PSYC 436 Lecture 13: 13. Vaginismus (Dec 1)

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Missing some from nov 29 but will add soon. Clinical vignettes: 40 year old feels a dull/aching pain close to her right ovary during deep penile thrusting, 21 year old feels a burning/cutting pain at the introitus during penile penetration. Gynecological voyeurism first thi(cid:374)g the g(cid:455)(cid:374)e(cid:272)ologist sa(cid:455)s is (cid:862)this is goi(cid:374)g to hurt (cid:863: very important to understand what happened in gynecologist exams, so automatically the woman is going to tense up! What do we know about touch and pain in the vulvar vestibule: maybe these women have different pain thresholds or touch thresholds, we did(cid:374)"t k(cid:374)o(cid:449) (cid:271)(cid:272) it was never tested specifically in the vestibule! Dec 1: dyspareunia and vaginusmus: (cid:862)nearl(cid:455) all fe(cid:373)ales-a(cid:271)out 97% are disti(cid:374)(cid:272)tl(cid:455) (cid:272)o(cid:374)s(cid:272)ious of ta(cid:272)tile sti(cid:373)ulatio(cid:374) applied a(cid:374)(cid:455)(cid:449)here i(cid:374) this (cid:448)esti(cid:271)ule . For (cid:374)earl(cid:455) all (cid:449)o(cid:373)e(cid:374) the vestibule is as important a source of erotic stimulation as the labia minora or the clitoris.

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