An unconsummated marriage: A case report
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Vaginismus is described as “recurrent or persistent involuntary contraction of the perineal muscles surrounding the outer third of the vagina when vaginal penetration is attempted with penis, finger, tampon, or speculum. The purpose of this case report is to investigate the treatment model of a patient with vaginismus who benefited from Cognitive Behavioral Therapy (CBT) in a couple (woman 21, man 23 years old) admitting to family practice for treatment of vaginismus. The duration of marriage was 19 months. The marriage was unconsummated. The diagnosis was made using DSM-IV criteria. They have been assessed initially and after treatment by Golombok-Rust Inventory of Sexual Satisfaction (GRISS) index. The initial scores of communication, sensuality, erectile dysfunction and premature ejaculation and the total scores of the GRISS indicated accompanying sexual dysfunction in man. Sensate focus and gradual desensitization (vaginal self-dilatation) methods with cognitive restructuring techniques were used. The overall sexual functioning of the woman showed improvement.