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Vaginismus - Vaginismus symptom, treatment, causes


Vaginismus is the uncontrolled, painful spasm of the muscles surrounding the entrance to the vagina. The spasm begins as soon as sex (or pelvic examination) is anticipated. The contraction may be sufficiently powerful and persistent to make sexual penetration or internal examination impossible.

Vaginismus usually affects women who have a deepseated fear of sex. This may have developed after an unpleasant sexual experience. often in childhood, or from having learnt extremely negative attitudes towards sex. The fear may be buried so deeply in the mind that the woman is hardly aware of it.

Vaginismus can usually be overcome by psychotherapy or sexual counselling. and sometimes by self-insertion of glass or metal rods of gradually increasing diameter. Although it can take months or years for a woman to learn that sexwith a loving partner is 'good' and will not harm her. most sufferers recover to enjoy a normal sex life and bear children.

Vaginismus is an involuntary contraction of muscles around the opening of the vagina that makes sexual intercourse painful or impossible. Sarrel and Sarrel (1979) expand their definition of vaginismus to include difficult or uncomfortable penetration due to involuntary vaginal contractions. With this expanded definition, about 20% of all women seen by the Sarrel's experience some degree of vaginismus. Vaginismus may result from a woman's unconscious desire to prevent sexual intercourse. Pain experienced in the past during sexual intercourse can lead to vaginismus. Sometimes vaginismus is caused by a physical disorder, such as a pelvic infection or scarring of the vaginal opening (due to injury, childbirth, or surgery). Other reasons women do not want to engage in intercourse include fear of becoming pregnant, of being controlled by their partner, or of losing control. Irritation (due to douches, spermicides, or latex in condoms) may also cause vaginismus. Because of the pain, some women who have vaginismus cannot tolerate sexual intercourse (that is, penetration of the vagina by the penis). However, sexual activity that does not involve penetration may be pleasurable. Some women cannot tolerate the insertion of a tampon and may need an anesthetic when a doctor performs a pelvic examination.

Vaginismus is a sexual dysfunction. The spasms close the vagina. Vaginismus can affect women of all ages, causing a variety of symptoms that each woman will experience in her own way. Typical complaints include any combination of the following burning in the vagina and the surrounding areas, a "poky" feeling by the urethra, sharp pains in the vagina, pain in the lower abdomen, urinary urgency and frequency as if there is a urinary tract infection, the inability to have anything introduced into the vagina, and rectal pains, especially upon having a bowel movement.

Causes of Vaginismus

The common Causes of Vaginismus :

  • Insufficient arousal.
  • History of sexual abuse or trauma .
  • Being taught that sex is dirty or wrong. 
  • Unpleasant sexual experience.
  • As virginity is  considered to be a virtue denoting purity and physical self-restraint.
  • Fear about penetration can create sexual anxiety, which in turn causes vagina to remain dry and unrelaxed before intercourse.
  • Due to strict religious upbringing.

Symptoms of Vaginismus

Some common Symptoms of Vaginismus :

  • Vaginal pain is common during sexual intercourse or an attempted pelvic exam.
  • Vaginal penetration during sex is difficult or impossible.
  • Difficulty or inability to allow vaginal penetration for intercourse.
  • Vaginal pain with attempts at intercourse.

Treatment of Vaginismus

  • Exercises to relax the vaginal muscles .
  • Changing attitudes or preconceived ideas of sexuality &/or nudity
  • Proper diagnosis.
  • Treatment in which women is exposed to feared situation with as little fear as possible.
  • Hypnotherapy.
  • Use of medications both topical & by mouth .
  • Relaxation techniques such as meditation & yoga.
  • Finding a supportive counselor or psychotherapist.

 

Vaginismus - Vaginismus symptom, treatment, causes

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