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Vaginismus Treatment

Vaginismus Treatment

 

Vaginismus Treatment in Jaipur

For some women, the vaginal muscles involuntarily or persistently contract when they attempt vaginal penetration. This is called Vaginismus. The contractions can prevent sexual intercourse or make it very painful. Vaginismus doesn’t interfere with sexual arousal, but it can prevent penetration. This results in generalized muscle spasm, pain and temporary cessation of breathing. Without treatment it can lead to frustration and distress, and may get worse. However treatment is possible. These disorders can mess-up with relationships and the quality of your life. 

This can happen:

  • As the partner attempts penetration
  • While inserting a tampon
  • When woman is touched near the vaginal area

Vaginismus – Facts:

  • There are various forms of vaginismus and symptoms vary between individuals
  • Vaganismus can be result of emotional or medical factors or both
  • Pain can vary from mild to severe, and it can cause different sensations. 
  • Both physical and emotional exercises of treatment are very effective. 

Vaginismus-Types:

Vaginismus can be classified into two types

  • Primary Vaginismus:  This is when vaginal penetration has never been achieved. When a woman has/had pain every time something enters her vagina, including penis (called penetrative sex) or when they are not able to insert anything into vagina. It is also called lifelong vaginismus. This is lifetime condition when pain always persists.  There may be pain, generalized muscle spasms, and the woman may temporarily stop breathing. It gets reversed when the attempt at vaginal entry is blocked. 
  • Secondary Vaginismus: This is when vaginal penetration might have been achieved once but no longer possible now, primarily due to factors such as gynecologic surgery, trauma or radiation (called acquired vaginismus). It normally stems from a specific event, like infection, menopause, traumatic event, development of medical condition, relationship issues, surgery or childbirth. 

Vaginismus-Symptoms:

The symptoms vary between individuals

  • Dyspareunia (painful sex) is the first of sign of vaginismus. Happens only with penetration. It normally goes away after withdrawal, but not always
  • Discomfort when inserting a tampon or having pelvic exam
  • Fear of pain or sex
  • Loss of sexual desire
  • Generalized muscle spasm or breathing cessation during intercourse.

These symptoms are involuntary, meaning it can’t be controlled unless treated.  

During initial diagnosis, your doctor will primarily do physical examination and enquire about your medical and sexual history, which can help in finding causes of the contractions. 

Vaginismus-Causes:

There is no particular reason for vaganismus. The condition has been associated to Past sexual abuse or trauma, past painful intercourse & emotional factors. In some cases, no direct cause can be found. 

Some women have vaginismus with any object. Some have it only with one partner and not others. One may have it with sexual intercourse but not with tampons or during medical exams. 
It is important to see a doctor to find out the real cause. 

Vaginismus-Diagnosis:

Diagnosis of vaginismus usually begins with explaining the symptoms. 
Doctors may question on 

  • When you noticed the problem first?
  • How often it occurs?
  • What seems to trigger it?

Your doctor will also enquire about your sexual history like experiencing sexual trauma or abuse. Diagnosis and treatment of vaginismus require a pelvic exam. Most of the women are nervous or fear of pelvic exams. Some women prefer not to use stirrups and to try various physical positions for the exam. You can request your doctor to make the exam as comfortable as possible. Doctors also suggest that you help guide their hand or medical instruments into your vagina to make penetration easier. Doctors can be requested to brief you on every step followed during the exam. Doctors will look for any sign of infection or scarring.  

Vaginismus-Treatment Options:

Viginismus is a treatable disorder, which includes education, counseling and exercises. You can connect to a physician for viginismus treatment in your area near you

  • Sex therapy and counseling - Education involves learning about anatomy and consequences during sexual arousal and intercourse. You will also get educated about the muscles involved in vaginismus. You can also get idea on how your body parts work and how your body is responding. Counseling involves you or with your partner. Discussing your problems with a counselor who specializes in sexual disorders may be helpful. Relaxation techniques and hypnosis may also promote relaxation and help you feel more comfortable during intercourse. 
  • Vaginal dilators - Your doctor or counselor may suggest learning to use vaginal dilators under medical supervision. Dilators help the vaginal muscles stretch and become flexible. 

For more on the diagnosis and treatment of Vaginismus – Please consult online at Vivan  Hospital.