{"id":31774,"date":"2022-08-23T17:18:56","date_gmt":"2022-08-23T17:18:56","guid":{"rendered":"http:\/\/mediumpurple-chough-914148.hostingersite.com\/?p=31774"},"modified":"2023-08-02T08:32:17","modified_gmt":"2023-08-02T07:32:17","slug":"entenent-els-diagnostics-vaginisme","status":"publish","type":"post","link":"https:\/\/aleixcomas.com\/ca\/entenent-els-diagnostics-vaginisme\/","title":{"rendered":"Entenent els diagn\u00f2stics: Vaginisme"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"31774\" class=\"elementor elementor-31774\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dcfb386 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dcfb386\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0237bc5\" data-id=\"0237bc5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7198135 elementor-widget elementor-widget-heading\" data-id=\"7198135\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 \u00e9s el vaginisme<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-77b1780 elementor-widget elementor-widget-text-editor\" data-id=\"77b1780\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El vaginisme \u00e9s la <strong>contracci\u00f3 involunt\u00e0ria dels m\u00fasculs de la vagina<\/strong> que es produeix a la penetraci\u00f3 o exploraci\u00f3 ginecol\u00f2gica. En alguns casos, aquesta contracci\u00f3 involunt\u00e0ria es pot donar durant la mastrubaci\u00f3 o simplement en pensar\/anticipar la idea que hi pugui haver una penetraci\u00f3.\u00a0\u00a0<\/p><p>\u00a0<\/p><p>Aquesta contracci\u00f3, en ser involunt\u00e0ria, es pot produir sense adonar-nos-en. Aix\u00ed, podem tenir la musculatura contreta mentre intentem que hi hagi una penetraci\u00f3, cosa que <strong>f\u00e0cilment comporta l&#039;experimentaci\u00f3 de dolor<\/strong> a la vagina. D&#039;aix\u00f2 en diem <strong>dispar\u00e8unia<\/strong>.\u00a0<\/p><p>\u00a0<\/p><p>\u00a0<\/p><p>El vaginisme pot ser <strong>lleu<\/strong> (la penetraci\u00f3 i exploraci\u00f3 s\u00f3n viables, encara que inc\u00f2modes) o <strong>moderat<\/strong> (la penetraci\u00f3 o exploraci\u00f3 no s\u00f3n viables ia m\u00e9s a m\u00e9s s&#039;experimenta dolor). Tamb\u00e9, pot <strong>dependre del context<\/strong>: en algunes dones ocorre nom\u00e9s en un context sexual, per\u00f2 no en intentar posar-se un tamp\u00f3 o fer una exploraci\u00f3 ginecol\u00f2gica.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1eb3579 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1eb3579\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2ced6e2\" data-id=\"2ced6e2\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f0db2b8 elementor-widget elementor-widget-heading\" data-id=\"f0db2b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Per qu\u00e8 passa el vaginisme<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-140f639 elementor-widget elementor-widget-text-editor\" data-id=\"140f639\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Encara que hi hagi diverses causes (les podr\u00e0s llegir m\u00e9s endavant), <strong>el proc\u00e9s<\/strong> pel qual apareix i es mant\u00e9 el vaginisme <strong>\u00e9s el seg\u00fcent<\/strong>:<\/p><p>\u00a0<\/p><ul><li>El nostre cos, <strong>per experimentar plaer<\/strong> i gaudir de la sexualitat, necessita que estiguem en un estat de <strong>relaxaci\u00f3 i seguretat<\/strong>. Quan aix\u00f2 passa, la musculatura vaginal es pot relaxar i permetre la penetraci\u00f3 si hi ha bona lubricaci\u00f3.<\/li><\/ul><p>\u00a0<\/p><ul><li>De vegades, en les relacions sexuals <strong>podem sentir tensi\u00f3<\/strong> i posar el cos en estat alerta. Aix\u00f2 passa <strong>per diferents factors emocionals<\/strong> (pors, vergonya, culpa\u2026) i \u00e9s un proc\u00e9s molt automatitzat (no ho fem volunt\u00e0riament).<\/li><\/ul><p>\u00a0<\/p><ul><li>Quan el nostre cos est\u00e0 en alerta <strong>tensa autom\u00e0ticament molts grups musculars<\/strong> del nostre cos, entre els que hi ha els de la <strong>musculatura vaginal<\/strong>.<\/li><\/ul><p>\u00a0<\/p><ul><li>Aquesta tensi\u00f3 muscular pot <strong>impedir que la penetraci\u00f3 sigui viable<\/strong>. Tamb\u00e9, si \u00e9s molt intensa, ens pot causar dolor sense que hi hagi una penetraci\u00f3. En experimentar dificultats i\/o dolor, \u00e9s normal que <strong>relacionem la pr\u00e0ctica sexual amb dolor i malestar<\/strong>, de manera que la propera vegada que tinguem l&#039;oportunitat de tenir relacions sexuals \u00e9s probable que <strong>anticipem el dolor<\/strong>. Aquesta anticipaci\u00f3 ja ens posa el <strong>cos en tensi\u00f3<\/strong>, facilitant l&#039;aparici\u00f3 de dolor i impossibilitat de penetraci\u00f3 una altra vegada, <strong>generant un cercle vici\u00f3s<\/strong>.<\/li><\/ul><p>\u00a0<\/p><ul><li>Davant aquesta situaci\u00f3 \u00e9s com\u00fa que tinguem <strong>tend\u00e8ncia a intentar evitar els contactes sexuals<\/strong> per no repetir aquesta experi\u00e8ncia, cosa que pot generar <strong>culpa, ansietat, indefensi\u00f3 i problemes de parella<\/strong>.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53b7347 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53b7347\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9796eb6\" data-id=\"9796eb6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-154ab7a elementor-widget elementor-widget-heading\" data-id=\"154ab7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Causes del vaginisme<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2aaf995 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2aaf995\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-511e8ed\" data-id=\"511e8ed\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1dc450c elementor-widget elementor-widget-text-editor\" data-id=\"1dc450c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Entre les <strong>diferents causes<\/strong>, trobem les seg\u00fcents com les m\u00e9s comunes:<\/p><ul><li>Trastorns emocionals (ansietat, depressi\u00f3, estr\u00e8s\u2026)<\/li><li>Creences r\u00edgides sobre la sexualitat i el plaer<\/li><li>Elevada autoexig\u00e8ncia<\/li><li>Conflictes de parella (quan tenim parella)<\/li><li>Mals h\u00e0bits sexuals<\/li><li>Experi\u00e8ncia traum\u00e0tica amb la sexualitat<\/li><\/ul><p>\u00a0<\/p><p>En alguns casos, la causa del vaginisme o la dispar\u00e8unia pot estar relacionada amb <strong>petites lesions musculars<\/strong>, de manera que pot ser necessari que el <strong>tractament<\/strong> sigui <strong>sexol\u00f2gic en col\u00b7laboraci\u00f3 amb ginecologia o fisioter\u00e0pia<\/strong>.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b2e6e9f\" data-id=\"b2e6e9f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58ee7be elementor-widget elementor-widget-image\" data-id=\"58ee7be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"640\" src=\"https:\/\/aleixcomas.com\/wp-content\/uploads\/2022\/08\/Sexologia-vaginismo-1024x819.jpeg\" class=\"attachment-large size-large wp-image-31806\" alt=\"\" srcset=\"https:\/\/aleixcomas.com\/wp-content\/uploads\/2022\/08\/Sexologia-vaginismo-1024x819.jpeg 1024w, https:\/\/aleixcomas.com\/wp-content\/uploads\/2022\/08\/Sexologia-vaginismo-300x240.jpeg 300w, https:\/\/aleixcomas.com\/wp-content\/uploads\/2022\/08\/Sexologia-vaginismo-768x614.jpeg 768w, https:\/\/aleixcomas.com\/wp-content\/uploads\/2022\/08\/Sexologia-vaginismo-1536x1229.jpeg 1536w, https:\/\/aleixcomas.com\/wp-content\/uploads\/2022\/08\/Sexologia-vaginismo.jpeg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cbc43aa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cbc43aa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-4d98841\" data-id=\"4d98841\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-b92b3e7\" data-id=\"b92b3e7\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-acd24eb elementor-widget elementor-widget-heading\" data-id=\"acd24eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">En resum:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6afbf8f elementor-widget elementor-widget-text-editor\" data-id=\"6afbf8f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El vaginisme \u00e9s degut a les contraccions involunt\u00e0ries de la musculatura vaginal i pot associar-se tamb\u00e9 a dolor (dispar\u00e8unia). Aquestes contraccions es donen perqu\u00e8 el nostre cos est\u00e0 en alerta, cosa que genera tensi\u00f3 muscular, contracci\u00f3 i experimentaci\u00f3 de dolor i\/o malestar en intentar la penetraci\u00f3. Aquesta associaci\u00f3 <em>sexe = malestar<\/em> produeix que generem tensi\u00f3 davant de la idea d&#039;una nova relaci\u00f3 sexual, generant un cercle vici\u00f3s.<\/p><p>\u00a0<\/p><p>Quan hi ha vaginisme tendim a evitar sexualment i solem sentir ansietat, tristesa i culpa. Quan \u00e9s molt intens, pot ser impossible l&#039;exploraci\u00f3 ginecol\u00f2gica o la introducci\u00f3 d&#039;un tamp\u00f3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-dcb3363\" data-id=\"dcb3363\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53d4cc3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53d4cc3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6c67103\" data-id=\"6c67103\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b584451 elementor-widget elementor-widget-heading\" data-id=\"b584451\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Es pot tractar el vaginisme?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-05d9b9b elementor-widget elementor-widget-text-editor\" data-id=\"05d9b9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El vaginisme <strong>es pot tractar mitjan\u00e7ant ter\u00e0pia sexual<\/strong>. Aquesta ter\u00e0pia de vegades es combina amb treball de ginecologia i\/o fisioter\u00e0pia, en funci\u00f3 del cas.<\/p><p>\u00a0<\/p><p>La <strong>idea principal<\/strong> del tractament \u00e9s que hi ha un <strong>reflex condicionat<\/strong> (les contraccions vaginals) que hem d&#039;aprendre a deixar d&#039;emetre, per aix\u00f2 s&#039;ensenyen t\u00e8cniques per aconseguir inhibir el reflex. En paral\u00b7lel, es treballen <strong>idees sobre la sexualitat i pr\u00e0ctiques sexuals<\/strong> que puguin ajudar a experimentar el sexe com un h\u00e0bit agradable i plaent.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dfec6de elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dfec6de\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-136bc60\" data-id=\"136bc60\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50b047f elementor-widget elementor-widget-heading\" data-id=\"50b047f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Com ho treballo en ter\u00e0pia<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8b21b7d\" data-id=\"8b21b7d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0bee03a elementor-widget elementor-widget-text-editor\" data-id=\"0bee03a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>En tots els tractaments comen\u00e7o per una <strong>avaluaci\u00f3 exhaustiva<\/strong> que permeti identificar les <span style=\"text-decoration: underline;\">causes que operen en el teu cas<\/span>, aix\u00ed com <span style=\"text-decoration: underline;\">descartar possibles patologies associades<\/span> que estiguin interferint. Amb aix\u00f2, podr\u00e9 elaborar un pla de treball individualitzat que permeti abordar els 3 objectius b\u00e0sics per al benestar, que s\u00f3n:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f196d8e elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"f196d8e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Reducci\u00f3 dels s\u00edmptomes i el malestar<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Prevenci\u00f3 de possibles recaigudes<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Millora en la qualitat de vida<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51131f5 elementor-widget elementor-widget-text-editor\" data-id=\"51131f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">En relaci\u00f3 al\u00a0<\/span><strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 1rem;\">tractament<\/strong><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">, la l\u00ednia de treball per treballar el vaginisme i la dispar\u00e8unia passar\u00e0 per:<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b54d95 elementor-align-start elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"0b54d95\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><u>Informaci\u00f3<\/u> sobre sexualitat i resposta corporal: entendre per qu\u00e8 generem les contraccions involunt\u00e0ries<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Establiment de <u>pautes sexuals i d&#039;inhibici\u00f3 del reflex de contracci\u00f3<\/u>, perqu\u00e8 puguis a poc a poc aconseguir la penetraci\u00f3 sense dolor ni malestar<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Identificaci\u00f3 i modificaci\u00f3 de <u>idees sexuals<\/u> que limiten experimentar la sexualitat amb llibertat i tranquil\u00b7litat<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">T\u00e8cniques cognitiu conductuals per eliminar les <u> emocions desagradables<\/u> que sentim davant de la idea d&#039;una pr\u00e0ctica sexual<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">T\u00e8cniques cognitiu conductuals per aconseguir <u>seguretat i confian\u00e7a<\/u> durant les relacions sexuals<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-dot-circle\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Eines de <u>comunicaci\u00f3 interpersonal<\/u> perqu\u00e8 la parella no suposi una limitaci\u00f3 a la millora personal<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d3ca5a5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d3ca5a5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-667b414\" data-id=\"667b414\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a0161a2 elementor-widget elementor-widget-text-editor\" data-id=\"a0161a2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El que hem comentat al punt anterior \u00e9s un resum de les <strong>l\u00ednies generals<\/strong> que utilitzo per tractar aquesta patologia. Cada cas particular requerir\u00e0 matisos que s&#039;aplicaran un cop feta l&#039;avaluaci\u00f3, bucant la <strong>m\u00e0xima efici\u00e8ncia<\/strong> en el tractament.\u00a0<\/p><p>Si tens qualsevol <strong>dubte<\/strong>, pots consultar-me sense comprom\u00eds a <a href=\"mailto:info@aleixcomas.com\">info@aleixcomas.com<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Qu\u00e8 \u00e9s el vaginisme El vaginisme \u00e9s la contracci\u00f3 involunt\u00e0ria dels m\u00fasculs de la vagina que es produeix en la penetraci\u00f3 o exploraci\u00f3 ginecol\u00f2gica. En alguns casos, aquesta contracci\u00f3 involunt\u00e0ria es pot donar durant la mastrubaci\u00f3 o simplement en pensar\/anticipar la idea que hi pugui haver una penetraci\u00f3.   Aquesta contracci\u00f3, en ser involunt\u00e0ria, [\u2026]<\/p>","protected":false},"author":1,"featured_media":32568,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[448],"tags":[],"class_list":["post-31774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-entendiendo-los-diagnosticos"],"_links":{"self":[{"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/posts\/31774","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/comments?post=31774"}],"version-history":[{"count":0,"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/posts\/31774\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/media\/32568"}],"wp:attachment":[{"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/media?parent=31774"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/categories?post=31774"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/aleixcomas.com\/ca\/wp-json\/wp\/v2\/tags?post=31774"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}