by Prof Dr Ramli Musa under Patient Education March 12 2013
Boleh baca dengan lebih lanjut pada 1 artikel berkenaan Vaginismus di Malaysia.
Ramli M, Nora MZ, Roszaman R, Hatta S. Vaginismus and subfertility: Case reports on the association observed in clinical practice. Malaysian Family Physician. 2012;7(1):24-27
For your further reading:
http://www.e-mfp.org/old/2012v7n1/vaginismus-and-subfertility.html
ABSTRACT
Objective: To analyse the features of patients with vaginismus first presented to a gynaecologist for infertility before being referred for psychiatric evaluation and management. The case series aim to provide some insight on features and presentations of Asian women with vaginismus. Vaginismus is characterised by persistent or recurrent difficulties in vaginal penetration despite the woman’s wish for coitus. Avoidance, phobia, anticipatory fear of pain and involuntary pelvic muscle contraction are the most common symptoms.
Method: We report a series of cases of Malaysian women who had been suffering from vaginismus and ‘infertility’. All the cases had never been attended to medically and there were long delays in seeking intervention. There was no history of traumatic sexual experience or any major psychiatric illness in these patients. Majority of the patients had prominent symptoms of anxiety.
Conclusion: The cases illustrate that it is important to rule out the possibility of vaginismus among patients with infertility. The former have unique psychological features which require psychological interventions.
Keywords: Case reports, vaginismus, infertility, psychological approach, Malaysian women.
RamliMusa.com
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Salam. Dr.ramli,i try to open the link but it is stated that 'page not found'.
e-mfp.org/…/vaginismus-and-subfertility….
Salam Prof Ramli, which department should i refer first for the treatment of vaginismus? Is it psychiatric or O&G?
Salam Psychiatry, but commonly I got referrals from O&G specialists
I am one of the sufferer of this disorder. Married for almost 8 years and still unconsummated. Able to have a child thru splash pregnancy. There are lack awareness towards vaginismus here in malaysia and I don't know where to find help to cure this problem. OBGYN is blacklisted for vaginismus sufferer like me all because of their scary procedures involving the 'down there' issue.
I really hope many medical practitioner like you especially women practitioner will continue involve the research to find the cure..
I am still struggling and battling with this vaginismus thing and still try to find the right cure for this pathetic , and depressive disorder.
hi. saya juga mengalami masalah ini. sudah hmpir 5 tahun berkahwin dan masih belum ada penis penetration. pernah jumpa doktor swasta tapi dia hanya gelakkan sy dan suami,layan kami macam budak kecil. terus rasa down. day by day, hampir 5 years,sy rasa xboleh duduk diam lg. sgt frust bila org luar sudah perli pasal anak. harap dpt bantu sy utk bg contact number klnik or hospital yg open tentang vaginismus dan yg harga mampu milik utk sy dan suami jalani rawatan. sekitar KL, Bangi atau N9. Terima kasih.
Ya kemunkinan besar Vaginismus
Hi semua..saya pun penghidap vaginismus, dah menghidap 5 tahun..dah banyak kali jumpa dr tapi belum sembuh..sekarang masih berlatih menggunakan dilator..ramai kawan dalam support group dah sembuh dan miliki anak..hopefully kita semua mampu sembuh sama-sama..amin..
Salam Puan,
Terima kasih kerana sudi berkongsi pengalaman
Salam. Boleh saya tahu macammana nak join support group?
Support group Malaysia masih tiada, namun saya ada pesakit yg dah berjaya yg sudi berkogsi kejayaan.
Support group international boleh search di FB.
How was your childbirth? Through normal delivery or caesarean?
Dear Anonymous, I hope you get to see this comment. Would you mind if I request to connect with you because I am facing the exact issue and hope to find someone in Malaysia for moral support as well as some advise and sharing if you don't mind. Thank you.
Have you found the cure?
I have read about the treatment exercise. You shouldn't feel demotivated. There's hope for every vaginismus patient. Try dilators combined with pelvic floor exercise. Overseas hospitals offer wider range of treatments and consultation. I've came across Vagi-wave. Try google it down. The device is put during sleep so that your subconscious mind will teach your pelvic muscle or reprogram it to show less spasm during penetration. Pelvic muscles are the culprit of this condition if other conditions like endometriosis has been ruled out. I don't really know how the pelvic floor exercise is done but it should be combined with dilator n a lot of lubricant I think. The function of dilator is not to stretch the opening but to teach the pelvic muscle so that it can accept penetration. What causes vaginismus can be trauma or non-trauma. Psychological thinking that sex is painful that some often may have be another reason that has taught the body to react negatively to penetration. Like what i've read, the vagina is never too small but the pelvic muscles reflex clamps down the opening. Your partner may say like he's hitting a wall. it's one of the symptoms of vaginismus.
One of my patients managed to achieve cure from vaginismus through usage of Vagi Wave. The principle of success in any fear or fobia is through continuous exposure
Hi may I know where can I get Vaginismus treatment in Malaysia?
Mainly KL
Is it possible to be able to purchase Vagi -wave in KL?
Salam,
Ya through online