Treatment modalities of Vaginismus and Dyspareunia

Vaginismus and dyspareunia are the major sexual problems of women who are consulting gynecologists. They both   have been classified under the same group as genito-pelvic pain and penetration disorders in DSM (Diagnostic and Statistical Manual for Mental Disorders by the American Psychiatric Association) in 2013, so become more in the spectrum of gynecologists.These sexual dysfunctions have been based on some psychologic and organic reasons. Vaginismus is mostly dependent on psychological components, whereas dyspareunia has mostly organic ones. The gold standards of vaginismus treatments are cognitive and behavioral sexual therapies. On the other hand, vulvar vestibulitis which is one of the main reasons of superfi cial dyspareunia has some updated surgical and non-surgical treatments.