Vaginismus
ICD-10 N94.2 is a billable code used to indicate a diagnosis of vaginismus.
Vaginismus is a condition characterized by involuntary contractions of the pelvic floor muscles surrounding the vagina, which can make penetration painful or impossible. This condition can occur in response to various stimuli, including sexual intercourse, gynecological examinations, or tampon insertion. Vaginismus can be classified into two types: primary vaginismus, where the individual has never been able to engage in penetrative intercourse, and secondary vaginismus, which develops after a period of normal sexual function. The etiology of vaginismus is often multifactorial, involving psychological factors such as anxiety, fear of pain, or past traumatic experiences, as well as physical factors like infections or pelvic floor dysfunction. It can significantly impact a woman's reproductive health, contributing to female infertility and complicating artificial fertilization efforts. Treatment options may include pelvic floor physical therapy, counseling, and the use of vaginal dilators to help desensitize the area and reduce muscle tension. Understanding vaginismus is crucial for addressing menstrual disorders, menopausal changes, and overall reproductive health.
Detailed patient history, including sexual history and any psychological evaluations.
Patients presenting with pain during intercourse, difficulty with gynecological exams, or concerns about fertility.
Consideration of psychological factors and referral to mental health professionals when necessary.
Thorough assessment of psychological factors contributing to vaginismus, including anxiety and trauma history.
Patients seeking therapy for anxiety related to sexual function or past trauma affecting intimacy.
Coordination with gynecologists for a holistic treatment approach.
Used when a patient with vaginismus requires pelvic floor therapy.
Detailed evaluation of pelvic floor function and treatment plan.
Physical therapists should document the specific techniques used to address vaginismus.
Vaginismus is a condition characterized by involuntary contractions of the pelvic floor muscles, leading to pain or difficulty with penetration during sexual intercourse or gynecological exams.
Treatment may include pelvic floor physical therapy, counseling, and the use of vaginal dilators to help desensitize the area and reduce muscle tension.
Yes, vaginismus can complicate attempts at conception, particularly during artificial fertilization procedures, due to the pain and difficulty with penetration.
While vaginismus has physical manifestations, it often has psychological components, including anxiety and fear, which can contribute to the condition.
