Vaginismus is a sexual dysfunction encountered in people of biological sex. It is an automatic reflex contraction of the vagina during sexual intercourse. It basically includes the fear of sexual intercourse and feelings of shame.
For this reason, it is more common in countries where sexuality is considered taboo, and our country is unfortunately among these countries :(

In this article, we discuss vaginismus.

What is vaginismus?

The system in our body that provides us with the ability to move is the muscular system. In the same way, there are muscles in the vagina that provide stretching. These muscles help penetration by flexing easily during sexual intercourse.
vaginismus; It is the condition that the vaginal muscles do not stretch sufficiently during penetration due to both psychological and physiological reasons, their contraction and obstruction of the vaginal entrance.

There are 2 main types of vaginismus.

First; It is the type where the vagina is closed to everything, including the penis, and pain is felt at every attempt. It is called long-term vaginismus .

Latter; It is the type in which painless sexual intercourse can be experienced at first, but later on it becomes difficult and impossible. It is called acquired vaginismus .

What are the symptoms of vaginismus?

The symptoms of vaginismus develop involuntarily and often cannot be controlled without treatment.
Painful intercourse is usually the first sign of vaginismus. Pain occurs only during penetration, and when the penetration is over, the pain usually goes away.

Other symptoms include:

  • Severe contractions and spasms in the vagina
  • Fear of having sex
  • Do not shut yourself down despite sexual desire
  • Fear of using medications such as tampons and suppositories
  • Forcing the penis into the vagina
  • Failure to penetrate
  • dryness in the vagina
  • Fear of gynecologist examination
  • Vaginal contractions as in sexual intercourse in the gynecologist examination

What are the causes of vaginismus?

Vaginismus symptoms develop involuntarily and its causes are mostly involuntary. Although experts cannot reveal the exact cause of vaginismus, it is often claimed to be associated with feelings of fear and embarrassment of sexuality. However, it is not known exactly whether these feelings are the cause or the result.

The causes of vaginismus can be:

  • Being sexually harassed and abused
  • Exposure to domestic violence
  • Traumatic histories at birth or gynecological procedures
  • distrust between partners
  • Belief that first sexual intercourse will be extremely painful
  • Feeling of sexual inadequacy
  • vaginal yeast infections
  • Anxiety
  • Stress

How is vaginismus diagnosed?

First of all, if the above symptoms and possible causes make you suspect that you may have vaginismus, it is definitely useful to get an expert opinion. The doctor listens to your story by asking questions about your sexual history.
Performs a pelvic exam for other health conditions that may cause pain.

If you're worried about going to the doctor, you can be sure that your doctor will be more courteous than ever before in case of vaginismus.

How is vaginismus treated?

You can learn to control the muscles around the vagina by yourself. Kegel exercises are for you. If you need help with Kegel exercises, you can find our related article here .

You can add an expert support to your Kegel routines and try treatment with your partner if possible. If your doctor approves, it will be good for you to work on your fears by starting sexual therapy sessions .

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