A New Radiofrequency-assisted Therapeutic Approach for Management of Vaginismus: A Pilot Experimental Study

Document Type : Brief Report


Gynecologist, Private Clinic, Isfahan, Iran


Background: Vaginismus is a sexual dysfunction presented as pain and fear during sexual intercourse. According to various potential etiologies, a multidimensional approach should be considered for treatment of vaginismus. We introduce a new radiofrequency-assisted therapeutic method with combination of reassurance to patients for the first time in Iranian female patients with vaginismus.
Methods: In this quasi-experimental within subject study, we applied non-invasive radiofrequency to perineal area and vagina in patients with vaginismus. Patients received intervention in two 40-minute sessions with a one-week interval. The outcome measures were Questionnaire of Cognitive Schema Activation in Sexual Context (QCSASC) and Vaginismus Diagnosis and Severity Questionnaire which were administered to patients before and two weeks after intervention.
Results: Finally, 20 female patients with a mean age of 29.1±5.42 years (minimum 21 and maximum 38 years) underwent analysis. Mean duration of marriage was 5.21±3.71 years in our study individuals with the minimum length of 6 months and maximum length of 12 years. Mean Cognitive Schema Activation in Sexual Context (QCSASC) score was 74.3±15.39 before and 58.95±13.11 after the intervention (p<0.001). Statistical analysis showed that most (13 out of 17) questions of Vaginismus Diagnosis and Severity Questionnaire were significantly improved after intervention
Conclusion: we found that a two-session non-invasive radiofrequency of perineal area and vagina, in combination with reassurance, improves sexual function two weeks after the final therapeutic session.


Main Subjects