DSM-III

In DSM-III, this disorder is called Functional Vaginismus

For more information, see Psychosexual Dysfunctions

Diagnostic Criteria

A. There is a history of recurrent and persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with coitus.

B. The disturbance is not caused exclusively by a physical disorder, and is not due to another mental disorder.

DSM-IV

For more information, see Sexual Dysfunctions

Diagnostic Criteria

A. Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The disturbance is not better accounted for by another mental disorder (e.g., Somatization Disorder) and is not due exclusively to the direct physiological effects of a general medical condition.

Specify type:

  • Lifelong Type
  • Acquired Type

Specify type:

  • Generalized Type
  • Situational Type

Specify:

  • Due to Psychological Factors
  • Due to Combined Factors

Differential Diagnosis

Sexual Dysfunction Due to a General Medical Condition

Vaginismus must be distinguished from a Sexual Dysfunction Due to a General Medical Condition. The appropriate diagnosis would be Sexual Dysfunction Due to a General Medical Condition when the dysfunction is judged to be due exclusively to the physiological effects of a specified general medical condition (e.g., endometriosis or vaginal infection). This determination is based on history, laboratory findings, or physical examination. Vaginismus may remain as a residual problem after resolution of the general medical condition. If both Vaginismus and a general medical condition are present but it is judged that the vaginal spasms are not due exclusively to the direct physiological effects of the general medical condition, a diagnosis of Vaginismus, Due to Combined Factors, is made.

Other mental disorders

Vaginismus may also occur in association with other Sexual Dysfunctions (e.g., Hypoactive Sexual Desire Disorder). If so, both should be noted. Although pain associated with sexual intercourse may occur with Vaginismus, an additional diagnosis of Dyspareunia is not given. An additional diagnosis of Vaginismus is usually not made if the vaginal spasms are better accounted for by another mental disorder (e.g., Somatization Disorder). The additional diagnosis may be made when the vaginal spasms predate the mental disorder or are a focus of independent clinical attention.

DSM-5

See Genito-Pelvic Pain/Penetration Disorder

Community content is available under CC-BY-SA unless otherwise noted.