背景:在医疗保健提供者中,对阴道痉挛的了解很少,并且相对未知。对于那些了解和治疗阴道痉挛的人来说,很少有人对这种情况的严重程度进行评估。对阴道痉挛严重程度进行分类的重要性影响临床医生诊断和治疗阴道痉挛的能力,了解病人的经历。
目的:本文的目的是确定严重的5级阴道痉挛的特征,确定严重程度的阴道痉挛是否存在阴道痉挛,并建立Pacik5级分类的资格。
方法:对553名无法耐受性交的转诊或自我转诊妇女的评估完成了全面的预处理问卷。在那些女人中,391在经过认证的手术中心进行了阴道检查,根据需要使用镇静和麻醉。
方法:主要的结局指标是在5级患者中通过预期或实际的妇科检查来检测内脏反应的存在。并在检查时确定阴道痉挛。
结果:对常规妇科检查的内脏反应,以及海绵体的痉挛,发生在严重阴道斜视患者中。
结论:严重的阴道痉挛对常规妇科检查有内脏反应表现,无法性交,海绵体痉挛新定义为严重的5级阴道痉挛。PacikPT,BabbCR,小儿麻痹症A,etal.
方法:重新定义严重的5级阴道痉挛。性别医学2019;7:489-497。
BACKGROUND: Vaginismus is poorly understood and relatively unknown among health care providers. For those who understand and treat
vaginismus, few make an assessment of the severity of this condition. The importance of classifying the severity of
vaginismus impacts the clinician\'s ability to diagnose and treat
vaginismus, and understanding of the patient\'s experience.
OBJECTIVE: The aims of this paper are to identify the distinguishing features of severe grade 5 vaginismus, determine if vaginal spasm is present in severe grade vaginismus, and to establish qualifications for the Pacik grade 5 classification.
METHODS: Assessment of 553 referred or self-referred women who were unable to tolerate intercourse completed a comprehensive pretreatment questionnaire. Of those women, 391 underwent a vaginal examination in a certified surgicenter using sedation and anesthesia as needed.
METHODS: The main outcome measures were to detect the presence of a visceral reaction with an intended or actual gynecologic examination in Grade 5 patients, and to identify vaginal spasm on examination.
RESULTS: A visceral response reaction to routine gynecologic examinations, as well as spasm of the bulbocavernosum, occurred in patients with severe vaginismus.
CONCLUSIONS: Severe vaginismus with visceral response manifestations to routine gynecologic examinations, inability to have intercourse, and spasm of the bulbocavernosum is newly defined as severe grade 5 vaginismus. Pacik PT, Babb CR, Polio A, et al.
METHODS: Redefining Severe Grade 5
Vaginismus. Sex Med 2019;7:489-497.