ArticleSexual medicine2019
Case Series: Redefining Severe Grade 5 Vaginismus.
Article in Sexual medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 29 citations in OpenAlex.
- 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
- Botulinum toxin treatment of refractory vaginismus: a prospective study.International journal of women's dermatology · 2024Article
- Review
- Patients' recommendations to improve help-seeking for vaginismus: a qualitative study.BMC women's health · 2024Article
- The interrelationship between women's help-seeking experiences for vaginismus and their sense of self: a qualitative study and abductive analysis.Health psychology and behavioral medicine · 2024Article
- 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
- Examination of Treatment Duration, Treatment Success and Obstetric Results According to the Vaginismus Grades.Sexual medicine · 2021Article
- The experiences of women seeking help for vaginismus and its impact on their sense of self: An integrative review.Women's health (London, England)Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVaginismus 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.
aimThe 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.
methodsAssessment 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.
main outcome measureThe 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.
resultsA visceral response reaction to routine gynecologic examinations, as well as spasm of the bulbocavernosum, occurred in patients with severe vaginismus.
conclusionSevere 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. CASE SERIES: Redefining Severe Grade 5 Vaginismus. Sex Med 2019;7:489-497.
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