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IRCT20220307054215N1 IRCT 2023-08-26 Neuroscience Research Institute, Tehran University of Medical Sciences The Effectiveness of Systemic sex therapy and Single Session therapy on Vaginismus Comparing of the Effectiveness of Systemic Sex Therapy and Single Session Therapy on the Treatment of Vaginismus Patients 2023-09-23 anticipated 30 Complete https://irct.ir/trial/63771 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Vginismus. Intervention 1: The first intervention group is Systemic sex therapy that is specifically a combination of sex therapy and couple therapy. It deals with the cognitive reconstruction of the individual from a cognitive-behavioral perspective, and in the behavioral part, in addition to the correction of couple relationships and sex education, it deals with gradual exposure to the process of penetration. In twelve one-hour sessions, to assess and correct and reconstruct dysfunctional sexual cognitions, sexual organ anatomy training, sexual communication training, mindfulness and expansion of the sexual repertoire, relaxation training, familiarization with the pain cycle, gradual exposure through graduated therapeutic dilators and regular desensitization. And couple skills training including listening and understanding, empathic message and problem solving and Consistent daily homework are discussed. Intervention 2: The second intervention is a single-session therapy that working on dimming the brain’s autonomous control on genitalia and pelvic muscles by handing over the power of decision, getting control over her body, and attempting to insert the therapist's or husband's finger in her vagina at the clinic and voluntarily penetrate with penis at home. This treatment uses muscle exercises to retrain and improve brain power for vaginal penetration. During a session of one hour and forty-five minutes, with the presence of the wife, he explained about the automatic system of the brain, the method of independent control over the sexual organ, finger insertion training and the technique of contracting and relaxing the muscles in the deep part of the pelvis and the movement of the zipper/muscle lift. Levatorani + contraction of the pelvic floor muscles while the doctor's finger is inside, wrist twisting and simultaneous two-person zip/lift exercise, wrist twisting and zip/lift in a three-person workout with a spouse, and providing home exercises in two parts of testing and treatment. No - There is not a plan to make this available Justification or reason for not sharing IPD is Due to sensitive and confidential nature
public Fatemeh Tehranchi
No. 9, Valiasr St., Sero St
Tehran Iran (Islamic Republic of) 1968956381 +98 21 8878 1851 Mahnaz_tehranchi@yahoo.com Islamic Azad University scientific Effat Alsadat Merghati Khoei
Sexual health clinic, Reyhaneh Building, Imam Khomeini Hospital, Doctor Gharib St. Keshavarz Blvd.,
Tehran Iran (Islamic Republic of) 1419733139 +98 21 6658 1560 effat_mer@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Married women over 18 years old Trying to penetrate during the last 6 months and not experiencing penetration Existence of active avoidance of penetration Diploma and higher education Presence of significant fear or extreme anxiety when trying to penetrate Presence of significant pain when trying to penetrate The presence of the wife in the treatment 18 years no limit Female Visiting a doctor or a psychiatrist due to the presence of a known medical or acute mental illness based on the patient's statement The presence of women's diseases, including acute infections of the genital tract Pregnancy Consumption of drugs and alcohol through the patient's statement F52.5 Vaginismus not due to a substance or known physiological condition Treatment - Other Treatment - Other The first intervention group is Systemic sex therapy that is specifically a combination of sex therapy and couple therapy. It deals with the cognitive reconstruction of the individual from a cognitive-behavioral perspective, and in the behavioral part, in addition to the correction of couple relationships and sex education, it deals with gradual exposure to the process of penetration. In twelve one-hour sessions, to assess and correct and reconstruct dysfunctional sexual cognitions, sexual organ anatomy training, sexual communication training, mindfulness and expansion of the sexual repertoire, relaxation training, familiarization with the pain cycle, gradual exposure through graduated therapeutic dilators and regular desensitization. And couple skills training including listening and understanding, empathic message and problem solving and Consistent daily homework are discussed. The second intervention is a single-session therapy that working on dimming the brain’s autonomous control on genitalia and pelvic muscles by handing over the power of decision, getting control over her body, and attempting to insert the therapist's or husband's finger in her vagina at the clinic and voluntarily penetrate with penis at home. This treatment uses muscle exercises to retrain and improve brain power for vaginal penetration. During a session of one hour and forty-five minutes, with the presence of the wife, he explained about the automatic system of the brain, the method of independent control over the sexual organ, finger insertion training and the technique of contracting and relaxing the muscles in the deep part of the pelvis and the movement of the zipper/muscle lift. Levatorani + contraction of the pelvic floor muscles while the doctor's finger is inside, wrist twisting and simultaneous two-person zip/lift exercise, wrist twisting and zip/lift in a three-person workout with a spouse, and providing home exercises in two parts of testing and treatment. Successful vaginal penetration. Timepoint: In the systemic sex therapy: before the intervention, at the end of the fourth week, at the end of the eighth week, and at the end of the twelfth week. In the single session therapy: before the intervention, at the end of the second week, at the end of the fourth week, at the end of the sixth week. Method of measurement: Patient self-report. Female Sexual Distress. Timepoint: In systemic sex therapy: before the intervention, at the end of the fourth week, at the end of the eighth week, and at the end of the twelfth week. In single session therapy: before the intervention, at the end of the second week, at the end of the fourth week, at the end of the sixth week. Method of measurement: Female Sexual Distress Scale (FSDS). Marital Satisfaction. Timepoint: In systemic sex therapy: before the intervention, at the end of the fourth week, at the end of the eighth week, and at the end of the twelfth week. In single session therapy: before the intervention, at the end of the second week, at the end of the fourth week, at the end of the sixth week. Method of measurement: Enrich Marital Satisfaction (EMS). Multidimensional Vaginal Penetration Disorder perspective. Timepoint: In systemic sex therapy: before the intervention, at the end of the fourth week, at the end of the eighth week, and at the end of the twelfth week. In single session therapy: before the intervention, at the end of the second week, at the end of the fourth week, at the end of the sixth week. Method of measurement: Multidimensional Vaginal Penetration Disorder Questionnaire (MVPDQ). Partner Version of the Multidimensional Vaginal Penetration Disorder perspective. Timepoint: In systemic sex therapy: before the intervention, at the end of the fourth week, at the end of the eighth week, and at the end of the twelfth week. In single session therapy: before the intervention, at the end of the second week, at the end of the fourth week, at the end of the sixth week. Method of measurement: Partner Version of the Multidimensional Vaginal Penetration Disorder Questionnaire (PV-MVPDQ). Intensity of pain. Timepoint: In systemic sex therapy: before the intervention, at the end of the fourth week, at the end of the eighth week, and at the end of the twelfth week. In single session therapy: before the intervention, at the end of the second week, at the end of the fourth week, at the end of the sixth week. Method of measurement: Visual Analogue Scale (VAS). Neuroscience Research Institute, Tehran University of Medical Sciences Approved 2023-05-31 Ethics Committee of Roudhen Branch, Islamic Azad University Ayatollah Khamenei Blvd; Rodhan Ttehran Tehran Iran (Islamic Republic of)