Volume 9, Issue 2 (9-2019)                   PCNM 2019, 9(2): 36-41 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Farnam F. The complexities and challenges of sexual dysfunctions diagnosis in females: A case report. PCNM. 2019; 9 (2) :36-41
URL: http://zums.ac.ir/nmcjournal/article-1-645-en.html
Ph.D in Reproductive Health. Assistant professor in department of Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran. , f_farnam@yahoo.com
Abstract:   (1629 Views)
Background: Managing sexual problems requires skill and enough time and precision. The patient’s chief complaint and data can alter through treatment processes.
Objectives: This case report is about the complexities and challenges of sexual dysfunctions diagnosis in females.
Methods: The present study reports different diagnoses of a woman referred to a sexual clinic.
Results: A 24 years old woman with a history of 4-year unconsummated marriage due to primary vaginismus referred to a sexologist. Previous visits by gynecologists, psychiatrists, and urologists showed no mental or medical problems in the couple. The woman reported that marriage had been done with the couple’s consent, she loved her husbands, and no conflict existed between the couple. After examining history and assessing sexual distress and function by means of FSDS-R and BISF questionnaires, routine treatment of vaginismus such as desensitization was initiated through vaginismus diagnosis. Some sessions later, woman’s narratives and examinations led to the diagnosis of sexual aversion (sexual aversion was one of the DSM-IV categories). Next interviews with the couple revealed that the woman did not suffer from any sexual dysfunction. The woman replaced her husband with her dead father and consequently was not able to have any sexual relationship with her, although she loved him.
Conclusion: In the mentioned case, 11 visits and more than 10 hours’ interview were done. One session with the husband alone, three sessions with the couple, and seven sessions with the wife were held. Three distinctive diagnoses were considered. Although enough time was devoted to introduction in the first session (60 minutes), correct diagnosis needed more visits. The process of the client’s trust to the therapist occurred gradually, and frequent interviews and separated man and woman visits were crucial for precise diagnosis
Full-Text [PDF 466 kb]   (395 Downloads)    
Type of Study: case report | Subject: other
Received: 2020/05/9 | Accepted: 2020/06/16 | Published: 2020/06/16

References
1. Ryle R. Questioning gender: A sociological exploration. 1st ed. New York: Sage Publications; 2011.
2. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet. Gynaecol. 2008; 112(5): 970-78. [crossref]
3. Basson R. Women's sexual dysfunction: revised and expanded definitions. Cmaj. 2005; 172(10): 1327-33. [crossref]
4. IsHak WW, Tobia G. DSM-5 changes in diagnostic criteria of sexual dysfunctions. Reproductive System & Sexual Disorders. 2013; 2(2): 122.
5. Reissing ED, Borg C, Spoelstra SK, et al. “Throwing the baby out with the bathwater”: the demise of vaginismus in favor of genito-pelvic pain/penetration disorder. Arch Sex Behav. 2014; 43(7): 1209-13. [crossref]
6. Basson R, Althof S, Davis S, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med. 2004; 1(1): 24-34. [crossref]
7. Yasan A, Gürgen F. Marital satisfaction, sexual problems, and the possible difficulties on sex therapy in traditional Islamic culture. J Sex Marital Ther. 2008; 35(1): 68-75. [crossref]
8. Sabetghadam Sh, Keramat A, Malary M, Rezaie Chamani S. A Systematic Review of Vaginismus Prevalence Reports. J Ardabil Uni Med Sci. 2019; 19(3): 263-71. [In Persian] [crossref]
9. Alizadeh A, Farnam F, Raisi F, Parsaeian M. Prevalence of and Risk Factors for Genito-Pelvic Pain/Penetration Disorder: A Population-Based Study of Iranian Women. J Sex Med. 2019; 16(7): 1068-77. [crossref]
10. Karagüzel EÖ, Arslan FC, Tiryaki A, Osmanağaoğlu MA, Kaygusuz EŞ. Sociodemographic features, depression and anxiety in women with life-long vaginismus. Anadolu Psikiyatri DE. 2016; 17(6). [crossref]
11. Rosenbaum TY. An integrated mindfulness-based approach to the treatment of women with sexual pain and anxiety: Promoting autonomy and mind/body connection. sex relatsh ther. 2013; 28(1-2): 20-28. [crossref]
12. Farnam F, Janghorbani M, Merghati-Khoei E, Raisi F. Vaginismus and its correlates in an Iranian clinical sample. Int J Impot Res. 2014; 26(6): 230-34. [crossref]
13. Derogatis LR, Rosen R, Leiblum S, Burnett A, Heiman J. The Female Sexual Distress Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. J Sex Marital Ther. 2002; 28(4): 317-30. [crossref]
14. Taylor JF, Rosen RC, Leiblum SR. Self-report assessment of female sexual function: psychometric evaluation of the Brief Index of Sexual Functioning for Women. Arch Sex Behav. 1994; 23(6): 627-43. [crossref]
15. Mazer NA, Leiblum SR, Rosen RC. The brief index of sexual functioning for women (BISF-W): a new scoring algorithm and comparison of normative and surgically menopausal populations. Menopause. 2000; 7(5): 350-63. [crossref]
16. Farnam F, Janghorbani M, Merghati-Khoei E, Raisi F. Vaginismus and its correlates in an Iranian clinical sample. Int J Impot Res. 2014; 26(6): 230-34. [crossref]
17. Farnam F, Raisi F, Janghorbani M, Merghati-Khoei E. How do Iranian women with sexual problems conceptualize sexuality? A qualitative research. Nurs Prac Today. 2016; 3(3): 107-15.
18. McCarthy B, Wald LM. A psychobiosocial approach to sex therapy. The Wiley handbook of sex therapy. 2017; 190. [crossref]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2020 All Rights Reserved | Preventive Care in Nursing & Midwifery Journal

Designed & Developed by : Yektaweb