METHODS: Using a feminist theoretical approach, semi-structured interviews were conducted with 21 participants who sought help for their vaginismus. Thematic analysis was employed to analyse participants\' recommendations.
RESULTS: Four main themes emerged: Increase awareness of vaginismus, Dismantle myths about sex, Destigmatise vaginismus, and Empower people with vaginismus during medical consultations. Subthemes were identified as actionable strategies that participants recommended to improve help-seeking and healthcare for vaginismus.
CONCLUSIONS: The findings from this study can inform healthcare practice and policy to foster better synchronicity between health professionals and their patients\' perceptions and expectations of treating vaginismus. This can promote more acceptance of patients\' advocacy of their needs and goals to improve the therapeutic alliance and treatment outcomes for vaginismus in healthcare practice. The strategies recommended to increase awareness of vaginismus and challenge its stigma should be considered in policy to incite a culture of change in healthcare practice and broader society.
方法:使用女性主义理论方法,对21名寻求阴道痉挛帮助的参与者进行了半结构化访谈。采用主题分析来分析参与者的建议。
结果:出现了四个主要主题:提高对阴道痉挛的认识,消除关于性的神话,性交性阴道痉挛,并在医疗咨询期间赋予患有阴道痉挛的人权力。子主题被确定为可行的策略,参与者建议改善阴道痉挛的寻求帮助和医疗保健。
结论:这项研究的结果可以为医疗实践和政策提供信息,以促进卫生专业人员与其患者之间更好的同步治疗阴道痉挛的看法和期望。这可以促进患者更多地接受他们的需求和目标,以改善医疗实践中阴道痉挛的治疗联盟和治疗结果。应在政策中考虑建议提高对阴道病的认识并挑战其污名的策略,以煽动医疗实践和更广泛的社会变革文化。