اثرات درمان واژینیسموس و بارداری متعاقب آن: یک بررسی گروه موردی

نوع مقاله : گزارش مورد

نویسندگان

1 دکترای تخصصی سلامت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی کاشان، کاشان، ایران.

2 دکترای آموزش بهداشت و ارتقاء سلامت، مرکز تحقیقات یائسگی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

3 دکترای تخصصی بهداشت باروری، هسته تحقیقاتی سلامت خانواده و رشد جمعیت، پژوهشکده سلامت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران.

10.22038/ijogi.2024.79212.6057

چکیده

مقدمه: با توجه به تأثیرات منفی واژینیسموس بر کیفیت زندگی زوجین و ایجاد تأخیر در بارداری، مطالعه حاضر به صورت گروه موردی و با هدف بررسی روند درمان بیماران مبتلا به واژینیسموس و بارداری متعاقب درمان انجام شد.
معرفی بیماران: در این مطالعه توصیفی 12 بیمار مبتلا به واژینیسموس از مهر ماه 1400 تا آذر ماه 1402 مورد بررسی قرار گرفتند. پس از شرح‌حال و ارزیابی اولیه، بر اساس مقیاس لاموت، واژینیسموس درجه 3 و 4 در معاینه بیماران تشخیص داده شد. بیماران شرکت کننده در این مطالعه در فاصله سنی 35-20 سال بودند. میانگین مدت ابتلاء به این بیماری و میانگین مدت نازایی در آنها به‌ترتیب 3/4 سال و 1/4 سال بود و 5 نفر (6/41%) از بیماران خواستار روش­ های کمک باروری بودند. بیماران در طی این مدت چندین درمان ناکارآمد و غیرعلمی را دریافت کرده بودند. روند درمان بیماران به صورت تیمی انجام گردید. درمان توسط متخصص سلامت باروری و جنسی آغاز شد. آموزش‌ها، پیگیری بیماران و ارجاع به اعضای تیم نیز توسط ایشان صورت گرفت. این پروسه شامل درمان شناختی رفتاری و دیلاتور بود که در طی روند درمان، ورزش کگل و حس‌یابی غیرجنسی نیز توسط بیمار انجام شد. جلسات به‌صورت هفتگی انجام و کل دوره درمان 3-2 ماه به طول انجامید. پس از پایان درمان، بیماران موفق به برقراری ارتباط جنسی بدون درد شدند و 12-3 ماه پس از درمان باردار شدند.
نتیجه ­گیری: یکی از مشکلات زنان مبتلا به واژینیسموس، ناباروری است و می ­توان با درمان­های علمی، تیمی و ترکیبی و مداومت بر روند درمان، این مشکل بیماران را به‌صورت کامل حل کرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effects of vaginismus treatment and subsequent pregnancy: A case group study

نویسندگان [English]

  • Zahra Karimian 1
  • Marzieh Araban 2
  • Arezoo Haseli 3
1 PhD, Department of Reproductive Health, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
2 PhD, Department of Health Education and Health Promotion, Menopause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 PhD, Department of Reproductive Health, Family Health and Population Growth Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
چکیده [English]

Introduction: Considering the negative effects of vaginismus on the quality of life of couples and delay in pregnancy, this case group study was conducted with aim to investigate the process of treatment of patients with vaginismus and subsequent pregnancy.
Cases presentation: In this descriptive study, 12 patients with vaginismus were evaluated from October 2021 to December 2023. After history and initial evaluation, vaginismus grades 3 and 4 were diagnosed based on the Lamotte scale in the examination of the patients. The participants aged 20-35 years old. The mean duration of this disease and the mean duration of infertility were 4.3 years and 4.1 years, respectively, and 5 patients (41.6%) wanted assisted reproductive methods. During this period, the patients had received several ineffective and unscientific treatments. The process of treatment was done as a team. The treatment was started by the reproductive and sexual health specialist, the trainings, follow-up of the patients and referral to the team members were also done by the same specialist. The process included cognitive behavioral therapy and dilators that during the treatment process, Kegel exercises and non-sexual sensation were also performed by the patient. The sessions were held weekly and treatment period lasted two to three months. After end of treatment, the patients were able to have sexual intercourse without pain and became pregnant 3 to 12 months after the treatment.
Conclusion: One of the problems in women with vaginismus is infertility and this problem can be completely solved with scientific, team and combined treatments and persistence in the treatment process.

کلیدواژه‌ها [English]

  • Case group
  • Infertility
  • Pregnancy
  • Vaginismus

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 4
تیر 1403
صفحه 85-93

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