Management of vaginal penetration phobia in Arab women: a retrospective study.
OBJECTIVE
Vaginal penetration phobia is a common and distressing problem world.wide. It interferes with vaginal penetrative sexual relations, and leads to unconsummated marriage (UCM). This problem may be heightened in Arab women, due to cultural taboos about pain and bleeding, that may be associated with the first coital experience after marriage. Data about this problem is scarce in Arab societies. The aim of this study was to evaluate the response of these women and their husbands to an individualized, psychotherapeutic assessment and treatment to resolve this problem.


METHODS
Retrospective descriptive in a general gynecology community setting over a 6-year period.


METHODS
The study involved a retrospective sequential cohort of 100 Arab couples with UCM due to the woman's VPP. They were evaluated by a female gynecologist in out patient clinics. Data was collected through chart review, and telephone interviews. Final analysis was performed on 100 Arab couples, who satisfied the inclusion criteria. They were followed up to assess their response to an individualized, structured treatment protocol. The treatment combined sex education with systematic desensitization, targeting fear and anxiety as.sociated with vaginal penetration.


RESULTS
A total of 96% of the studied group had a successful outcome after an average of 4 sessions. Penetrative intercourse was reported by the tolerance of these women; further pregnancy was achieved in 77.8 % of the infertile couples.


CONCLUSIONS
Insufficient knowledge of sexual intercourse is a major contributor to the development of VPP in the sampled population. It appears that they respond well to an individualized, structured treatment protocol as described by Hawten 1985 (regardless of other risk factors associated with vaginismus).
Dr. Tarfah Muammar, MBC 62 Department of Family Medicine and Polyclinic,, King Faisal Specialist Hospital and Research Centre,, PO Box 33544, Riyadh 11211, Saudi Arabia, T: 966 11 4647272, F: 966 11 4423005, drtarfahm@gmail.com.
Tarfah
T
Muammar
Patricia
P
McWalter
Abdullah
A
Alkhenizan
Mohamed
M
Shoukri
Alia
A
Gabr
Abdulaziz AlDanah
AA
Bin
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000523:psychology; D018912:Arabs / Q000523:psychology; D003075:Coitus / Q000523:psychology*; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage; D010698:Phobic Disorders / Q000523:psychology* / Q000628:therapy; D011247:Pregnancy; D012189:Retrospective Studies; D012736:Sex Education / Q000379:methods; D012725:Sexual Behavior / Q000523:psychology*; D052065:Vaginismus / Q000523:psychology*; D055815:Young Adult