The Somatic View

From a purely somatic point of view, constriction or an obstruction can be solved by using a scalpel. Although Walthard rejected surgical intervention for the treatment of vaginismus as early as in 1909 (45), and Sikkel-Bufinga (46), who performed a follow-up study found that only one vaginistic patient had benefitted from the surgical knife, until recently a few doctors could still be found who opted for such a surgical approach (47). The least vigorous method is dilatation plasty, in contrast with the far more drastic perineal plasty or levator plasty, in which part of the pelvic floor muscles are also cleaved through the midline. The emotional consequences of such an operation can be enormous. The most important consequence is that the woman loses control of her pelvic floor muscles, together with the control over her body and her right to self-determination. This is even more painful when the phenomenon vaginismus is used as a solution for relationship problems. It is remarkable that although this form of therapy was commonplace until recently, very little has been published on it. Treatment with pharmacotherapy including benzodiazepines and Botulinum toxin injections has been mentioned in the literature but no controlled trials are available (48,49).

Free Yourself from Panic Attacks

Free Yourself from Panic Attacks

With all the stresses and strains of modern living, panic attacks are become a common problem for many people. Panic attacks occur when the pressure we are living under starts to creep up and overwhelm us. Often it's a result of running on the treadmill of life and forgetting to watch the signs and symptoms of the effects of excessive stress on our bodies. Thankfully panic attacks are very treatable. Often it is just a matter of learning to recognize the symptoms and learn simple but effective techniques that help you release yourself from the crippling effects a panic attack can bring.

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