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Vaginismus

WHAT IS VAGINISMUS?

Spasm and tightening of the muscles around the opening to the vagina, whenever intercourse or even vaginal examination is attempted, making entry/ insertion impossible.

RESULTS

Tightening of All pelvic muscles, thigh muscles and those around the buttocks.

SIGNS & SYMPTOMS

  • Involuntary contraction of the muscles around the vagina and rectum. The vagina closes so tightly that the penis cannot penetrate for sexual intercourse.
  • Hysteria (sometimes)

CAUSES

  • An unconscious desire to prevent penile penetration because of emotional or psychological barriers. These may include poor sex education, fear, anxiety, hostility, anger or distaste for sex.
  • An insensitive sexual partner, insufficient or unskillful foreplay or inadequate vaginal lubrication prior to attempted penetration.
  • Physical disorders (rare), such as infections, allergic reactions or a rigid, non-perforated hymen.

RISK INCREASES

  • During first sexual experience.
  • Previous sexual trauma.

HOW TO PREVENT

Counseling prior to beginning sexual activity and an assurance of normal organs.

DIAGNOSTIC MEASURES

Typical symptoms.

POSSIBLE COMPLICATIONS

  • Psychological trauma caused by guilt, anxiety, loss of self-esteem and feelings of inadequacy, or interpersonal problems resulting from the disorder.
  • Painful intercourse for sexual partner.

PROBABLE OUTCOME

Usually curable if the underlying cause can be cured or a method to cope can be developed through medical treatment and psychological counseling. Pregnancy and normal childbirth generally cure this condition.

TREATMENT

GENERAL MEASURES

  • A patient is taught, how to dilate the vaginal opening gently and gradually with rubber or glass dilators. Treatment at doctor's clinic will probably be necessary 3 times a week, and one should practice at home at least twice a day.
  • Prior to dilation exercises or attempted intercourse, sit in a tub of hot water for 10 to 15 minutes. Baths often relax muscles and relieve discomfort. Repeat baths as often as is helpful.
  • Before attempting intercourse, both the partner should use a lubricant
  • Psychotherapy or counseling, if medical treatment is unsuccessful.

MEDICATION

Medicine is usually not necessary for vaginismus, but one may be prescribed mild sedatives or tranquilizers for short periods of time.

ACTIVITY

No restrictions.

DIET

No special diet.

CALL YOUR DOCTOR, IF

  • You feel you have symptoms of vaginismus.
  • Symptoms don't improve after 3 weeks, despite treatment
  • Symptoms recur after treatment.

| Anorgasmia | Vaginismus | Dyspareunia |

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