Vaginismus is a female sexual dysfunction that is characterized by the impossibility of maintaining sexual contact due to the great pain. The discomfort arises from the involuntary contractions of the muscles of the vagina. This dysfunction has a very high success rate of treatment. It is important that, together with the doctor, find the appropriate therapeutic formula!

Types of vaginismus

There are 2 types of vaginismus:

Primary vaginismus

This type appears since the first sexual contact of the woman and thus prevents her from starting her sexual life. It is discovered due to constant failures to have sex or attempts to use internal pads.

Secondary vaginismus

This type appears after you have had a period of normal sexual contact and all of a sudden you experience very severe pain that prevents any form of penetration. In both cases it is important to go to the gynecologist to recommend an appropriate form of treatment to overcome this dysfunction.

What are the causes of vaginismus?

As I said, this problem is mainly caused by the involuntary muscle spasms or contractions of the pelvic floor muscles that surround the vagina. You cannot control these contractions - they are an involuntary response of the pelvic muscles.

In many cases you may not even know that these spasms cause penetration problems. The causes depend on the type of vaginism you suffer from. These can be physical or mental. Mainly anxiety or fear is the basis of primary vaginismus, while infections or inadequate lubrication cause the secondary one.

Other causes may be:

  • sexual abuse or attempted sexual abuse;
  • fear or anxiety - caused by pain, pregnancy, sexually transmitted diseases;
  • insufficient arousal or dry vagina;
  • certain diseases such as urinary tract infections, sexually transmitted diseases, pelvic inflammatory disease;
  • birth and pain or complications associated with it;
  • pelvic surgery;
  • certain medicines;
  • precarious sex education and religious conceptions that promote sex as something bad.

How does vaginismus manifest?

In some cases, the tendency to tighten the vagina at the time of penetration can cause burns or pain that make it impossible to penetrate during intercourse. Spasms that produce vaginal "closure" are the first cause of uncommon sexual intercourse.

Other symptoms include:

  • impossible penetration;
  • difficulty gynecological examination;
  • difficulty in inserting an internal buffer;
  • avoiding sexual contacts for fear of pain, etc.

What is the treatment?

The treatment for this condition can be of two types: medical (by treating the physical ailments that could trigger the disease) or psychologically (calling a psychotherapist to overcome anxiety).

Medical treatments include:

  • vaginal dilators (use of different sizes for progressive desensitization of the vagina);
  • special exercises to reduce pelvic tension (Kegel);
  • the use of Botox for refractory vaginismus (which does not respond to any treatment).

Psychotherapy can be done individually or as a couple. The individual aims to identify and treat the psychological problems underlying vaginismus. Couple therapy is based on the idea that such a problem affects both partners and helps to confront and overcome problems that can cause tension in the couple relationship.

And hypnotherapy is a practice used to overcome the sexual problems caused by vaginismus. Hypnotherapy sessions are conducted in order to overcome the symptoms, but also to treat the emotional causes underlying it.

The success rate of the treatment is quite high. Over 63% of those who suffer from this sexual dysfunction manage to overcome it completely. In order to make the treatment more effective, most doctors prescribe combined techniques or therapies.

Tags Sexual dysfunction women Dry vagina Vaginal lubrication Exercises Kegel