Genito-pelvic pain/penetration disorder is a relatively new term encompassing both dyspareunia (recurrent pain with intercourse) and vaginismus (involuntary contraction of the pelvic floor with attempted penetration). Symptoms are often multifactorial. Thus, a detailed history and sensitive patient-centered examination are essential to identify and treat the underlying cause(s). Additional laboratory or imaging studies are not routinely indicated but may be helpful to rule out infectious...

CONCLUSION: Biofeedback therapy combined with dilator therapy and dilator therapy alone are both effective in improving sexual function in women with primary vaginismus. However, women undergoing biofeedback combined with dilator therapy seem to benefit more than those receiving dilators alone.

CONCLUSION: Vaginismus/vulvodynia are high-risk conditions during pregnancy with increased rates of cesarean sections performed for elective reasons and upon maternal request. Offering support, education, and treatment for these conditions prior to pregnancy is important to reduce the rate of avoidable cesarean sections.

This article presents a case series examining the interplay between marital dynamics and the management of vaginismus. Vaginismus is a spasm of the perivaginal muscles sufficient to prevent penile entry or make it uncomfortable. Given the multifactorial nature of vaginismus, with psychological and relational factors playing significant roles, understanding these dynamics is crucial for effective treatment. The series involves three females, each experiencing vaginismus linked to poor marital...