalent in the Indian population and women hesitate to seek medical attention regarding it.
Mcevoy M, Mcelvaney R, Glover R. Understanding vaginismus: A biopsychosocial perspective. Sexual and Relationship Therapy. Advance online publication 2021. DOI: 10.1080/14681994.2021.200 7233.
Cherner RA, Reissing ED. A psychophysiological investigation of sexual arousal in women with lifelong vaginismus. The journal of sexual medicine 2013;10(5):1291–1303. DOI: https://doi.org/10.1111/jsm.12102.
Lahaie MA, Boyer SC, Amsel R, et al. Vaginismus: A review of the literature on the classification/diagnosis, etiology and treatment. Womens Health (Lond) 2010;6(5):705–719. DOI: 10.2217/whe.10.46.
Gaber MA, El-Sahyb SS. Prevalence of vaginismus in Delta, Egypt. Menoufia Med J 2021;34(2):509–513. DOI: 10.4103/mmj.mmj_398_19.
Mishra VV, Nanda S, Vyas B, et al. Prevalence of female sexual dysfunction among Indian fertile females. J Midlife Health 2016;7(4):154–158. DOI: 10.4103/0976-7800.195692.
Rao S, Darshan TS, Tandon MS, et al. An epidemiological study of sexual disorders in south Indian rural population. Indian J Psychiatry 2015;57(2):150–157. DOI: 10.4103/0019-5545.158143.
Nilanchali S, Pallavi S, Neha M. Female sexual dysfunction: Indian perspective and role of Indian gynecologists. Indian J Community Med 2020;45(3):333–337. DOI: 10.4103/ijcm.IJCM_365_19.
Demirci AD, Kabukcuoglu K. “Being a woman” in the shadow of vaginismus: The implications of vaginismus for women. Curr Psychiatry Res Reviews 2019:15:1–6. DOI: 10.2174/2666082215666190917153811.
Maseroli E, Scavello I, Cipriani S, et al. Psychobiological correlates of vaginismus: An exploratory analysis. J Sex Med 2017;14(11):1392–1402. DOI: 10.1016/j.jsxm.2017.09.015.
Reissing ED, Binik YM, Khalifé S, et al. Vaginal spasm, pain and behaviour: An empirical investigation of the diagnosis of vaginismus. Arch Sex Behav 2004;33(1):5–17. DOI: 10.1023/B:ASEB.0000007458.32852.c8.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Washington, DC: American Psychiatric Association; 2013.
Regier DA, Narrow WE, Clarke DE, et al. DSM-5 field trials in the United States and Canada, Part II: Test-retest reliability of selected categorical diagnoses. Am J Psychiatry 2013;170(1):59–70. DOI: 10.1176/appi.ajp.2012.12070999.
Cryle P. Vaginismus: A Franco-american story. J Hist Med Allied Sci 2012;67(1):71–93. DOI: 10.1093/jhmas/jrq079.
Angel K. The history of ‘female sexual dysfunction’ as a mental disorder in the 20th century. Curr Opin Psychiatry 2010;23(6):536–541. DOI: 10.1097/YCO.0b013e32833db7a1.
Macey K, Gregory A, Nunns D, et al. Women's experiences of using vaginal trainers (dilators) to treat vaginal penetration difficulties diagnosed as vaginismus: A qualitative interview study. BMC Women's Health 2015;15(1):49. DOI: https://doi.org/10.1186/s12905-015-0201-6.
Pacik PT. Understanding and treating vaginismus: A multimodal approach. Int Urogynecol J 2014;25(12):1613–1620. DOI: 10.1007/s00192-014-2421-y.
Koyuncu E, Tokuc B, Dogan S. Prevalence and risk factors of female sexual dysfunction in a Turkish population: A web-based cross-sectional study. The Journal of Sexual Medicine 2018;15(6):860–869. DOI: 10.1016/j.jsxm.2018.04.008.
Mohammadkhani P, Molavi P, Yassini–Ardekani SM, et al. Prevalence and associated factors of female sexual dysfunction in an Iranian population. Arch Sex Behav 202;49(4):1375–1384. DOI: 10.1007/s10508-019-01531-x.
Salem HK, Saeed MA, Salem AH, et al. Prevalence of female sexual dysfunction in Egyptian women. Int J Impot Res 2011;23(6):259–263. DOI: 10.1038/ijir.2011.37.
Rathod AD, Gupta R, Singh RK. Prevalence of sexual dysfunction in women: An Indian perspective. Indian J Psychiatry 2018;60(3):312–317. DOI: 10.4103/psychiatry.IndianJPsychiatry_243_17.
Harlow BL, Kunitz CG, Nguyen RH, et al. Prevalence of symptoms consistent with a diagnosis of vulvodynia: Population-based estimates from 2 geographic regions. Am J Obstet Gynecol 2016;215(3):307-e1. DOI: 10.1016/j.ajog.2016.03.018.
Brotto LA, Basson R, Smith KB, et al. Mindfulness-based group therapy for women with provoked vestibulodynia. Mindfulness 2015;6:417–432. DOI: 10.1007/s12671-013-0273-z.
Tetik S, Yalçınkaya Alkar Ö. Vaginismus, Dyspareunia and abuse history: A systematic review and meta-analysis. J Sex Med 2021;18(9):1555–1570. DOI: 10.1016/j.jsxm.2021.07.004.
Granot M, Yovell Y, Somer E, et al. Trauma, attachment style, and somatization: A study of women with dyspareunia and women survivors of sexual abuse. BMC Womens Health 2018;18(1):29. DOI: 10.1186/s12905-018-0523-2.
Banaei M, Kariman N, Ozgoli G, et al. Bio-psychosocial factor of vaginismus in Iranian women. Reprod Health 2021;18(1):210. DOI: https://doi.org/10.1186/s12978-021-01260-2.
Lew–Starowicz M, Rola R, Skrzypulec–Plinta V, et al. Female sexual dysfunction among Polish women with vulvovaginal disorders and their impact on quality of life. Int J Environ Res Public Health 2019;16(5):824.
Reissing ED, Armstrong HL, Allen C. Pelvic floor physical therapy for lifelong vaginismus: A retrospective chart review and interview study. J Sex Marital Ther 2013;39(4):306–320. DOI: 10.1080/0092623X.2012.697535.
Mahapatra A, Gupta R, Gupta G, et al. Prevalence and risk factors of vaginismus among married women in India. J Sex Med 2017;14(1): 22–31. DOI: 10.1016/j.jsxm.2016.11.324.
Jindal UN, Goyal A, Goel A. Vaginismus: Prevalence and clinical implications in the Indian scenario. J Sex Med 2015;12(11):2109–2116. DOI: 10.1111/jsm.13043.
Giri DK, Kumari P. Prevalence and correlates of vaginismus among undergraduate female students in a tertiary institution in South India. Indian J Psychol Med 2017;39(4):447–451. DOI: 10.4103/IJPSYM.IJPSYM_156_17.
Gupta S, Gupta R. Vaginismus: Prevalence and associated factors in an urban population of Delhi, India. Indian J Psychiatry 2019;61(1):45–50. DOI: 10.4103/psychiatry.IndianJPsychiatry_376_18.
Mukherjee A, Bhattacharya K. Psychosocial factors in vaginismus: A cross-sectional study from Eastern India. Indian J Psychiatry 2019;61(3):283–288. DOI: 10.4103/psychiatry.IndianJPsychiatry_399_18.
Pandit M, Prakash O. Vaginismus: Cultural and religious aspects in Indian context. Sex Med Rev 2016;4(4):365–374. DOI: 10.1016/j.sxmr.2016.06.003.
Garg R, Chauhan V, Agrawal P, et al. Hypoactive sexual desire disorder (HSDD) in women. J South Asian Feder Obs Gynae 2023;15(1):108–110. DOI: 10.5005/jp-journals-10006-2172.