A patient with vaginismus has attended counseling to treat the disorder. Which patient statement indicates that treatment has been effective?
A) "Lacking an interest in sex is a normal part of aging.".
B) "I can learn to tolerate sex if I want to have a family.".
C) "I can use lubricants to help with the pain of having sex.".
D) "Sex is not a bad thing but can be enjoyed with my husband.".
D
Feedback:
Vaginismus is involuntary contraction of the muscles at the outlet of the vagina when coitus is attempted that prohibits penile penetration and may occur in women who have been raped. Other causes are unknown, but it could also be the result of early learning patterns in which sexual relations were viewed as bad or sinful. As with other sexual problems, sexual or psychological counseling to reduce this response may be necessary. A lack of interest in sex is not a normal part of aging. Learning to tolerate sex and using lubricants does not help with the problem of vaginismus.
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