Vaginismus

阴道痉挛
  • 文章类型: Journal Article
    在无法成功进行性交和阴道渗透的夫妇中,未完成的婚姻(UCM)是一个重大问题,中国夫妇UCM的病因和临床特征尚不清楚。
    在对UCM患者的回顾性分析中,我们调查了中国UCM夫妇的临床特征和治疗结果。
    在2019年1月至2021年5月期间,我们连续检查了127对婚姻不完美的夫妇。这对夫妇分别由男科医生和妇科医生进行了评估,综合治疗由治疗师进行。
    我们计算了UCM在中国夫妇中的病因分布。
    在评估数据的夫妇中,93对夫妇首先拜访了男科医生,34对夫妇首先拜访了妇科医生。与性功能障碍相关的最常见的主诉是男性患者的勃起功能障碍(ED),女性患者的阴道痉挛和性交困难。中国夫妇之间的婚姻不完美主要是由女性因素引起的(55.8%)。通过性治疗师进行的夫妻导向治疗,成功率为67.7%。
    如果一对夫妇被诊断为UCM,丈夫和妻子都应该单独接受性治疗师对成功性交的指导。
    据我们所知,这是关于中国夫妇UCM病因的第一份报告。在这里,我们报告我们的常规诊断和治疗检查。然而,我们无法对女性伴侣进行激素和影像学检查.此外,在没有合作伙伴的情况下访问我们部门的UCM患者未纳入统计范围.
    中国夫妻之间的不完美婚姻可能是由影响夫妻双方或夫妻个人的因素引起的;但是,影响女性的因素是UCM的主要原因。缺乏与性有关的知识,以及文化信仰,发挥重要作用。由男科医生和妇科医生进行的初步评估,随后是性治疗师进行的夫妻治疗,强烈建议有效治疗UCM。
    UNASSIGNED: Unconsummated marriage (UCM) is a significant problem among couples who are unable to achieve successful sexual intercourse and penovaginal penetration, and the etiology and clinical characteristics of UCM in Chinese couples remain unknown.
    UNASSIGNED: In a retrospective analysis of patients with UCM, we investigated clinical characteristics and treatment outcomes among Chinese couples with UCM.
    UNASSIGNED: During the period from January 2019 to May 2021, we examined 127 consecutive couples with unconsummated marriage. The couples were evaluated separately by andrologists and gynecologists, and combined treatments were conducted by therapists.
    UNASSIGNED: We calculated the distribution of etiologies of UCM in Chinese couples.
    UNASSIGNED: Among the couples whose data were evaluated, 93 couples visited the andrologist first and 34 couples visited the gynecologist first. The most common complaints associated with sexual dysfunction were erectile dysfunction (ED) in male patients and vaginismus and dyspareunia in female patients. Unconsummated marriage among Chinese couples was caused primarily by female factors (55.8%). With couple-oriented treatment conducted by sexual therapists, the success rate was 67.7%.
    UNASSIGNED: If a couple is diagnosed with UCM, both the husband and wife should be treated individually receive guidance from a sex therapist toward successful sexual intercourse.
    UNASSIGNED: This is to our knowledge the first report regarding the etiology of UCM in Chinese couples. Here we report our routine diagnostic and therapeutic workups. However, we were not able to perform hormonal and imaging studies of the female partners. Moreover, patients presenting with UCM who visited our department without a partner were not included in the statistics.
    UNASSIGNED: Unconsummated marriage among Chinese couples may be caused byfactors affecting both the husband and wife or the husband and wife individually; however, factors affecting women are the predominant causes of UCM. Lack of knowledge about sex-related issues, as well as cultural beliefs, play an important role. A preliminary evaluation by an andrologist and a gynecologist, followed by couple treatment conducted by the sex therapist, is highly `recommended to treat UCM effectively.
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