Received February 16, 2017
Accepted October 13, 2017

Objective.Genital and sexual pain is still neglected. Consequences can be dramatic since a direct relation between infertility and sexual dysfunction can be reciprocal. This is the first study focusing in identifying vaginismus cases in an ART scenario and intra-cycle interventions as a comprehensive, integrated and patient-centered perspective. Methods:Observational prospective study. Among 425 initiated IVF/ICSI cycles and 226 frozen embryo transfers from January 1,2015 to December 31,2016, we identified 07 cases of vaginismus. In a 6 months’ time a Survey Monkey questionnairewas twice sent to 228 Latin American ART centers.We were interested in knowing how often women with vaginismus were arriving at ART centers and what was the perception of their presence. Results: The low percentage of questionnaires responses (24/10.5%) states as not relevant the questioning about difficulties in performing ultrasound controls or the need for sedated transfers. Although 81% agreed that these situations occur at low incidence, no references to vaginismus, dyspareunia or any sexual dysfunction were made. Our multi-professional team handled 07 cases of vaginismus in which all women had superior degree, average 37,8 years old and were married for at least 4 years. Although two of them related they could tolerate intercourse, all of them related previous treatments, such as vaginal dilators (3 of them), psychotherapy (4 of them ) or psychiatric assistance(1 patient).Staff working was built to minimize their sufferings. Conclusion: Gentle care and sensitive listening should be included in multi-professional teams to identify these women and to offer these couples a better quality treatment.