Spinal Anesthesia Facilitated Sexual Intercourse As A Treatment Option For Vaginismus

Spinal Anesthesia Facilitated Sexual Intercourse As A Treatment Option For Vaginismus And Its Effect On Female Sexual Dysfunction As Assessed By Female Sexual Functioning Index (Fsfi) - A Pre-Post Intervention Design Study


Lead Sponsor: Karachi Medical and Dental College

Collaborator: Aziz Medical Center

Source Karachi Medical and Dental College
Brief Summary

Painful sex continues to be a relationship issue and can lead to marital dys-harmony. Other consequences include infertility, low self-esteem, depression and anxiety.Our study shows that spinal anesthesia is an effective last resort management option in women with vaginismus. As a one-off treatment spinal anesthesia provides hope for such couples and brings about a positive change in their relationships.

Overall Status Completed
Start Date 2017-01-01
Completion Date 2017-12-31
Primary Completion Date 2017-12-31
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
successful sexual intercourse 1 year
improvement in Female sexual functioning index 1 year
Secondary Outcome
Measure Time Frame
depression and relationship satisfaction 1 year
Enrollment 20

Intervention Type: Procedure

Intervention Name: spinal anesthesia

Description: The spinal anesthesia was given by a trained anesthetist in an equipped room, after all aseptic measures. A 20 gauge intravenous cannula was inserted for maintaining a peripheral line and 0.9% normal saline was used for loading the patient. The pulse and blood pressure were monitored non-invasively. The median approach was utilized and intrathecal space was accessed via 25 gauge Quiincke bevel(Becton Dickinson/Pakistan ) through L4-L5. A block was performed by using 5 mg hyperbaric bupivacaine (Abocain 0.5%/Abbot) after ensuring swirling. Block height was monitored via pinprick test after every three minutes, for 20 minutes until there was no progression. The couple was left alone. The couples received prior training and were explained precautions.

Arm Group Label: post intervention



Inclusion Criteria: - Virgin married women with non-consummation of marriage for more than two years due to vaginismus Exclusion Criteria: - partners reported erectile dysfunction - who had vulvar skin conditions (e.g. lichen sclerosus) - vulvovaginal and urinary tract infections - endometriosis.



Minimum Age:


Maximum Age:


Healthy Volunteers:


Verification Date


Responsible Party

Type: Principal Investigator

Investigator Affiliation: Karachi Medical and Dental College

Investigator Full Name: samia husain

Investigator Title: clinical investigator

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: pre intervention

Type: No Intervention

Description: Before intervention

Label: post intervention

Type: Experimental

Description: Received soinal anesthesia

Patient Data No
Study Design Info

Allocation: Non-Randomized

Intervention Model: Crossover Assignment

Primary Purpose: Treatment

Masking: None (Open Label)

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