Abstract
Patients with lifelong vaginismus are not unusual in the practice of sex therapy, and the literature is fairly straightforward in recommendations for treatment. It is customary to treat the patient and her spouse or partner together, using cognitive-behavioral therapy and employing exercises with dilators. In this case study, a 33-year-old single female with only moderate English language ability and limited financial resources sought treatment for lifelong vaginismus. Several potential marriage partners had left her because every attempt at intercourse resulted in extreme pain for her. Desperate about the possibility of never being able to marry or have children, she had attempted suicide. Treatment entailed constant use of hand gestures and drawings in conjunction with conversation to ensure that there would be no misunderstandings resulting from language barriers. Over a period of 18 months, the patient was gradually assigned exercises designed to help her overcome inhibitions and exercises using a var...
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