The Lamont scale of Vaginisimus
Lamont developed a graded scale to classify Vaginismus.(in Pacik 2011) the scale is based upon response to a genealogical examination, however it may still be useful to those wishing to get some idea of the severity of their vaginisimus.
Grade 1 – The patient has noted tight vaginal muscles, but is able to relax enough with coaxing to have a gynaecologic examination.
Grade 2 – The muscles are tight, the patient is unable to relax, but an examination is still possible
Grade 3 – The patient lifts her buttocks to avoid examination.
Grade 4 – The patient elevates her buttocks, retracts and adducts her thighs to avoid examination.
A grade 5 has been discussed (Pacik 2011) in which visceral expressions and responses; such as crying, shacking, trembling, hyperventilation, vomiting. Examination may become impossible.
References – The Lamont scale of Vaginisimus
Pacik, P. T. (2011). Vaginismus: review of current concepts and treatment using botox injections, bupivacaine injections, and progressive dilation with the patient under anesthesia. Aesthetic plastic surgery, 35(6), 1160-1164.