Treatment of vaginismus with the Paula Garburg sphincter muscle exercises

Zvi Zukerman, Yelena Roslik, Raoul Orvieto

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: To prospectively assess and compare a novel approach to the treatment of vaginismus based on Paula Garburg's sphincter muscle exercises to the traditional approach based on Masters & Johnson. Patients and Methods: The study population included 60 consecutive patients with vaginismus who were referred to our sex therapy clinic. The patients were randomly assigned into two groups. The study group (30 patients) underwent a step-by-step program consisting of the performance of the Paula Garburg sphincter muscle exercises to achieve pelvic muscle relaxation combined with the active introduction of Young vaginal dilators of graduated size. A control group (30 patients) underwent a behavioral treatment based on Masters and Johnson's desensitization approach that was combined with the active introduction of Young vaginal dilators of graduated size. Results: All patients completed the program, all with a successful outcome, as defined by the achievement of full intercourse or the introduction of a number 6 Young vaginal dilator. The mean number of treatment sessions required for successful outcome was shorter in the study as compared to the control group (4.91.4 vs. 7.4+3.5, respectively. P<0.001). Furthermore, while the percentage of patients undergoing up to 5 sessions until successful outcome was significantly higher in the study as compared to the control group (p<0.05), the percentage of patients undergoing >10 sessions was significantly lower. Conclusion: Paula Garburg's sphincter muscle exercises together with the use of Young vaginal dilators is a simple, easy and very effective treatment for vaginismus. The outcome matched or even surpassed that of the traditional behavioral approaches.

Original languageEnglish
Pages (from-to)246-248
Number of pages3
JournalHarefuah
Volume144
Issue number4
StatePublished - 20 Dec 2005
Externally publishedYes

Keywords

  • Sphincter muscle exercises
  • Vaginal dilator
  • Vaginismus

ASJC Scopus subject areas

  • General Medicine

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