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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905
EISSN: 1680-6905
Vol. 17, No. 3, 2017, pp. 632-636
Bioline Code: hs17081
Full paper language: English
Document type: Study
Document available free of charge

African Health Sciences, Vol. 17, No. 3, 2017, pp. 632-636

 en Diagnosis and treatment of unconsummated marriage in an Iranian couple.
Bokaie, Mahshid; Khalesi, Zahra Bostani & Yasini-Ardekani, Seyed Mojtaba


Background: Unconsummated marriage is a problem among couples who would not be able to perform natural sexual intercourse and vaginal penetration. This disorder is more common in developing countries and sometimes couples would come up with non-technical and non-scientific methods to overcome their problem. Multi-dimensional approach and narrative exposure therapy used in this case.
Methods: This study would report a case of unconsummated marriage between a couple after 6 years. The main problem of this couple was vaginismus and post-traumatic stress.
Results: Treatment with multi-dimensional approach for this couple included methods like narrative exposure therapy, educating the anatomy of female and male reproductive system, correcting misconceptions, educating foreplay, educating body exploring and non-sexual and sexual massage and penetrating the vagina first by women finger and then men’s after relaxation. The entire stages of the treatment lasted for four sessions and at the one-month follow-up couple’s satisfaction was desirable.
Conclusion: Unconsummated marriage is one of the main sexual problems; it is more common in developing countries than developed countries and cultural factors are effective on intensifying this disorder. The use of multi-dimensional approach in this study led to expedite diagnosis and treatment of vaginismus.

Unconsummated marriage; couple’s therapy; vaginismus; behavioral therapy

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