描述社会人口特征并探索阴道痉挛女性性功能的临床和文化方面。
这是一项横断面研究，建立时间为 2019 年 11 月 1 日至 2020 年 1 月 31 日，历时 3 个月。该研究的对象是从区域医院妇科和精神病科门诊招募的阴道痉挛女性人群。加贝斯医院。我们使用预先建立的表格来探索社会人口统计数据、医疗和妇产科病史以及有关伴侣、婚姻关系和女性性活动的信息。
包括 35 名女性。他们的平均年龄为 30 岁，没有工作 (54.5%)，受过中等或大学教育 (91.1%)。平均婚姻持续时间为 2.4 年。伴侣的平均年龄为 36 岁，患有性功能障碍 (21.3%)。在女性中，12.5% 曾遭受过性虐待，51.6% 遭受过“Tasfih”，70% 参加过痛苦的摘花讨论。阴道痉挛占 85.7%，占 50%。关于女性接受的想法，40%认为阴道痉挛需要治疗，其中13人（40%）认为可以自愈，20%相信巫术故事。85% 的人咨询了医生，24.2% 的人咨询了传统治疗师。
阴道痉挛似乎受到心理和社会文化因素的影响，因此对新娘进行良好的心理教育可以减少这种性障碍的发生率。
无重大关系。
Introduction
Vaginismus is the most common reason for unconsummated marriages in Tunisia.
Objectives
To describe the socio-demographic profile and to explore the clinical and cultural aspects of sexual functioning of women with vaginismus.
Methods
It was a cross-sectional study established over a period of 3 months from the November 1st, 2019 to January 31st, 2020. This study focused on a population of women with vaginismus recruited from outpatient consultations of the hospital’s gynecology and psychiatry departments at the regional hospital of Gabes. We used a pre-established sheet exploring socio-demographic data, medical and gyneco-obstetric history and informations concerning the partner, the marital relationship and the woman’s sexual activity.
Results
35 women were included. They had a mean age of 30 years, jobless (54.5%) and with a secondary or university education (91.1%). The mean duration of marriage was 2.4 years. Partner had mean age of 36 and suffering from sexual dysfunction (21.3%). Among women, 12.5% had been sexually abused, 51.6% had suffered “Tasfih”, 70% had attended discussions about painful defloration. Vaginismus was primary in 85.7% and total in 50% of the cases. About the received thoughts of the women, 40% thought that vaginismus requires medical treatment, 13 of them (40%) thought that the disorder could be resolved spontaneously and 20% believed in a story of witchcraft. 85% consulted a physician and 24.2% a traditional therapist.
Conclusions
Vaginismus seems to be influenced by psychological and sociocultural factors so that a good psychoeducation of brides could reduce the incidence of this sexual disorder.
Conflict of interest
No significant relationships.
