The effect of pharmacological and combined psychological approach in the treatment of unconsummated marriage secondary to vaginismus

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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RMED08_079

تاریخ نمایه سازی: 21 مرداد 1398

Abstract:

Background: Among female sexual dysfunction disorders, unconsummated marriage (UCM) secondary to primary vaginismus is a common sexual dysfunction especially in traditional societies.Objective: According to various clinical evidences, patients with UCM usually do not respond to conventional treatment methods and need to some further psychological interventions.Materials and Methods: Forty one women, aged 18 to 40 years with a diagnosis of UCM secondary to primary vaginismus (genito-pelvic pain/penetration disorder) who failed in previous treatments including hymenectomy surgery, sedative drugs, lubricants and anesthetic creams enrolled in this study through convenient available sampling method. In this research we investigated a combination of psychological approach including behavior therapy techniques (relaxation training, systematic desensitization and exposure), cognitive intervention and hypnotherapy with prescription of psychotropic medication. The treatment period consists of 8-16 sessions (2-4 months) which held once a week. Data collection were done through interview and statistical analysis was done through using descriptive statistics and Fisher exact test.Results: Success rate in this approach was 82.9%. Three of these patients with a history of UCM for 10, 12 and 16 years have had successful treatment and two of them become pregnant after 10 and 12 years. Based on the results, age, education, traditional or non-traditional marriage and duration of illness have no statistically significant relationship with success rate but at the same time lack of other psychiatric disorders including anxiety, depression and obsessive-compulsive disorder was significantly associated with more successful treatment (P<0.05).Conclusion: Application of combined psychological approach with pharmacotherapy seems to be more effective in the treatment of UCM patients.

Authors

A Hassnbeigi

Mental Hospital, Research Centre of Addiction and Behavioural Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

SM Yassimi

Psychiatry and Psychology Clinic, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran- Department of Psychiatry, Research Centre of Addiction and Behavioural Sciences, Shahid Sadoughi University of Medical Scie

J Askari

Department of Psychology, Research Centre of Addiction and Behavioural Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran