- Etiology
- DSM4: Lifelong or primary vaginismus
- Inability to have sexual intercourse despite the wish and attempts to do so. A somatic cayse has to be excluded
- Biopsychosocial factors
- Psychosexual : anxiety, sexual abuse, etc
- Bio-medical: hormonal, pelvic floor muscles
- Cogntinve/emotional : fear, disgust, avoidance
- Interpersonal : intimacy, emotional expression
- FAM model of vaginismus
- Fear avoidance model:
- Fear and stress increases tension in pelvic floor
- ![[Screenshot 2024-04-01 at 18.10.34.png]]
- Fear leads to avoidant behaviour
- Effect of CBT treatment
- Effect of exposure therapy