原發性陰道插入失敗的原因分析與治療效果
Causes and Treatment Outcome of Primary
Vaginal Penetration Failure
區慶建
Au HKYeh TSKao SHShih CMHsieh RHTzeng CR
摘要
本研究的目的，在找尋并分析原發性陰道插入失敗，導致性交未完成的原因，以
及治療的模式與效果。由 202 對因為陰道插入困難，導致無法完成性交而至我們
們門診的性伴侶中，其中有 129 對完成了完整療程的評估及治療，并且有完整的
追蹤及病歷可以查閱。診斷及治療是由：婦科醫師、泌尿科醫師、精神科醫師及
性諮商人員所組成的團隊所執行。我們將病因分門別類，并依據其個別原因進行
治療。并統計種種病因的比率，及治療的成并效。這 129 對性伴侶發生原發性陰
道插入失敗的原因可歸因於 6 類：陰道痙攣（佔 49%），不懂性知識及技巧（佔
31%）
，早發性射精，勃起困難，性畏懼或厭惡以及先天生殖道畸形。至於治療
的成功率，各為：93.3%、100%、83.3%、83.3%、75%及 100%。除先天生殖道
畸形，其餘五個因素大多數是由心理障礙導致，經由團隊合作的治療，可以達到
令人振奮的治療成效。
Abstract
The purpose of this study was to determine and analyze the etiologies and modalities of treatment for unconsummated coitus due to vaginal penetration failure. In this retrospective study, the researchers investigated 202 couples, i. e. , sexual partners who visited our clinic for the unconsummated coitus due to failure to penetrate the vagina betweenl99l and 2000. Among them, 129 couples completed the full course of treatment and follow-ups. A team
consisting of a gynecologist, a urologist, a psychiatrist, and a sex counselor was responsible for the diagnoses and treatments. The individual causes were analyzed and the results were compared. The causes of primary vaginal penetration failure were divided into six categories: vaginismus (49%), poor sex knowledge or techniques (31%), premature ejaculation, erectile
dysfunction, sexual aversion/phobia, and congenital abnormalities. The success rates of treatment were 93.3%, 100%, 83.3%, 83.3%, 75%, and 100%, respectively. Among the couples with unconsummated coitus, two leading causes of vaginal penetration failure were found, vaginismus and lack of sexual
knowledge. Other causes were sexual aversion/phobia and male partner’s sexual dysfunction. Furthermore, most cases of vaginismus were due to psychosocial factors, which also contributed to other causes of vaginal penetration failure. Therefore, it was possible to resolve these underlined causes under the treatment strategies recommended and applied by the team workers
