Vaginismus: Cross – sectional study in population of Karachi, Pakistan

Abstract

Vaginismus is an involuntary and persistent contraction or tightening of the pelvic floor muscles that completely prevent
sexual intercourse. To determine presence of vaginismus in Pakistan with its presenting complaints and whether or not
Pakistani population seeks medical advice for this problem present study was conducted. We conducted a cross-sectional
(Observational) study at different public and private sector hospitals and rehabilitation center OPDs and consultant clinics
during January 2013 – April 2013. The study was conducted in married female population of different areas of Karachi.
Questionnaire was distributed to married females who confirmed that they have severe unbearable pain at the time of
intercourse. After completion of the forms filling, data was analyzed by SPSS-19. Chi square test, Chronbach’s alpha
reliability test, Wilcoxon signed rank test and ANOVA with Friedman’s Chi square tests were performed. Highly significant
reliability of items in the questionnaire was found along with inter item correlation (p<0.05). Out of 80 patients of
vaginismus 71% females were suffering from primary vaginismus. There was no sign of inexperience. 49% females
consulted medical personal for their problem, 39% took treatment and found highly significant relief in pain (z = - 4.281; p
= 0.000) and ease in sexual activities. Awareness of sexual problems and rehabilitation centers should be increased.
Problem solving should be taught to both partners so that they could lad very productive and prosperous life.