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Spinal Anesthesia Facilitated Sexual Intercourse As A Treatment Option For Vaginismus

Not Applicable
Completed
Conditions
Vaginismus
Interventions
Procedure: spinal anesthesia
Registration Number
NCT04436172
Lead Sponsor
Karachi Medical and Dental College
Brief Summary

Painful sex continues to be a relationship issue and can lead to marital dys-harmony. Other consequences include infertility, low self-esteem, depression and anxiety.Our study shows that spinal anesthesia is an effective last resort management option in women with vaginismus. As a one-off treatment spinal anesthesia provides hope for such couples and brings about a positive change in their relationships.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Virgin married women with non-consummation of marriage for more than two years due to vaginismus
Exclusion Criteria
  • partners reported erectile dysfunction
  • who had vulvar skin conditions (e.g. lichen sclerosus)
  • vulvovaginal and urinary tract infections
  • endometriosis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
post interventionspinal anesthesiaReceived soinal anesthesia
Primary Outcome Measures
NameTimeMethod
successful sexual intercourse1 year

whether couple was able to have sexual intercourse after treatment

improvement in Female sexual functioning index1 year

Female sexual function index (FSFI) questionnaire consists of 19 questions that assess 6 domains to assess sexual feelings and responses during the past 4 weeks.

Secondary Outcome Measures
NameTimeMethod
depression and relationship satisfaction1 year

Depression was assessed by Zung's score. Zung's Self-Rating Depression Scale is a twenty item likert scale with raw score that ranges from 20 to 80. There are 20 items on the scale that rate the four common characteristics of depression: the pervasive effect, the physiological equivalents, other disturbances, and psychomotor activities.

Relationaship assessment was assesed by relationship assessment score.The Relationship Assessment Scale (RAS) is a brief measure of global relationship satisfaction.

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