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Archives of Sexual Behavior

, Volume 33, Issue 1, pp 5–17 | Cite as

Vaginal Spasm, Pain, and Behavior: An Empirical Investigation of the Diagnosis of Vaginismus

  • Elke D. Reissing
  • Yitzchak M. Binik
  • Samir Khalifé
  • Deborah Cohen
  • Rhonda Amsel
Article

Abstract

This study investigated the roles of vaginal spasm, pain, and behavior in vaginismus and the ability of psychologists, gynecologists, and physical therapists to agree on a diagnosis of vaginismus. Eighty-seven women, matched on age, relationship status, and parity, were assigned to one of three groups: vaginismus, dyspareunia resulting from vulvar vestibulitis syndrome (VVS), and no pain with intercourse. Diagnostic agreement was poor for vaginismus; vaginal spasm and pain measures did not differentiate between women in the vaginismus and dyspareunia/VVS groups; however, women in the vaginismus group demonstrated significantly higher vaginal/pelvic muscle tone and lower muscle strength. Women in the vaginismus group also displayed a significantly higher frequency of defensive/avoidant distress behaviors during pelvic examinations and recalled past attempts at intercourse with more affective distress. These data suggest that the spasm-based definition of vaginismus is not adequate as a diagnostic marker for vaginismus. Pain and fear of pain, pelvic floor dysfunction, and behavioral avoidance need to be included in a multidimensional reconceptualization of vaginismus.

vaginismus dyspareunia vulvar vestibulitis syndrome vaginal spasm sexual pain hypertonicity 

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Copyright information

© Plenum Publishing Corporation 2004

Authors and Affiliations

  • Elke D. Reissing
    • 1
  • Yitzchak M. Binik
    • 2
    • 3
  • Samir Khalifé
    • 4
  • Deborah Cohen
    • 4
  • Rhonda Amsel
    • 2
  1. 1.School of PsychologyUniversity of OttawaOttawaCanada
  2. 2.Department of PsychologyMcGill UniversityMontréalCanada
  3. 3.Sex and Couple Therapy ServiceMcGill University Health CenterMontréalCanada
  4. 4.Department of Obstetrics and Gynecology, Faculty of Medicine, Sir Mortimer B. Davis Jewish General HospitalMcGill UniversityMontréalCanada

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