Al‐Sughayir 2005.

Methods	Design: quasi‐randomised controlled trial Allocation method: alternation Blinding: not stated
Participants	Diagnosis: vaginismus (primary or secondary not reported) Criteria: DSM‐IV Setting: outpatient clinic Number: 36 Age: 23 years, SD = 6.78 (range 17 to 40) Duration of vaginismus: 9.52 months, SD = 10.32 (range 4 to 47)
Interventions	Intervention 1: hypnotherapy Number of sessions: until symptoms abated Duration of sessions: 45 to 60 minutes Therapist level: not stated Adjunctive interventions: not stated Intervention 2: systematic desensitisation Number of sessions: until symptoms abated Duration of sessions: 45 to 50 minutes Therapist level: not stated Adjunctive interventions: not stated
Outcomes	Sex‐related anxiety ‐ wife Sexual satisfaction ‐ wife ‐ Brief Index of Sexual Functioning for Women (BISF‐W) scale Sexual Satisfaction ‐ husband Drop‐outs
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	High risk	Alternation
Allocation concealment (selection bias)	Unclear risk	Not reported
Blinding (performance bias and detection bias) All outcomes	Unclear risk	Not reported
Incomplete outcome data (attrition bias) All outcomes	High risk	No outcome data for 5 of 36 women could be reported. "During the study period, three women in the behavior group [SD] were excluded; two were divorced and one travelled outside Riyadh City. Two patients in the hypnotherapy group dropped out after the second session; both expressed ambivalent emotions toward their husbands." No ITT analysis attempted
Selective reporting (reporting bias)	Unclear risk	Outcome data provided for all stated outcomes but we have no access to study protocols so cannot be certain other outcomes were not assessed
Other bias	High risk	Participants kept in treatment until symptoms abated