The Pathophysiology and Etiology of
Vaginismus
鄭丞傑
Jeng CJ
摘要 AbstractVaginismus is difined as an involuntary spasm of the pelvic muscles surrodunding the outer third of the vagina, especially the perineal muscles and the levator ani muscles. It severe form usually makes penetration virtually impossible and causes a severe, burning pain, and leads to unconsummated marriage. There appears to be bvasic agreement that vaginismus is a psychosociologic disorder with phoblic elements resulting from actual or imagined negative experiences with penetration attempts. Fear and anxiety concerning penetration is expressed physiologically vial the involuntary vaginal muscle spasm that characterizes vaginismus. Since 1547, when vaginismus was first described, thousands of research papers have been published on this female sexual disorder. However, the etiology of vaginismus remains controversial. Women with vaginismus generally experience shame, disgust and dislike toward their genitals. They frequently have orhave had other phobias. They are usually overprotected by their fathers and have been “nice guys＂. The male partner＇s lack of aggressiveness actually leads to unconsummation of the marriage. The sexually secure husband can usually overcome mild degrees of vaginismus by persistent but firm penile insertion. For moderate to severe degrees of vaginismus, intervention is usually necessary to lead to consummation of the marriage.
