陰道痙攣(插入障礙症)
定義:又稱「性交恐懼症」。意指女性在準備性交時產生的一種恐懼及痛楚的感覺或反應。其陰道周圍的肌肉發生不隨意反射性痙攣,並把陰道入口緊緊地關閉起來迫使性交無法順利進行。
在醫學上陰道痙攣是有分等級的,如下:
第一級:發生陰道痙攣的肌肉僅限於會陰部的肌肉和提肛肌群。有時也可在性交時讓陰莖進入,但有疼痛的感覺。這類患者可通過心理諮詢讓患者自己充分放鬆緩解。
第二級:發生痙攣的肌肉,不僅局限於會陰部肌肉,而且波及到整個骨盆的肌群,或者在多種境遇下都可發生陰道痙攣,以致不能性交。婦科檢查時能將兩個小指伸入陰道。
第三級:陰道痙攣時不僅骨盆肌群發生痙攣,而且整個臀部都不由自主地抬起,這是由於臀部肌肉也發生頻繁性痙攣性收縮的結果。因臀部肌群頻繁痙攣,使性交根本無法進行。婦科檢查時只能容納一個小指頭。第四級:此為最嚴重痙攣級別。痙攣發生時,不僅臀部肌群痙攣性收縮,臀部不由自主地往上抬,而且患者雙腿夾緊來避免進入,甚至大叫大喊,出現驚恐反應。此種症狀無法經由安撫控制來幫忙,須尋求有經驗的專業人員長時間協助才能治癒。
Frequently Asked Questions
What is OCD and what are its common symptoms?
Obsessive-Compulsive Disorder (OCD) is a mental health condition characterized by unwanted, persistent thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) that an individual feels driven to perform. Common symptoms include excessive hand washing, checking, counting, or arranging items, as well as intrusive thoughts related to contamination, harm, or orderliness.
How is OCD diagnosed?
OCD is diagnosed through a comprehensive evaluation by a mental health professional, which includes a detailed discussion of the individual’s symptoms, medical history, and the impact of these symptoms on their daily life. The clinician may use standardized assessment tools and questionnaires to aid in the diagnosis.
What treatments are available for OCD?
The primary treatments for OCD include Cognitive Behavioral Therapy (CBT) with a focus on Exposure and Response Prevention (ERP), and medication such as selective serotonin reuptake inhibitors (SSRIs). CBT and ERP help patients confront their fears and reduce the compulsive behaviors, while medications can help manage the symptoms.
How effective is therapy for treating OCD?
Therapy, particularly CBT with ERP, is highly effective in treating OCD. Studies show that a significant majority of patients experience a reduction in symptoms and an improvement in their quality of life with this treatment approach. The effectiveness can vary depending on the severity of the condition and the individual’s commitment to the therapy process.
Can OCD be cured?
While there is no definitive cure for OCD, many individuals can achieve significant symptom relief and live fulfilling lives through effective treatment. Ongoing therapy and, in some cases, medication can help manage the symptoms and reduce their impact on daily activities. Long-term maintenance strategies are often necessary to prevent relapse.