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Genito-Pelvic Pain/Penetration Disorder (Vaginismus)

Jeffrey D. Quinlan, MD, FAAFP Reviewed 06/2018
 


BASICS

Genito-pelvic pain/penetration disorder is the name of the conditions formally known as vaginismus and dyspareunia. Vaginismus results from involuntary contraction of the vaginal musculature. P...

DIAGNOSIS

DSM-5 has combined vaginismus and dyspareunia in a condition called genito-pelvic pain/penetration disorder. 

HISTORY

  • Complete medical history

  • Full psychosocial and sexual history, including th...

TREATMENT

  • Genito-pelvic pain penetration disorder may be successfully treated (2)[B].

  • Outpatient care is appropriate.

  • Treatment of physical conditions, if present, is first line (see “Secondary” under “...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Desensitization techniques of gentle, progressive, patient-controlled vaginal dilation 

Patient Monitoring

General preventive health care 

DIET

No special diet 

PATIENT EDUCATION

REFERENCES

1 American Psychiatric Association. Diagnostic Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
2 Landry T, Bergeron S. How young does...

ADDITIONAL READING

  • Basson R, Wierman ME, van Lankveld J, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med.  2010;7(1, Pt 2):314–326.  [View Abstract]

  • Jeng CJ, Wang...

SEE ALSO

Dyspareunia; Sexual Dysfunction in Women 

CODES

ICD10

  • N94.2 Vaginismus

  • N94.1 Dyspareunia

ICD9

  • 625.1 Vaginismus

  • 625.0 Dyspareunia

SNOMED

  • 266598008 vaginismus due to non-psychogenic cause (finding)

  • 71315007 Dyspareunia (finding)

  • 198402002 Dyspareunia du...

CLINICAL PEARLS

  • In a patient with suspected genito-pelvic pain penetration disorder, a complete medical history, including a comprehensive psychosocial and sexual history and a patient-centric, patien...

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