Vaginismus: An Approach from Biology to Psychological Aspect.

Introductions: The prevalence of vaginismus ranges from 1%-6%, and the ratio becomes 5%-17% in the clinical setting, although it varies widely worldwide. The main cause of vaginismus is unknown but is often considered multifactorial. This paper aims to describe the psychological aspects that contribute to vaginismus. Case: A 26-year-old married woman complained about not being able to have sexual intercourse. About 1 month ago, since marriage, the patient was unable to have sexual intercourse with her husband. The patient feels guilty and anxious because of her inability to please her husband. The patient's father was very dominant and was a "religious" type of parent who always advised with religious aspects regarding all matters. The patient's mother was a nervous person and always said that what the father said was a law that had to be followed. Likewise, talking about sex is a taboo topic of discussion and is considered embarrassing. Discussions: Many factors need to be explored related to vaginismus. In this case, the biological aspect can be ruled out because the patient has consulted with an ob-gynecologist. From the psychological aspect, perceptions, attitudes, and attitudes towards sex, as well as the values held by parents, contribute to vaginismus in this patient. Conclusions: A therapeutic approach that focuses on all aspects promises quite good therapeutic outcomes. [ABSTRACT FROM AUTHOR]