The romantic bond in women with vaginismus: a qualitative exploratory study

Authors

Abstract

Vaginismus is characterized as an involuntary contraction that prevents vaginal penetration, which can cause suffering and changes in love relationships. Therefore, in this study we sought to discuss the romantic attachment in women with vaginismus, reflecting on the influence of elements of the romantic relationship and the sociocultural context in the experience of this dysfunction. This is a qualitative-exploratory research, carried out through semi-structured interviews, with nine women who presented symptoms of vaginismus. The results were categorized from the content analysis and point to the importance of collaborative support from partners, and the absence of this support can prolong the treatment. Social roles around gender influence the perception of sexual dysfunction and marital dynamics, creating feelings of guilt and insecurity. Therefore, the importance of expanding conceptions of sexuality is highlighted, with the role of health professionals to instruct their patients with vaginismus in this process.

Keywords

Sexuality, Vaginismus, Loving relationship, Conjugality

References

American Psychiatric Association (2014). Manual diagnóstico e estatístico de transtornos mentais: DSM-5. Autor.

Amidu, Nafiu; Owiredu, William; Gyasi-Sarpong, Christian; Woode, Eric & Quaye, Lawrence (2011). Sexual dysfunction among married couples living in Kumasi metropolis, Ghana. BMC Urology, 11(3). http://www.biomedcentral.com/1471-2490/11/3

Anğın, Ali D.; Gün, İsmet; Sakim, Önder; Çikman, Muzaffer Seyhan; Eserdağ, Süleyman & Anğın, Pınar (2020). Effects of predisposing factors on the success and treatment period in vaginismus. JBRA Assisted Reproduction, 24(2), 180-188. https://doi.org/10.5935/1518-0557.20200018

Bairstow, Adrienne M.; Pillai-Fridman, Sabitha; Crane, Betsy & Milhausen, Robin R. (2018). Holy Grail or nice option: the meaning of penile-vaginal intercourse in “unconsummated” relationships. Tha Canadian Journal of Human Sexuality, 27(2), 171-179. https://doi.org/10.3138/cjhs.2018-0015

Bardin, Laurence (2016). Análise de conteúdo. Edições 70.

Bergeron, Sophie; Corsini-Munt, Serena; Aerts, Lee; Rancourt, Kate & Rosen, Natalie O. (2015). Female Sexual Pain Disorders: a Review of the Literature on Etiology and Treatment. Current Sexual Health Reports, 7(3), 159-169. https://doi.org/10.1007/s11930-015-0053-y

Çankaya, Seyhan & Aslantas, Beyza Nur (2021). Determination of Dyadic Adjustment, Marriage and Sexual Satisfaction as Risk Factors for Women with Lifelong Vaginismus: A Case Control Study. Clinical Nursing Research, 31(5), 848-857. https://doi.org/10.1177/10547738211046136

Carter, Allison; Ford, Jessie V.; Luetke, Maya; Fu, Tsung-chieh; Townes, Ashley; Hensel, Devon J.; Dodge, Brian & Herbenick, Debby (2019). “Fulfilling His Needs, Not Mine”: Reasons for Not Talking About Painful Sex and Associations with Lack of Pleasure in a Nationally Representative Sample of Women in the United States. Journal of Sexual Medicine, 16(12), 1-13. https://doi.org/10.1016/j.jsxm.2019.08.016

Castellano, Carmen Contreras & Matheu, Manuel Lucas (2021). Experiencias de mujeres que han sido diagnosticadas de vaginismo. Una aproximación sociológica cualitativa. Revista del Laboratorio Iberoamericano para el Estudio Sociohistórico de las Sexualidades, 5(4), 80‐98. https://doi.org/10.46661/relies.5295

Coutinho, Sabrine Mantuan dos Santos & Menandro, Paulo Rogério Meira (2010). Relações conjugais e familiares na perspectiva de mulheres de duas gerações: “Que seja terno enquanto dure”. Psicologia Clínica, 22(2), 83-106. https://doi.org/10.1590/S0103-56652010000200007

Elmerstig, Eva; Wijma, Barbro & Swahnberg, Katarina (2013). Prioritizing the partner’s enjoyment: a population-based study on young Swedish women with experience of pain during vaginal intercourse. Journal Psychosomatic Obstetrics & Gynecology, 34(2), 82-89. https://doi.org/10.3109/0167482X.2013.793665

Graham, Cynthia A.; Boynton, Petra M. & Gould, Kate (2017). Women’s sexual desire: challenging narratives of “dysfunction”. European Psychologist, 22(1), 27-38. https://doi.org/10.1027/1016-9040/a000282

Johnston, Sarah Louise (2013). Women’s experiences of vaginismus and its treatment: an interpretative phenomenological analysis [Tese de doutorado inedita]. University of Leicester.

Klein, Verena; Koops, Thula; Lange, Carmen & Briken, Peer (2015). Sexual history of male partners of women with the diagnosis vaginismus. Sexual and Relationship Therapy, 30(3), 376-384. https://doi.org/10.1080/14681994.2015.1025183

ter Kuile, Moniek M. & Reissing, Elke D. (2020). Lifelong Inability to Experience Intercourse (Vaginismus). In Yitzchak M. Binik & Kathryn S. K. Hall (Eds.), Principles and Practice of Sex Therapy (pp. 168-182). The Guilford Press.

Macey, Kat; Gregory, Angela; Nunns, David & Nair, Roshan das (2015). Women’s experiences of using vaginal trainers (dilators) to treat vaginal penetration difficulties diagnosed as vaginismus: a qualitative interview study. BMC Women’s Health, 15(49), 1-12. https://doi.org/10.1186/s12905-015-0201-6

McEvoy, Maria; McElvaney, Rosaleen & Glover, Rita (2021) Understanding vaginismus: a biopsychosocial perspective. Sexual and Relationship Therapy, 1-22. https://doi.org/10.1080/14681994.2021.2007233

Merwin, Kathleen E.; O’Sullivan, Lucia F. & Rosen, Natalie O. (2017). We Need to Talk: Disclosure of Sexual Problems is Associated with Depression, Sexual Functioning, and Relationship Satisfaction in Women. Journal of Sex & Marital Therapy, 43(8), 786-800. https://doi.org/10.1080/0092623X.2017.1283378

Moltedo-Perfetti, Andrés; Cittadini, María José; Nardi, Bernardo; Arimatea, Emidio & Moltedo-Perfetti, Piero (2014). Evaluación de la calidad de vida en mujeres con vaginismo primario mediante el WHOQOL-BREF. Revista chilena de obstetricia y ginecología, 79(6), 466-472. https://doi.org/10.4067/S0717-75262014000600003

Muhamad, Rosediani; Horey, Dell; Liamputtong, Pranee; Low, Wah Yun & Sidi, Hatta (2019). Meanings of sexuality: views from malay women with sexual dysfunction. Archives of Sexual Behavior, 48(3), 935-947. https://doi.org/10.1007/s10508-018-1228-1

Pacik, Peter T.; Babb, Corey R.; Polio, Andrew; Nelson, Craig E.; Goekeler, Carlie E. & Holmes, Lauren N. (2019). Case Series: Redefining Severe Grade 5 Vaginismus. Sexual Medicine, 7(4), 489-497. https://doi.org/10.1016/j.esxm.2019.07.006

Rohden, Fabiola & Russo, Jane (2011). Diferenças de gênero no campo da sexologia: novos contextos e velhas definições. Revista de Saúde Pública, 45(4), 722-729. https://doi.org/10.1590/S0034-89102011005000038

Svedhem, Celia; Eckert, Gisela & Wijma, Barbro (2013). Living with genito-pelvic pain/penetration disorder in a heterossexual relationship: an interpretative phenomenological analysis of interviews with eight women. Sexual and Relationship Therapy, 28(4), 336-349. https://doi.org/10.1080/14681994.2013.844785

Trindade, Wânia Ribeiro & Ferreira, Márcia de Assunção (2008). Sexualidade feminina: questões do cotidiano das mulheres. Texto & Contexto Enfermagem, 17(3), 417-426. https://doi.org/10.1590/S0104-07072008000300002

Turato, Egberto Ribeiro (2013). Tratado da metodologia da pesquisa clínico-qualitativa: construção teórico-epistemológica, discussão comparada e aplicação nas áreas da saúde e humanas (6ª ed.). Vozes.

World Health Organization (WHO) (2018). International Classification of Diseases (ICD 11). https://icd.who.int/en

Author Biographies

Ana Carolina de Moraes Silva, Universidade Estadual de Londrina

Ana Carolina de Moraes Silva é psicóloga pela Universidade Estadual de Londrina (UEL). Especialista em Psicologia em Hospital Geral pelo Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP). Mestranda em Psicologia Clínica pela Universidade de São Paulo (USP).

Maíra Bonafé Sei, Universidade Estadual de Londrina

Maíra Bonafé Sei tem mestrado, doutorado e pós-doutorado em Psicologia Clínica pela Universidade de São Paulo (USP). Atualmente é professora associada do Departamento de Psicologia e Psicanálise da Universidade Estadual de Londrina (UEL).

Rebeca Beckner de Almeida Prado Vieira, Universidade Estadual de Londrina

Rebeca Beckner de Almeida Prado Vieira é psicóloga pela Universidade Estadual de Londrina (UEL).

Published

25-07-2024

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