TY - CHAP M1 - Book, Section TI - Vaginismus A1 - Rees, Margaret A1 - Hope, Sally A1 - Oehler, Martin K A1 - Moore, Jane A1 - Crawford, Polly PY - 2018 T2 - Problem Solving in Women's Health AB - A 23-year-old woman presents with the inability to have intercourse. She had no problems with her first partner when she was 16 years old, although this relationship ended six months later. Because she was sexually active her general practitioner performed a cervical smear for her when she was 17 years old. She found this excruciatingly painful. It was suggested that the pain was due to a retroverted uterus and she has not attended for a smear since, despite numerous reminders. She has been unable to have intercourse with two partners subsequently, despite feeling aroused, and is concerned that her current relationship will end.What physical conditions need to be considered before a diagnosis of vaginismus can be made?What factors are associated with vaginismus?What are the aims of treatment?How are these aims achieved? SN - PB - Clinical Publishing CY - New York, NY Y2 - 2021/03/05 UR - hemonc.mhmedical.com/content.aspx?aid=1152372699 ER -