Biofeedback as an adjunct to psychotherapy in the treatment of vaginismus
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This exploratory study examines the use of biofeedback as an adjunct to psychotherapy in the treatment of vaginismus. A set of six Sims-type graded EMG probes was constructed to provide biofeedback from the vaginal sphincter and was tested on a pilot sample of nulliparous women prior to this study. Five sequential cases of vaginismus from a clinic waiting list participated in the program. All five couples completed the program and all reported successful intercourse at its conclusion. The number of sessions devoted to biofeedback probe insertion was almost halved in comparison to previous experience with Sims dilators. Overall treatment duration was not shortened. At follow-up 6 months later, two couples reported pregnancy, one couple was having regular intercourse, and two couples had ceased intercourse. The authors conclude that biofeedback is an effective aid to learning muscle control, is acceptable to patients, and may increase the success rate by minimizing dropouts. The importance of follow-up is stressed.
Descriptor Key WordsE.M.G. biofeedback vaginal sphincter vaginismus psychotherapy of vaginismus
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- Bancroft, J., & Coles, L. (1976). Three years experience in a sexual problems clinic.British Medical Journal, 1 1575–1577.Google Scholar
- Blanchard, E. B., & Epstein, L. H. (1977). Clinical applications of biofeedback. In M. Hensen, R. M. Fisler, & P. M. Miller (Eds.),Progress in behaviour modification (Vol. 4). New York: Academic Press.Google Scholar
- Colgan, A. H., & Beautrais, P. G. (1977). Vaginal muscle control in vaginismus.New Zealand Medical Journal, 86 300.Google Scholar
- Kaplan, H. S. (1974).The new sex therapy (p. 418). London: Balliere Tindal.Google Scholar
- Kegal, A. H. (1948). Progressive resistance exercises in the functional restoration of the perineal muscles.American Journal of Obstetrics and Gynecology, 56 238–248.Google Scholar
- Kegal, A. (1952). Sexual functions of the pubococcygius muscle.Western Journal of Surgery, Obstetrics and Gynecology, 60 521–524.Google Scholar
- Masters, W. H., & Johnson, V. E. (1970).Human sexual inadequacy (p. 359). Boston: Little, Brown.Google Scholar
- O'Sullivan K., & Barnes, J. (1978). Vaginismus: A report on 46 couples.Journal of the Irish Medical Association, 71 143–146.Google Scholar
- Perry, J. D., & Whipple, B. (1981). Pelvic muscle strength of female ejaculators: Evidence in support of a new theory of orgasm.Journal of Sex Research, 16 22–39.Google Scholar