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All Journal Althea Medical Journal Indonesian Journal of Obstetrics & Gynecology Science SRIWIJAYA JOURNAL OF MEDICINE Andalas obstetrics and gynecology journal Lux Mensana: Journal of Scientific Health Journal Research Midwifery Politeknik Tegal
Andi Rinaldi
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Padjadjaran/ RSUP Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Effect of Dates (Phoenix Dactilyfera L) on Male Infertility Wahyudi, Semalina; Ekowati, R.A. Retno; Rinaldi, Andi
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (680.711 KB)

Abstract

  Background: Infertility can be caused by prolonged use of paracetamol that leads to a decrease in the sperm concentration, motility, and morphology. Dates (Phoenix Dactilyfera L) have natural antioxidant effects through several mechanisms, such as neutralizing free radicals, against NO, OH, and H2O2, and also preventing lipid peroxidation. This study aimed to investigate the effect of dates on sperm concentration, motility, and morphology. Methods: An experimental study was conducted in the Laboratory of Cell Biology Department, Faculty of Medicine, Universitas Padjadjaran, during October–November 2012. Twenty two infertile male wistar rats were divided randomly into 2 groups. Group A was given 72 mg paracetamol/rat/day orally and group B was given 72 mg paracetamol/rat/day orally and 80% dates infusion/rat/day orally for 28 days and on the 29th day, sperm concentration, motility, and morphology were measured. Results were analyzed using unpaired t-testor Mann Whitney test. Result: In the control group, 502.73(100.66) sperm concentrations were compared to 397.55(143.07) in the treatment group. However, the sperm concentration mean in the treatment group was not significantly decreased (p>0.05) compared to the control group. The percentage of progressive sperm motility in the treatment group increased significantly compared to the control group. Meanwhile, the percentage of nonprogressive immotal sperm morphology was not significantly decreased. The percentage of normal sperm in the treatment group increased significantly (p<0.05) than the control group, while the percentage of abnormal sperm in the treatment group decreased significantly (p<0.05) compared to the control group. Conclusion: The dates affect sperm motility and morphology of infertile rats.Keywords: Dates, infertility, paracetamol, sperm DOI: 10.15850/amj.v2n1.437 
Benign Tumor in Labia Minora Putra, Hadrians Kesuma; Anggraeni, Asih; rinaldi, andi; moegni, fernandi
Sriwijaya Journal of Medicine Vol. 1 No. 2 (2018): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Abstract

Vulva tumors are generally a rare disease encountered in gynecological clinical practice, especially at a young age. Vulvar tumors, more common in the labia major and rarely in the labia minor, clitoris, vestibulum, and posterior comicura. The most common vulvar benign tumors are fibroma, papilloma, lipoma, angioma, and others. A 39-year-old woman, at RSCM Urogynecology Jakarta clinic with chief complain mass or swelling in right labia minor. Size of mass increases in period of one year. Mass began to grow at 8 months of pregnancy. By 2014, patients have same mass in the right and left labia minor, and tumor excision has been performed. Conclusions of the specimens sent for pathological assessment are fibroepithelial papillomas. Gynecological and palpation examinations show 2 solid papilloma masses, in right labia minor, 8x4x2 cm and 3x2x2cm, painless, and firmly defined. In mons pubis area, skin looks coarse, thickened, hyperkeratotic. Speculum examination showed no abnormality. Patient diagnosed as a recurrent minor armored labia tumor. On December 5, 2017 an excision and reconstruction operation was conducted. Obtained pathological exam on December 20, 2017 with results stromal fibroepithelial polyps. Among all tumors in the vulva, tumors in labia minor appear less frequently. Biopsy should be performed for histologic examination to exclude malignant allegations. Furthermore, because of the location and size of the tumor, it can cause severe interference symptoms in the patient and therefore early diagnosis and treatment is essential.
Effect of Dates (Phoenix Dactilyfera L) on Male Infertility Semalina Wahyudi; R.A. Retno Ekowati; Andi Rinaldi
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (680.711 KB)

Abstract

  Background: Infertility can be caused by prolonged use of paracetamol that leads to a decrease in the sperm concentration, motility, and morphology. Dates (Phoenix Dactilyfera L) have natural antioxidant effects through several mechanisms, such as neutralizing free radicals, against NO, OH, and H2O2, and also preventing lipid peroxidation. This study aimed to investigate the effect of dates on sperm concentration, motility, and morphology. Methods: An experimental study was conducted in the Laboratory of Cell Biology Department, Faculty of Medicine, Universitas Padjadjaran, during October–November 2012. Twenty two infertile male wistar rats were divided randomly into 2 groups. Group A was given 72 mg paracetamol/rat/day orally and group B was given 72 mg paracetamol/rat/day orally and 80% dates infusion/rat/day orally for 28 days and on the 29th day, sperm concentration, motility, and morphology were measured. Results were analyzed using unpaired t-testor Mann Whitney test. Result: In the control group, 502.73(100.66) sperm concentrations were compared to 397.55(143.07) in the treatment group. However, the sperm concentration mean in the treatment group was not significantly decreased (p>0.05) compared to the control group. The percentage of progressive sperm motility in the treatment group increased significantly compared to the control group. Meanwhile, the percentage of nonprogressive immotal sperm morphology was not significantly decreased. The percentage of normal sperm in the treatment group increased significantly (p<0.05) than the control group, while the percentage of abnormal sperm in the treatment group decreased significantly (p<0.05) compared to the control group. Conclusion: The dates affect sperm motility and morphology of infertile rats.Keywords: Dates, infertility, paracetamol, sperm DOI: 10.15850/amj.v2n1.437 
Perbandingan Nilai Female Sexual Function Index pada Wanita Primipara Berdasarkan Metode Persalinan Rena Nurita; Andi Rinaldi; Wiryawan Permadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 4 Nomor 2 September 2021
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v4n2.257

Abstract

Tujuan: Untuk membandingkan fungsi seksual pada wanita primipara dengan metode persalinan pervaginam dan seksio sesarea.  Metode: Penelitian ini adalah penelitian observasional analitik secara cross-sectional. Penelitian ini dilakukan selama tujuh bulan di RS Hasan Sadikin dan Rumah Sakit Khusus Ibu dan Anak Kota Bandung, dimulai pada September 2019 sampai Mei 2020. kriteria inklusi primipara, berusia 18-35 tahun, 3-6 bulan postpartum sebelum pengambilan data, aktif secara seksual dalam 6 bulan setelah persalinan dan melakukan hubungan seksual dalam empat minggu terakhir. Fungsi seksual dinilai dengan Female Sexual Function Index (FSFI).Hasil: Subjek penelitian ini terdiri dari 98 subjek dengan dibagi menjadi dua kelompok, yakni persalinan pervaginam (n=56) dan seksio sesarea (n=42). Subjek penelitian mengisi kuesioner FSFI versi Bahasa Indonesia. Dari 98 subjek, disfungsi seksual didapatkan 95% pada wanita dengan persalinan pervaginam dan 90% dengan seksio sesareaKesimpulan: Tidak terdapat perbedaan yang signifikan antara persalinan pervaginam dan seksio sesarea terhadap disfungsi seksual. The Comparison of Female Sexual Function Index Score in Primiparous Women According to Delivery MethodsAbstractObjective: to compare the sexual function of primiparous woman with spontaneous delivery and cesarean section.Method:  This research is an analytic observational study with cross-sectional method. This study is a 7 months study at Dr. Hasan Sadikin Central General Hospital and Rumah Sakit Khusus Ibu dan Anak Kota Bandung, started from September 2019 to May 2020. The inclusion criteria were primiparous, aged 18-35 year-old, 3-6 months postpartum before data collection, sexually active within 6 months after delivery and had sexual intercourse in the last four week. Sexual function was assessed by the Female Sexual Function Index (FSFI).Result: We obtained 98 subjects and divided them into two groups, spontaneous delivery (n = 56) and cesarean section (n = 42). Subject then filled out the Indonesian version of the FSFI questionnaire. From 98 subjects, sexual dysfunction was found in 95% subject with spontaneous delivery and 90% with cesarean section.Discussion: Using comparative chi square test (p = 0.43), there is no significant difference between each method of delivery on sexual dysfunction. Interestingly sexual dysfunction found in tremendous percentage compared to previous studies, either in spontaneous delivery (95%) or cesarean section (90%).Key word:cesarean section, Female Sexual Function Index, primiparous, sexual function, spontaneous delivery
Benign Tumor in Labia Minora Hadrians Kesuma Putra; Asih Anggraeni; Andi Rinaldi; Fernandi Moegni
Sriwijaya Journal of Medicine Vol. 1 No. 2 (2018): Vol 1, No 2, 2018
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v1i2.17

Abstract

Tumor Vulva umumnya merupakan penyakit langka yang ditemui dalam praktik klinis ginekologi, terutama pada usia muda. Tumor vulva, lebih sering terjadi di labia mayor dan jarang di labia minor, klitoris, vestibulum, dan komisura posterior. Tumor jinak vulva yang paling umum adalah fibroma, papiloma, lipoma, angioma, dan lainnya. Seorang wanita berusia 39 tahun, di poliklinik uroginekologi RSCM Jakarta dengan keluhan massa atau pembengkakan di labia minor kanan. Ukuran massa semakin besar dalam kurun waktu satu tahun. Massa mulai tumbuh pada kehamilan 8 bulan. Pada tahun 2014, pasien memiliki massa yang sama di labia minor kanan dan kirinya, dan eksisi tumor telah dilakukan. Kesimpulan dari spesimen yang dikirim untuk penilaian patologis adalah papilloma fibroepithelial. Pemeriksaan ginekologi dan palpasi menunjukkan 2 massa papiloma padat, di labia minor kanan, 8x4x2 cm dan 3x2x2cm, tidak menimbulkan rasa sakit, dan batas tegas. Di daerah mons pubis, kulit tampak kasar, menebal, tampak hiperkeratosis. Pemeriksaan spekulum menunjukkan tidak ada abnormalitas. Pasien kemudian didiagnosis sebagai tumor labia minor dekstra berulang. Pada tanggal 5 Desember 2017 dilakukan operasi eksisi dan rekonstruksi. Didapatkan PA tanggal 20 Desember 2017 dengan hasil polip fibroepitelial stroma. Di antara semua tumor di vulva, tumor di labia minor tampak lebih jarang. Biopsi perlu dilakukan untuk pemeriksaan histologis untuk menyingkirkan dugaan keganasan. Lebih jauh lagi, karena lokasi dan ukuran tumor, dapat menyebabkan gejala gangguan yang parah pada pasien dan oleh karena itu diagnosis dan pengobatan dini sangat penting.
THE PRACTICALITY, EFFICIENCY, POSITIVE IMPACT AND EFFECTIVENESS OF THE "MIDWIFERY MANAGER" MANAGEMENT INFORMATION SYSTEM IN IMPROVING THE QUALITY OF MIDWIFERY SERVICES AT THE MIDWIFERY'S INDEPENDENT PRACTICE PLACE BANDUNG Sutisna, Ma’mun; Rinaldi, Andi; Wijayanegara, Hidayat; Garna, Herry; Herawati, Yanti; Nurlatifah, Teni; Cherawaty, Aneu
Lux Mensana: Journal of Scientific Health Vol. 3 Issue 3 (2024)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v3i3.610

Abstract

Introduction. Health transformation in the digital era has brought fundamental changes in health services, including midwifery. About 80% of Midwife Independent Practices in Bandung City still use manual records. The management information system for Midwife Independent Practices, named "Midwifery Manager", is one of the innovations in the health sector. This study aims to analyze the increase in practicality, efficiency, positive impact, and effectiveness of the "Midwifery Manager" Management Information System in improving the quality of midwifery services at the place of practice of independent midwives. Method. The research was quantitative, with a pre-experimental design in the form of a pre-test and post-test design. The target population in this study were all midwives who had independent practice places in the Bandung City Region, which were 300 TPMB. The sampling technique in this study used proportionate random sampling, which amounted to 40 respondents. The data analysis techniques used are normality test, Wilcoxon test, and chi-square test. Result & Analysis. The results showed an increase in practicality, efficiency, positive impact, and effectiveness of the quality of midwifery services after the use of "Midwifery Manager", respectively with a value of p 0.000; p 0.000; p 0.00; and p 0.001 (<0.05) in the independent practice of midwives. Discussion. Using the Management Information System "Midwifery Manager" increases the practicality, efficiency, positive impact, and effectiveness of midwifery service quality, and effectiveness of midwifery service quality in the independent practice of midwives in the Bandung City area.  
Effect of Methotrexate on Anti-Mullerian Hormone Levels, β-hCG and Tumor Size in Women with Low-Risk Gestational Trophoblast Disease Madjid, Tita Husnitawati; Masitoh, Imas; Harsono, Ali Budi; Purwara, Benny Hasan; Rinaldi, Andi; Mose, Johannes Cornelius; Sunardi, Sunardi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.610

Abstract

Introduction: This study aimed to evaluate the effect of methotrexate (MTX) chemotherapy on anti-mullerian hormone (AMH) levels, human chorionic gonadotropin (HCG) levels, and tumor size in women with gestational trophoblastic disease (GTD). Method: This study was conducted at Hasan Sadikin General Hospital, Bandung, West Java, from April to October 2020. The AMH level, beta human chorionic gonadotropin (ß-hCG) and tumor size in women with a low risk of GTD prior to and after MTX chemotherapy treatment were measured and compared.Results: Our study found a reduction in mean AMH level to 0.82 ng/ml after the MTX chemotherapy. The mean AMH level after chemotherapy in women with low-risk GTD decreased to 0.82 ng / ml. In addition, ß-hCG level decreased after chemotherapy with MTX. There was a negative relationship between ß-hCG level and tumor size before and after chemotherapy. Higher ß-hCG levels and tumor size before chemotherapy resulted in a further increase in AMH after chemotherapy.Discussion: There was a decrease in AMH and ß-hCG levels after three cycles of MTX chemotherapy in women with low-risk GTD. Tumor size and ß-hCG correlated with post-chemotherapy AMH results.Pengaruh Metotreksat terhadap Kadar Hormon Anti Mullerian, β-hCG dan Ukuran Tumor pada Wanita dengan Penyakit Trofoblas Gestasional Risiko RendahAbstrakPendahuluan: Penelitian ini mengevaluasi efek kemoterapi metotreksat (MTX) terhadap kadar hormon anti-mullerian (AMH), kadar human chorionic gonadotropin (HCG), dan ukuran tumor pada wanita yang didiagnosis penyakit trofoblas gestasional (GTD) risiko rendah.Metode: Penelitian ini dilakukan di Rumah Sakit Umum Pusat Hasan Sadikin, Bandung, Jawa Barat, dari bulan April hingga Oktober 2020. Kadar AMH, beta human chorionic gonadotropin (ß-hCG), dan ukuran tumor pada wanita dengan GTD risiko rendah sebelum dan sesudah pengobatan kemoterapi MTX diukur dan dibandingkan.Hasil: Pada penelitian kami menemukan penurunan kadar AMH rata-rata menjadi 0,82 ng/ml setelah kemoterapi MTX. Rata-rata kadar AMH setelah kemoterapi pada wanita dengan GTD risiko rendah menurun menjadi 0,82 ng/ml. Selain itu, kadar ß-hCG juga menurun setelah kemoterapi dengan MTX. Terdapat hubungan negatif antara kadar ß-hCG dan ukuran tumor sebelum kemoterapi dan AMH setelah kemoterapi. Kadar ß-hCG yang lebih tinggi dan ukuran tumor sebelum kemoterapi menunjukkan peningkatan lebih tinggi pada AMH setelah kemoterapi.Kesimpulan: Terjadi penurunan kadar AMH dan ß-hCG setelah tiga siklus kemoterapi MTX pada wanita dengan GTD risiko rendah. Ukuran tumor dan kadar ß-hCG berkorelasi dengan hasil kadar AMH setelah kemoterapi.Kata kunci: Kemoterapi, Metotreksat, Hormon anti-mullerian, ß-hCG, Tumor trofoblas gestasional
Analisis Pergerakan Leher Kandung Kemih, Ukuran Genital Hiatus, Titik Aa dan Ba pada POP-Q dengan Retensio Urin pada Pasien Pasca-Perbaikan Prolaps Organ Panggul Ma'soem, Aria Prasetya; Sasotya, R.M Sonny; Achmad, Eppy Darmadi; Armawan, Edwin; Sukarsa, Rizkar Arev; Rinaldi, Andi
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 1 Maret 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i1.607

Abstract

Pendahuluan:Retensio urin pasca-operasi merupakan kejadian yang sering terjadi setelah operasi perbaikan prolaps organ panggul (POP), dengan angka kejadian berkisar antara 2,5 – 24%. Parameter yang digunakan untuk mengevaluasi pergerakan kandung kemih dan gangguan berkemih yaitu penurunan leher kandung kemih, sudut retrovesika, dan rotasi uretra. Tujuan untuk mengetahui hubungan antara profil leher kandung kemih, ukuran genital hiatus, dan titik Aa dan Ba pada POP-Q terhadap retensio urin pasca-perbaikan prolaps organ panggul.Metode: Penelitian observasional analitik ini menggunakan pendekatan rancangan potong lintang pada wanita yang menjalani operasi POP di RSUP Dr. Hasan Sadikin Bandung pada bulan Juni–November 2023.Hasil: Penurunan leher kandung kemih, sudut retrovesika, rotasi uretra, dan ukuran genital hiatus diukur dengan ultrasonografi. Titik Aa dan Ba diukur dengan skoring POP-Q, kemudian dilakukan pengukuran post-void residual volume. Ditemukan rata-rata usia pasien adalah 60±9 tahun. Sebagian besar subjek penelitian merupakan POP stadium III.Kesimpulan:Tidak terdapat perbedaan bermakna antara karakteristik subjek penelitian (p>0,05). Tidak terdapat perbedaan bermakna antara parameter leher kandung kemih, sudut retrovesika, rotasional uretra, ukuran urogenital hiatus, skor POP-Q titik Aa dan Ba terhadap volume PVR (p>0,05). Titik Ba pada POP-Q berkorelasi signifikan terhadap volume PVR pasca-perbaikan prolaps organ panggul.Analysis of Bladder Neck Movement Profile, Genital Hiatus Size, Points Aa and Ba on POP-Q with Urinary Retention in Post Pelvic Organ Prolapse Repair PatientsAbstract Introduction: Postoperative urinary retention is a common following surgical repair of pelvic organ prolapse (POP), with the incidence ranges between 2.5–24%. This study aimed to determine the relationship between bladder neck profile, genital hiatus, and Aa and Ba points in POP-Q on the incidence of urinary retention after repair of pelvic organ prolapse. Method: This analytical observational study was done with a cross-section design and included women underwent repair of pelvic organ prolapse at RSUP Dr. Hasan Sadikin Bandung in June–November 2023. Results: Bladder neck descent, retrovesical angle, urethral rotation, and genital hiatus were measured by ultrasonography. Points Aa and Ba were measured using POP-Q scoring, then post-void residual volume was measured. The patients had a mean age of 60±9 years. Most of the subjects were stage III POP. Conclusion: There were no significant differences between bladder neck descent, retrovesical angle, urethral rotation, urogenital hiatus, POP-Q scores points Aa and Ba and PVR volume (p>0.05). Point Ba on POP-Q was significantly correlated with PVR volume after pelvic organ prolapse repair.Key words: pelvic organ prolapse, post-void residual volume, urinary retention, rectovesical angle, urogenital hiatus
Characteristics of Endometrioma Recurrence Patients Maharani, Chintia Dewi; Bayuaji, Hartanto; Syam, Hanom Husni; Ritonga, Mulyanusa Amarullah; Mantilidewi, Kemala Isnainiasih; Rinaldi, Andi; Pratiwi, Yuni Susanti
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 3 November 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v6i3.576

Abstract

Objective: To identify the characteristics of endometrioma recurrence cases. Method: This study was a descriptive retrospective, using secondary data taken from all medical records of Clinic Aster and Medical Records Installation in Dr. Hasan Sadikin General Hospital, Bandung, from 1st January 2018 – 31st December 2022. Data were presented in tables.Results: Of the 37 endometrioma recurrences, most of the patients are 20 to 35 in age. None of them has a parity history after the first surgical procedure. Both previous and recent cases are dominantly unilateral endometriomas. The history of postoperative medication is higher (54,1%). Obstetricians/Gynecologists appear to perform the most surgical procedure (67,6%). Mass is the main clinical manifestation of the recurrence. While menstrual and BMI profiles appear to be normal.Conclusions: The characteristic of the recurrence of endometrioma is related parity status after the first surgery, history of the previous medical treatment, and previous form of endometrioma are related to the current characteristic of endometrioma (age, lesion form, clinical manifestation, and recurrence interval).Karakteristik Pasien Endometrioma RekurenAbstrakTujuan: Mengetahui karakteristik dari pasien endometrioma rekuren.Metode: Penelitian ini merupakan penelitian deskripsi retrospektif dengan menggunakan data sekunder yang diambil dari seluruh rekam medis pasien kista endometriosis rekuren di Klinik Aster dan Instalasi Rekam Medis di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung dengan periode 1 Januari 2018 – 31 Desember 2022. Kemudian, data-data disajikan dalam bentuk tabel.                                                                                . Hasil: Dari 37 kasus e ndometrioma rekuren, sebagian besar pasien berusia 20 hingga 35 tahun. Seluruh pasien tidak mempunyai riwayat paritas setelah prosedur pembedahan sebelumnya. Baik kasus-kasus kista endometriosis sebelumnya maupun yang kambuh, keduanya dominan dalam bentuk unilateral. Riwayat pengobatan pasca operasi lebih tinggi (54,1%). Dokter Spesialis Obstetri/Ginekologi tampak melakukan tindakan pembedahan terbanyak (67,6%). Massa adalah manifestasi klinis utama dari kekambuhan. Selain itu, profil menstruasi dan BMI tampak normal.Kesimpulan: Karakteristik pada endometrioma rekuren berkaitan dengan status paritas setelah operasi pertama, riwayat pengobatan medis sebelumnya, dan bentuk endometrioma sebelumnya berhubungan dengan karakteristik endometrioma saat ini (usia, bentuk lesi, manifestasi klinis, dan rentang rekurensi)Kata kunci: karakteristik, rekuren, endometrioma
Diagnostic Approach to Vaginismus and How to Differentiate it from Dyspareunia Farhanah, Aninda Yasmin; Sukarsa, Mochamad Rizkar Arev; Armawan, Edwin; Achmad, Eppy Darmadi; Sasotya, R. M Sonny; Rinaldi, Andi; Ma’soem, Aria Prasetya; Praharsini, Raden Kania; Imantika, Efriyan; Nurtanio, Setiawan; Arwan, Berriandi
Indonesian Journal of Obstetrics & Gynecology Science Volume 8 Nomor 1 Maret 2025
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v8i1.689

Abstract

Introduction:Vaginismus is a recurrent or persistent spasm of the muscles of the outer third of the vagina that interferes with coitus. The diagnosis of vaginismus is challenging since it requires the exclusion of possible organic comorbidities. Vaginismus needs to be differentiated from dyspareunia. This article comprehensively discusses the approach to diagnosis and management of vaginismus and highlights its differences from dyspareunia.Methods: A literature search was conducted in PubMed®, ScienceDirect, and Google Scholar databases on February 7–8, 2024, using Boolean combinations of the specified keywords. No specific timeframe was used. Editorials, commentaries, and articles other than written in English and Indonesian were excluded.Results: The review found that vaginismus is characterized by involuntary pelvic floor muscle contractions and significant anxiety towards penetration, which is diagnosed mainly through patient history and physical examination. In contrast, dyspareunia encompasses a wider range of pain, which may be superficial or deep and can result from various physiological or psychological factors. Differentiating between the two conditions requires a detailed clinical interview, physical examination, and possibly additional tests to identify the specific cause.Conclusion: Treatment for vaginismus focuses on reducing fear and pelvic muscle spasms, while dyspareunia focuses on addressing the underlying cause and pain management.Pendekatan Diagnosis pada Vaginismus dan Cara Membedakannya dengan DispareuniaAbstrakPendahuluan: Vaginismus adalah spasme otot-otot sepertiga bagian luar vagina yang berulang atau terus-menerus dan mengganggu koitus. Diagnosis vaginismus menantang dan memerlukan eksklusi kemungkinan komorbiditas organik. Vaginismus perlu dibedakan dengan dispareunia. Artikel ini membahas pendekatan diagnosis dan penatalaksanaan vaginismus secara komprehensif dan menyoroti perbedaannya dengan dispareunia.Metode: Pencarian literatur dilakukan di basis data PubMed®, ScienceDirect, dan Google Scholar pada tanggal 7 – 8 Februari 2024 dengan menggunakan kombinasi Boolean dari kata kunci yang ditentukan. Tidak ada jangka waktu tertentu yang digunakan dalam pencarian artikel untuk tinjauan literatur ini. Editorial, komentar, dan artikel yang tidak berbahasa Inggris dan Indonesia tidak disertakan.Hasil: Tinjauan menunjukkan bahwa vaginismus ditandai oleh kontraksi involunter otot dasar panggul serta kecemasan signifikan terhadap penetrasi. Diagnosis utama didasarkan pada riwayat pasien dan pemeriksaan fisik. Sebaliknya, dispareunia mencakup spektrum nyeri, baik superfisial maupun dalam, yang dapat dipicu oleh berbagai faktor fisiologis atau psikologis. Untuk membedakan kedua kondisi tersebut, diperlukan wawancara klinis yang mendetail, pemeriksaan fisik, dan tes tambahan guna mengidentifikasi penyebab spesifik.Kesimpulan: Terapi untuk vaginismus berfokus pada pengurangan rasa takut dan spasme otot panggul, sedangkan dispareunia berfokus pada penanganan penyebab yang mendasari dan manajemen nyeri.Kata kunci: Diagnosis, dyspareunia, tatalaksana, vaginismus
Co-Authors Aldri Frinaldi Anggraeni, Asih Anggraeni, Asih Arwan, Berriandi Asih Anggraeni Benny Hasan Purwara Cherawaty, Aneu Edwin Armawan Efriyan Imantika Eppy Darmadi Achmad Farhanah, Aninda Yasmin Fernandi Moegni Hadrians Kesuma Putra Hanom Husni Syam Harsono, Ali Budi Hartanto Bayuaji Herawati, Yanti Herry Garna Hidayat Wijayanegara HR, Teni Nurlatifah Kemala Isnainiasih Mantilidewi M. Rizkar Arev Sukarsa M. Rizkar Arev Sukarsa Ma'soem, Aria Prasetya Madjid, Tita Husnitawati Maharani, Chintia Dewi Masitoh, Imas Ma’soem, Aria Prasetya Mose, Johannes Cornelius Mulyana, Rifqi Rahman Nurlatifah, Teni Nurtanio, Setiawan Praharsini, Raden Kania Putra, Hadrians Kesuma R.M. Sonny Sasotya Raksanagara, Ardini Sapatiningsih Rena Nurita Retno Ekowati Ritonga, Mulyanusa Amarullah Sarasati, Kadesma Fadhila Clara Sasotya, R. M Sonny Sasotya, R.M Sonny Semalina Wahyudi Semalina Wahyudi, Semalina Setyawan Nurtanio Sunardi Sunardi Sutisna, Ma'mun Sutisna, Ma’mun Wiryawan Permadi Yuni Susanti Pratiwi, Yuni Susanti Zakaria, Bangbang Ahmad Kholila Muhyiddin Abadi Zulvayanti Zulvayanti