title: The problem of vaginismus with congenital malformation of the genital tract.
abstract: The persistent or recurrent difficulties of the woman to allow vaginal entry of a penis, a finger, and/or any object, despite the woman's expressed wish to do so" is vaginismus. Early traumatic sexual experiences (e.g. sexual abuse), religious orthodoxy, low self-esteem and body image, negative attitudes about sexuality, lack of knowledge about sex and fear responses are some of the traditional etiological correlates of vaginismus. Vaginismus is largely a diagnosis of exclusion. An interview is crucial in differentiating the causes of this disease and it should involve the following key questions: -whether the contraction of the vaginal muscles was recorded from the first sexual contact and still remains a need for sexual satisfaction is achieved without relations vaginal or -symptom occurs for some time and what circumstances it bound or -contraction of the muscles is independent of the will, reflex and is at the very idea of sexual intercourse, and -that the contraction of the vaginal muscles occurs when you try to enter the member into the vagina which is very painful. The physical, gynecological and sexuological examinations exclude local causes of the disease. The mainstay of treatment in the majority of cases is psychosexual support. The cause of organic vaginismus is congenital malformation of the genital tract. It results from abnormal development of genital paramesonephric (Müllerian) ducts and the urogenital sinus, which are structures involved in the process of oviduct, uterus, and vagina organogenesis. This has strong implications in the practices of gynecology and sexuology in general, not only in adolescent gynecology and sexuology. Vaginismus with congenital malformation is an important problem in these fields.
authors.affiliation: Pracownia Ginekologii Wieku Rozwojowego i Seksuologii Kliniki Ginekologii Katedry Perinatologii i Ginekologii Uniwersytetu Medycznego w Poznaniu.
authors.forename: Grażyna
authors.initials: G
authors.lastname: Jarząbek-Bielecka
authors.affiliation: Katedra Zdrowia Matki i Dziecka Uniwersytetu Medycznego w Poznaniu; Państwowa Wyższa Szkoła Zawodowa w Kaliszu.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Pisarska-Krawczyk
authors.affiliation: Pracownia Ginekologii Wieku Rozwojowego i Seksuologii Kliniki Ginekologii Katedry Perinatologii i Ginekologii Uniwersytetu Medycznego w Poznaniu.
authors.forename: Witold
authors.initials: W
authors.lastname: Kędzia
authors.affiliation: Zakład Dietetyki Katedry Higieny Żywienia Człowieka, Uniwersytet Przyrodniczy w Poznaniu.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Mizgier
authors.affiliation: Pracownia Ginekologii Wieku Rozwojowego i Seksuologii Kliniki Ginekologii Katedry Perinatologii i Ginekologii Uniwersytetu Medycznego w Poznaniu.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Friebe
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003075:Coitus / Q000523:psychology; D005260:Female; D006801:Humans; D012725:Sexual Behavior / Q000523:psychology*; D052065:Vaginismus / Q000503:physiopathology* / Q000523:psychology*