فعالیت جنسی در بین زنان

چکیده انگلیسی

HYPOTHESIS / AIMS OF STUDY
Vaginismus is a multifaceted sexual pain disorder that must be studied from a personal, interpersonal, and cultural standpoint. Several theoretical models can be used to describe vaginismus. The biopsychosocial model, first introduced to the field of sexuality in 1994, holds that sexual problems are influenced by a combination of physical, psychological, interpersonal, and social factors. This study aimed to examine the determinants of sexual function in women with vaginismus using a biopsychosocial model.
STUDY DESIGN, MATERIALS AND METHODS
From May 2021 to January 2022, a cross-sectional study with convenience and purposive sampling was conducted among married women with primary vaginismus referred to sexual health-related clinics in Tehran, Iran. Married women between 18 and 45 years old with primary vaginismus and at least six months of unsuccessful vaginal penetration attempts were eligible. DSM-IV-TR and the diagnostic questionnaire for vaginismus designed by Reisy et al. were used to diagnose vaginismus, which a gynecologist and a sex therapist confirmed. In this study all biopsychosocial determinants were measured using reliable and valid questionnaires. The determinants of vaginismus’ sexual function were evaluated using structural equation modeling with LISREL 9.2 software (Scientific Software International). Through structural equation modeling, the direct and indirect effects of biological domain of sexual health (age), psychological domain of sexual health (depression, anxiety, stress, sexual knowledge and attitude, and sexual efficacy), interpersonal domain of sexual health (sexual quality of life, sexual intimacy, marital satisfaction, sexual satisfaction, sexual violance, and finance), penetration cognition, and fear of sex on the sexual function of women with vaginismus were investigated. Of note, the effect of each independent variable’s on the dependent variable was rerported with standardized path coefficient, i.e., “β” that a greater β value indicates a stronger effect.
CONCLUDING MESSAGE
The current study corroborates that the majority of sexual health dimensions exert signigicant direct, indirect, and overall effects on sexual function and vaginismus. Incorporating these findings into knowledge translation can prompt sexual health-related stakeholders at all levels (from patients to policymakers) to take an overarching and trans-disciplinary approach to complex sexual problems like vaginismus.
Funding Shahid Beheshti University of Medical Sciences Clinical Trial No Subjects Human Ethics Committee Shahid Beheshti University of Medical Sciences Helsinki Yes Informed Consent Yes