This is not the most recent version of the article. View current version (12 DEC 2012)

Intervention Review

Interventions for vaginismus

  1. Hugh McGuire1,*,
  2. Keith KE Hawton2

Editorial Group: Cochrane Depression, Anxiety and Neurosis Group

Published Online: 23 APR 2001

Assessed as up-to-date: 22 MAY 2005

DOI: 10.1002/14651858.CD001760

How to Cite

McGuire H, Hawton KKE. Interventions for vaginismus. Cochrane Database of Systematic Reviews 2001, Issue 2. Art. No.: CD001760. DOI: 10.1002/14651858.CD001760.

Author Information

  1. 1

    National Coordinating Centre for Women and Child Health, London, UK

  2. 2

    Warneford Hospital, University Department of Psychiatry, Oxford, UK

*Hugh McGuire, National Coordinating Centre for Women and Child Health, London, UK. hmcguire@ncc-wch.org.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 23 APR 2001

SEARCH

This is not the most recent version of the article. View current version (12 DEC 2012)

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Vaginismus is an involuntary contraction of the vaginal muscles which makes sexual intercourse difficult or impossible. It is one of the more common female psychosexual problems. Various therapeutic strategies for vaginismus, such as sex therapy and desensitization, have been proposed, and uncontrolled case series appear promising..

Objectives

The aim of this review is to determine the clinical effectiveness of treatments for vaginismus and also to examine the role of partner participation in the effectiveness of the treatment.

Search methods

The Cochrane Collaboration Depression, Anxiety & Neurosis Controlled Trials Register (carried out on 23/5/2005), the Cochrane Controlled Trials Register (Cochrane Library, Issue 4, 2004), MEDLINE (1966 to Feb 2005), EMBASE (1980 to Feb 2005), PsycINFO (1967 to Feb 2005) and CINAHL (1982 to Feb 2005) were searched. The Journal of Sex Research (1974 to 1999), Sexual & Marital Therapy (1986 to 1999), Sexual Dysfunction (1998 to 1999) and the Journal of Sex and Marital Therapy (1974 to 1999) were handsearched. Reference lists and conference abstracts were searched. Experts in the field were contacted regarding unpublished material.

Selection criteria

Controlled trials comparing treatments for vaginismus with another treatment, a placebo treatment, treatment as usual or waiting list control.

Data collection and analysis

The reviewers extracted data which were verified with the trial investigator where possible.

Main results

Three potential trials were identified, but data were only available from two of these. One trial comparing two forms of systematic desensitization with hypnotherapy was excluded because it was not randomised. The included trial compared two forms of systematic desensitization and reported no discernible differences between them.

Authors' conclusions

In spite of encouraging results reported from uncontrolled case series there is very limited evidence from controlled trials concerning the effectiveness of treatments for vaginismus. Further trials are needed to compare therapies with waiting list control and with other therapies.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Interventions for vaginismus

Vaginismus is when the muscles in the vagina tighten and prevent a woman from having sex. It can cause distress, relationship problems and also infertility. Many treatments have been tried including sex therapy, education, hypnosis and drug treatments. Therapy may involve relaxation techniques and gradually inserting a dilator or finger into the vagina. (This may be called systematic desensitization or flooding.) This review found only three studies. None of the studies compared treatments with no treatment. On the basis of these studies we cannot draw conclusions about how well treatments for vaginismus work. Uncontrolled reports suggest that sex therapy may be helpful. Further studies are needed to confirm this.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

陰道痙攣治療

陰道痙攣是陰道肌肉收縮使性交無法進行或進行困難.這是比較常見的性心理問題.有許多治療方式如性治療,減敏訓練,經過無對照個案研究證明似乎有效

目標

檢視陰道痙攣治療的臨床療效和性伴侶參與對療效的影響

搜尋策略

手動搜尋The Cochrane Collaboration Depression, Anxiety & Neurosis Controlled Trials Register (carried out on 23/5/2005), the Cochrane Controlled Trials Register (Cochrane Library, Issue 4, 2004), MEDLINE (1966 to Feb 2005), EMBASE (1980 to Feb 2005), PsycINFO (1967 to Feb 2005) and CINAHL (1982 to Feb 2005) were searched. The Journal of Sex Research (1974 to 1999), Sexual & Marital Therapy (1986 to 1999), Sexual Dysfunction (1998 to 1999) and the Journal of Sex and Marital Therapy (1974 to 1999).也搜尋文獻清單和會議摘要,並連絡專家詢問是否有未發表研究.

選擇標準

對照試驗比較不同陰道痙攣治療,安慰療法(列入等候清單)

資料收集與分析

若可行則與試驗主持人確認資料正確性,檢閱者再擷取資料.

主要結論

找到3的可能試驗淡只有兩個有資料.排除其中一個一個沒有隨機分配的試驗,此試驗比較2種系統性減敏治療和催眠療法.納入的試驗比較兩種統性減敏治療,結果顯示療效沒差

作者結論

無對照試驗雖然有效但在對照試驗中得到有效的證據很有限.需要更多研究比較治療和對照(等待治療)及其他療法

翻譯人

本摘要由成功大學附設醫院尹子真翻譯

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌

總結

陰道痙攣是陰道肌肉收縮使性交無法進行.會引起沮喪,與伴侶關係生變和不孕.有許多治療方式如性治療,衛教,催眠和藥物治療.治療包含放鬆技巧和緩慢於陰道置入擴充器或手指(系統信減敏或洩洪).本研究只找到3個試驗,沒有有治療組和無治療組的比較,我們無法得知治療療效.無對照的研究指出性治療有效.需要更多試驗檢視這點.