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How Do You Diagnose Vaginismus?

Bagaimana Anda Mendiagnosis Vaginismus?

by Brett Farrow in Peduli

Mengapa sukar untuk mendiagnosis vaginismus?

Vaginismus secara amnya diringkaskan sebagai kesukaran yang berterusan atau berulang yang dialami oleh wanita dalam membenarkan penembusan apa-apa jenis, sama ada jari, zakar, tampon atau alat pemeriksaan ginekologi. Kesukaran ini berlaku tanpa mengira keinginan wanita untuk membenarkan penembusan, yang mungkin kelihatan sama sekali tidak selari dengan keupayaannya untuk berbuat demikian. Di atas kertas, ia mungkin tidak terlalu sukar untuk mendiagnosis vaginismus, tetapi sebenarnya boleh. Ia masih perlu untuk melihat isu secara terperinci sekiranya terdapat keadaan asas atau serentak yang mungkin juga perlu diatasi.

Wanita dengan vaginismus sering tenggelam dalam kitaran ketakutan dan pengelakan sekitar penembusan, kerana rintangan mereka terhadap penembusan biasanya membawa kepada beberapa tahap kesakitan fizikal. Kesakitan berlaku kerana pengecutan otot faraj yang tidak disengajakan, yang mana penghidap vaginismus akan mempunyai sedikit atau tiada kawalan. Paling baik, mereka akan mengalami ketakutan dan rintangan, dan paling teruk, kesakitan juga.

Sebabnya kadangkala sukar untuk mendiagnosis vaginismus ialah sesetengahnya mempunyai apa yang dipanggil vaginismus separa. Vaginismus total lebih jelas kerana wanita dengan ini tidak boleh bertolak ansur dengan sebarang jenis penembusan, pada bila-bila masa. Dengan vaginismus separa, ketakutan dan kekejangan otot yang tidak disengajakan boleh dikaitkan dengan situasi tertentu, orang atau varian lain, dan varian ini boleh diubah. Wanita dengan vaginismus separa kadang-kadang boleh bertolak ansur dengan penembusan sedikit sebanyak, walaupun dengan kesukaran.

Bagi sesetengah wanita keadaan ini adalah seumur hidup (dikenali sebagai primer), dan bagi yang lain ia boleh berlaku di kemudian hari (dikenali sebagai sekunder). Mungkin juga terdapat unsur lain yang terlibat, seperti lantai pelvis hipertonik . Begitu juga, syarat lain mungkin bertindih; contohnya, vestibulodynia atau dispareunia. Atas semua sebab ini vaginismus dianggap sebagai sindrom klinikal dan bukannya diagnosis definitif.

Bagaimanakah pengamal anda mendiagnosis vaginismus?

Untuk mendiagnosis vaginismus, pengamal penjagaan kesihatan anda mungkin akan menyemak keseluruhan sejarah psikoseksual anda. Pengamal anda juga mungkin akan bertanya soalan peribadi tentang sejarah perubatan anda, simptom anda, reaksi tipikal anda terhadap penembusan, tahap kebimbangan dan ketakutan anda, dan hubungan/perkongsian seksual semasa anda.

Kemungkinan besar anda memerlukan pemeriksaan fizikal untuk mendiagnosis vaginismus dengan betul. Pengamal anda akan menilai tahap kesusahan, kebimbangan, dan rintangan mental atau emosi anda terhadap penembusan, yang sebenarnya dianggap lebih penting dalam diagnosis daripada kekejangan fizikal, nada otot atau kehadiran kesakitan.

Pemeriksaan fizikal kemaluan dan kawasan pelvis anda juga diperlukan untuk mengecualikan isu lain, disfungsi, kecederaan atau jangkitan yang boleh menunjukkan simptom yang serupa dengan vaginismus - atau sebenarnya menyebabkannya.

Apa yang perlu dilakukan apabila anda mempunyai diagnosis vaginismus

Pengamal anda akan menentukan sama ada puncanya adalah psikologi, dalam kes ini anda mungkin dirujuk untuk rawatan psikologi untuk vaginismus . Jika penyebabnya ditentukan secara fizikal, anda mungkin dirujuk kepada ahli terapi fizikal lantai panggul, ahli terapi seks atau pakar sakit puan. Mungkin puncanya adalah pelbagai rupa, jadi anda mungkin perlu berjumpa lebih daripada satu jenis pakar.

Akhir sekali, dilator faraj adalah salah satu kaedah yang paling biasa untuk merawat vaginismus, sama ada di dalam bilik rawatan atau di rumah pada masa anda sendiri. Kami telah mendengar lebih banyak kisah kejayaan dengan dilator daripada yang kami boleh ceritakan, tetapi kami sangat mengesyorkannya sebagai rawatan jika Doktor anda mendiagnosis vaginismus. Kami harap anda mendapati artikel ini bermaklumat, dan jangan lupa untuk menyemak blog kami untuk lebih banyak artikel vaginismus.

Pautan Berguna VuVa:

7 Sebab Faraj Ketat dan Cara Mengendurkan

Cara menggunakan Dilator Faraj

Cara Relakskan Otot Faraj, Vaginismus & Seks

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