
Successful management of vaginismus: An eclectic approach
Author(s) -
Harish Thippeswamy,
Krishnaprasad Muliyala,
Pratima Murthy
Publication year - 2011
Publication title -
indian journal of psychiatry/indian journal of psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.485
H-Index - 34
eISSN - 1998-3794
pISSN - 0019-5545
DOI - 10.4103/0019-5545.82548
Subject(s) - vaginismus , escitalopram , distress , psychology , medicine , psychotherapist , psychiatry , sexual dysfunction , anxiety , antidepressant
Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty. In this report, we describe the successful treatment of vaginismus in a 25-year-old lady based on a model proposed by Keith Hawton. The eclectic approach involved education, graded insertion of fingers, Kegel's exercises and usage of local anesthesia with vaginal containment along with the prescription of Escitalopram.