11
views
0
recommends
+1 Recommend
2 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Spinal Anesthesia-facilitated Sexual Intercourse as a Treatment Option for Refractory Vaginismus and its Effect on Female Sexual Dysfunction, Penetration Cognition, and Coital Pain

      research-article

      Read this article at

      ScienceOpenPublisher
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          ABSTRACT

          Objective

          To evaluate the role of spinal anesthesia facilitated sexual intercourse under controlled conditions in couples with vaginismus and its effect on female sexual function, penetration cognition, and pain.

          Methods

          A cross-sectional comparative study was carried out from January 2017 to December 2019. For this study, we included women who had been married for 2 years but had not consummated their marriage due to vaginismus. The primary outcome measure in this study was successful sexual intercourse. Secondary measures included improvement in female sexual function, penetration cognition, and pain.

          Results

          During the study period, 10 couples satisfied the inclusion criteria. Vaginismus continued in only one couple at the 12-month follow-up. The sexual function changed significantly ( p = 0.005). Penetration cognition score domains improved significantly at follow-up. The pain for tampon insertion score dropped significantly from 9.20 (8.0–10.0) to 5.20 (4.00–7.00), p = 0.005 on the first follow-up. The coital pain had a significant drop from the initial score of 9.20 (8.0–10.0) to 2.1 (1.00–3.00), p = 0.004. Five out of the 10 couples were pregnant at the final follow-up, and three delivered vaginally.

          Conclusion

          Our comparative study shows that spinal anesthesia can be used as a last resort management option in women suffering from vaginismus.

          How to cite this article

          Izhar R, Husain S, Tahir S, et al. Spinal Anesthesia-facilitated Sexual Intercourse as a Treatment Option for Refractory Vaginismus and its Effect on Female Sexual Dysfunction, Penetration Cognition, and Coital Pain. Int J Infertil Fetal Med 2023;14(2):65-69.

          Related collections

          Most cited references15

          • Record: found
          • Abstract: found
          • Article: not found

          The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function.

          This article presents the development of a brief, self-report measure of female sexual function. Initial face validity testing of questionnaire items, identified by an expert panel, was followed by a study aimed at further refining the questionnaire. It was administered to 131 normal controls and 128 age-matched subjects with female sexual arousal disorder (FSAD) at five research centers. Based on clinical interpretations of a principal components analysis, a 6-domain structure was identified, which included desire, subjective arousal, lubrication, orgasm, satisfaction, and pain. Overall test-retest reliability coefficients were high for each of the individual domains (r = 0.79 to 0.86) and a high degree of internal consistency was observed (Cronbach's alpha values of 0.82 and higher) Good construct validity was demonstrated by highly significant mean difference scores between the FSAD and control groups for each of the domains (p < or = 0.001). Additionally, divergent validity with a scale of marital satisfaction was observed. These results support the reliability and psychometric (as well as clinical) validity of the Female Sexual Function Index (FSFI) in the assessment of key dimensions of female sexual function in clinical and nonclinical samples. Our findings also suggest important gender differences in the patterning of female sexual function in comparison with similar questionnaire studies in males.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            A SELF-RATING DEPRESSION SCALE.

            W W Zung (1965)
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              A Generic Measure of Relationship Satisfaction

                Bookmark

                Author and article information

                Journal
                IJIFM
                International Journal of Infertility and Fetal Medicine
                IJIFM
                Jaypee Brothers Medical Publishers
                2229-3817
                2229-3833
                May-August 2023
                : 14
                : 2
                : 65-69
                Affiliations
                [1,2,4 ]Department of Gynaecology and Obstetrics, Abbassi Shaheed Hospital, Karachi, Sindh, Pakistan
                [3 ]Department of Research, Dow Medical College, Karachi, Sindh, Pakistan
                Author notes
                Samia Husain, Department of Gynaecology and Obstetrics, Abbassi Shaheed Hospital, Karachi, Sindh, Pakistan, e-mail: samiahusain_scorpio@ 123456hotmail.com
                Article
                10.5005/jp-journals-10016-1309
                d246b90e-5980-4129-8102-5333e84f7ba6
                Copyright © 2023; The Author(s).

                © The Author(s). 2023 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 11 July 2022
                : 15 February 2023
                : 12 May 2023
                Categories
                RESEARCH ARTICLE
                Custom metadata
                ijifm-14-065.pdf

                Obstetrics & Gynecology
                Spinal anesthesia,Vaginismus,Female sexual function
                Obstetrics & Gynecology
                Spinal anesthesia, Vaginismus, Female sexual function

                Comments

                Comment on this article