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Marriage Consummated for 32 Iranian Women Using Therapist-Aided Exposure Therapy: A Brief Report Publisher



Molaeinezhad M1 ; Salehi M2, 7 ; Borg C3 ; Yousefy A4 ; Latifnejad Roudsari R5 ; Salehi P6 ; Shafiei K2, 7 ; Merghati Khoei E8
Authors
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Authors Affiliations
  1. 1. Department of Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
  2. 2. Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Clinical and Experimental Psychopathology, University Medical Center Groningen, Groningen, Netherlands
  4. 4. Medical Education Department, Medical Education Research Centre, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Research Centre for Patient Safety and Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
  6. 6. Department of Urology, Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
  7. 7. Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  8. 8. Family-Sexual Health Group, Brain and Spinal Injury Research Center (BASIR), Risk Behaviors Research Centre (INCAS), Tehran University of Medical Sciences, Tehran, Iran

Source: Sexual and Relationship Therapy Published:2014


Abstract

This brief report discusses the effectiveness of therapist-aided gradual exposure therapy for a sample of women suffering from lifelong vaginismus (LLV). Thirty two women who have never been able to have sexual intercourse, performed weekly exposure sessions of vaginal penetration exercises assisted by a female therapist/sexologist, at the (Isfahan) psychosexual clinic. The main outcome measures were the diary kept by the female participants and their partners achieving successful intercourse. After the treatment, all women reported having successful intercourse. This result was maintained during two follow-up sessions over a six-month period. At the second follow-up session, all participants and their spouses revealed a significant decrease in fear scores compared with the pre-treatment (for women and their spouses, t (31) = 15.43, p < 0.00 and t (31) = 13.41, p < 0.00, respectively). Although we had no experimental control group, this therapeutic method demonstrated an effective approach in reducing coital fear and negative beliefs commonly associated with vaginal penetration in women with vaginismus. Further studies that include a control group and greater sample size are warranted to evaluate the efficacy of therapist-aided exposure therapy for treatment of women with LLV. © 2014 College of Sexual and Relationship Therapists.
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