ArticleInternational urogynecology journal2014
Understanding and treating vaginismus: a multimodal approach.
Article in International urogynecology journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01352546 (Open Label, Single Center, Pilot Study of the Use of BOTOX Injections, Sensorcaine Injections and Progressive Dilation Under Anesthesia for the Treatment of Primary Vaginismus), which is not on this map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Open Label, Single Center, Pilot Study of the Use of BOTOX Injections, Sensorcaine Injections and Progressive Dilation Under Anesthesia for the Treatment of Primary Vaginismus
Who cites it
20 citing papers in PubMed, 82 citations in OpenAlex.
- Effectiveness of Biofeedback with Dilator Therapy for Sexual Function in Women with Primary Vaginismus: Randomized Controlled Trial Study.International urogynecology journal · 2025Trial
- Health Professionals' Approaches to Support Patient Diversity in the Assessment of Vaginismus: A Critical Feminist Qualitative Study for Inclusive Care.Healthcare (Basel, Switzerland) · 2026Article
- Managing Vaginismus with Assisted Dilatation Multidisciplinary Protocol - Retrospective Cohort Study from Indonesia's Largest Dedicated Centre.International journal of women's health · 2026Article
- Male Responses to Female Partners with Genitopelvic Pain/Penetration Disorder: A Systematic Review of Biopsychological Impacts and Coping Strategies.International journal of sexual health : official journal of the World Association for Sexual Health · 2025Article
- Botulinum toxin treatment of refractory vaginismus: a prospective study.International journal of women's dermatology · 2024Article
- Patients' recommendations to improve help-seeking for vaginismus: a qualitative study.BMC women's health · 2024Article
- Vaginismus: Diagnostic Challenges and Proposed Diagnostic Criteria.Balkan medical journal · 2024Article
- Nonsurgical neovagina creation in congenital vaginal agenesis: a case report of movement-based dilator therapy.F&S reports · 2023Article
- Comparative Study of 150 vs. 200 Units of Botulinum Toxin as Treatment for Vaginismus.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Observational
- Online Information on Painful Sexual Dysfunction in Women: Quality Analysis of Websites in SPANISH about Dyspareunia, Vaginismus and Vulvodynia.International journal of environmental research and public health · 2022Article
- The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men.Archives of sexual behavior · 2022Article
- Examination of Treatment Duration, Treatment Success and Obstetric Results According to the Vaginismus Grades.Sexual medicine · 2021Article
- Low Dose, High Frequency Movement Based Dilator Therapy for Dyspareunia: Retrospective Analysis of 26 Cases.Sexual medicine · 2021Article
- Article
- Case Series: Redefining Severe Grade 5 Vaginismus.Sexual medicine · 2019Article
- [Obstetric outcome of women with primary vaginismus].The Pan African medical journal · 2019Article
- Biopsychosocial Management of Female Sexual Dysfunction: A Pilot Study of Patient Perceptions From 2 Multi-Disciplinary Clinics.Sexual medicine · 2018Article
- Physiotherapy for pelvic pain and female sexual dysfunction: an untapped resource.International urogynecology journal · 2018Review
- Review
- Vaginismus Treatment: Clinical Trials Follow Up 241 Patients.Sexual medicine · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThis clinical opinion was written to bring attention to the understanding and treatment of vaginismus, a condition that is often under diagnosed and therefore inadequately treated, yet affects millions of women worldwide. Despite its description more than a century ago, vaginismus is rarely taught in medical school, residency training, and medical meetings. The DSM 5 classification stresses that vaginismus is a penetration disorder in that any form of vaginal penetration such as tampons, finger, vaginal dilators, gynecological examinations, and intercourse is often painful or impossible. Compared with other sexual pain disorders such as vulvodynia and vestibulodynia, the treatment of vaginismus has the potential for a high rate of success. Stratifying the severity of vaginismus allows the clinician to choose among numerous treatment options and to better understand what the patient is experiencing. Vaginismus is both a physical and an emotional disorder. In the more severe cases of vaginismus women (and men) complain that attempted intercourse is like "hitting a wall" suggestive of spasm at the level of the introitus. The emotional fallout resulting from this needs to be addressed in any form of treatment applied.
methodsThis article is based on lessons learned in the treatment of more than 250 patients and evaluation of more than 400 inquiries, and was written to make vaginismus more widely understood, to aid in the differential diagnosis of sexual pain, suggest a variety of effective treatments, and explain how Botox can be used as part of a multimodal treatment program to treat vaginismus.
conclusionsWith greater awareness among clinicians it is hoped that medical schools, residency programs, and medical meetings will begin teaching the understanding and treatment of vaginismus.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.