Criteria for vaginismus (based on DSM IV):
(1) The presence of recurrent and/or persistent involuntary muscle spasm along the outer third of the vagina.
(2) The spasms interferes with coitus (functional impairment).
(3) The spasms cause marked distress and/or interpersonal conflict (emotional and/or social impairment)
(4) The spasms cannot be explained better by another psychological or physical condition.
Consequences:
(1) pain during intercourse (dyspareunia)
(2) phobic avoidance
(3) may be triggered simply by anticipation of vaginal penetration
Classification of vaginismus:
(1) primary vs secondary
(1a) primary: never experienced a non-painful penetrative intercourse
(1b) secondary: has experienced a non-painful penetrative intercourse
(2) pattern of occurrence (intermittent vs consistent)
(2a) consistent: every time AND every form of penetration
(2b) intermittent: not every time OR not every form of penetration
(3) global vs situational
(3a) global: unrelated to situation or partner
(3b) situational: limited to certain situations or partners
(4) trigger
(3a) sexual intercourse only
(3b) any object (finger, object) placed in or near the vagina
