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Is Vaginismus a Cause of Infertility?: Case Reports Observed in Clinical Practice
(2024) Güneş, Mehmet; Uyar, Betül; Şener, Zehra Tekin; İnan, Ezgi Çankaya; Kaya, Mehmet Cemal; Bulut, Mahmut
Vaginismus is a common female sexual dysfunction in society. It is observed that society’s expectations about women’s sexuality and fertility may particularly affect women with vaginismus. The psychological meaning of childlessness for women is the inability to give birth, loss of control, psychological deficiency, feeling outside the female society, feeling worthless, being alone, lack of social security, lack of social role, and a decrease in self-esteem. In this case series, three couples who could not have children due to vaginismus consulted an obstetrician and underwent invasive procedures, such as in vitro fertilization (IVF) and cesarean section (CS). However, the primary problem, vaginismus, remains untreated and may have even worsened. If pregnancy does not occur because of vaginismus, couples should first be referred to a sexual therapist for appropriate treatment for vaginismus. It is both unethical and malpractice to view these couples as a source of income and subject them to unnecessary procedures like IVF and CS.