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E. Maseroli, L. Vignozzi, I. Scavello, S. Cipriani, M. Palma, M. Fambrini, G. Corona, E. Mannucci, M. Maggi, PS-03-002 Psychobiological Correlates of Vaginismus: An Exploratory Analysis, The Journal of Sexual Medicine, Volume 16, Issue Supplement_2, May 2019, Page S9, https://doi.org/10.1016/j.jsxm.2019.03.057
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Extract
Objective
To investigate, in a cohort of subjects consulting for female sexual dysfunction (FSD), whether there is a difference in medical and psychosocial parameters between women with vaginismus (V) and women with other sexual complaints.
Methods
A series of 255 women attending our clinic for FSD was consecutively recruited. V was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria. Patients underwent a structured interview and physical, gynecologic, laboratory, and clitoral ultrasound examinations; they completed the Female Sexual Function Index (FSFI), the Middlesex Hospital Questionnaire (MHQ), the Female Sexual Distress Scale Revised (FSDS), and the Body Uneasiness Test (BUT).
Results
V was diagnosed in 20 patients (7.8%). Women with V were significantly younger than the rest of the sample (P < 0.05). No differences were found for traditional risk factors such as a history of sexual abuse, relational parameters, or gynecologic diseases or for newly investigated parameters (ie, neurologic, hormonal, metabolic alterations). Women with V showed significantly higher histrionic-hysterical symptoms and traits (as detected by MHQ-H score) compared with subjects with other sexual complaints. When the scores of all MHQ subscales were simultaneously introduced in a logistic model, the association between V and MHQ-H score was confirmed (P = 0.013). Women with V also showed higher FSFI pain and FSDS total scores, even after adjusting for age (P < 0.05). In an age-adjusted model, FSDS total score increased as a function of the years of duration of V (P = 0.032) but not as a function of its severity. All observations were confirmed in a case-control study (ratio = 1:3).
