Unlike the current DSM-IV-TR definition of vaginismus, Binik's new conceptualization of vaginismus as a genito–pelvic pain/penetration disorder takes into consideration existing empirical findings as it incorporates pain, muscle tension and fear. Binik's diagnostic criteria are easily translatable into dimensional terms and do not categorically separate vaginismus from provoked vestibulodynia. This new conceptualization also has significant diagnostic and therapeutic implications in that it suggests that a multidisciplinary approach taking into account muscle tension, genital pain and fear will be necessary to attain a high success rate. It is unlikely that a lone professional will be able to provide such a treatment. A multidisciplinary team, including a gynecologist, physical therapist and psychologist/sex therapist, should be involved in the assessment and treatment of vaginismus to address its different dimensions.
Financial & competing interests disclosure
The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. No writing assistance was utilized in the production of this manuscript.
Women's Health. 2010;6(5):705-719. © 2010
Future Medicine Ltd.