Vaginismus

The causes of vaginismus are a topic that women who experience vaginismus, that is, involuntary contractions in the vagina during sexual intercourse, research. There can be many causes of vaginismus. Women who experience this condition may not initially understand what is causing this condition. The shortest answer to the question of what vaginismus means can be given as "involuntary contraction of the muscles at the entrance to the vagina".

Vaginismus is actually a psychological problem that can occur due to various fears. If there is an organic reason for not being able to have sexual intercourse, it is not actually vaginismus. Therefore, it would be right for a couple who comes with a complaint of not being able to have intercourse or vaginismus to first perform a gynecological examination on the woman in order to investigate the existence of an underlying gynecological problem.

Who Has Vaginismus?

Vaginismus is a health problem experienced all over the world. Some ongoing cultural reasons in Turkey may cause women to experience this health problem more. The causes of vaginismus can be examined under two headings as psychological and organic (natural) reasons.

The answer to the question of why vaginismus occurs is actually specific to the person experiencing the disorder. However, low tolerance to pain, distrust of people, fears that can be seen at the level of phobia, psychological or physical pressure, and childhood traumas can be counted among the triggers of vaginismus. This disorder can affect women from every status and position in society.

A person's outlook on life, perspective on sexuality, age or physical characteristics do not play a determining role in whether vaginismus will occur. The problem may begin with a trauma or increase due to an existing fear. Proper sexual education given to girls in adolescence can reduce the likelihood of a person experiencing vaginismus in later years.

How to Understand Whether Vaginismus Is Real?

Those looking for an answer to the question of how to understand vaginismus can check whether they are experiencing the symptoms of this disorder. If one or more of these symptoms are seen during and after sexual intercourse, vaginismus may be a problem.

Vaginismus symptoms can be listed as follows;

  • Pain during intercourse
  • Discomfort or pain during vaginal penetration.
  • Inability to have sex or have a pelvic examination due to vaginal muscle spasms or pain
  • Pain in the vagina when using a tampon during menstruation
  • Withdrawing during intercourse and stopping intercourse by closing the legs
  • Inability to have a gynecological examination
  • Panic during intercourse
  • Inability to have a smear test due to pain
  • Involuntary vaginal contractions during intercourse, although there is no problem during foreplay
  • Fear of sexual intercourse or difficulty in intercourse (dyspareunia)
  • Incomplete or no intercourse at all
  • Pushing away and rejecting the partner during intercourse
  • Fear of not being able to touch the genital area
  • Ability to have sexual intercourse only in one or a few positions
  • Lack of sexual desire, lack of pleasure, lack of arousal and vaginal dryness due to pain and fear

If any of these symptoms are seen, a specialist should definitely be consulted.

How to Solve Vaginismus?

A person experiencing vaginismus symptoms may not be able to express this situation easily. This and similar sexual dysfunctions are situations where a person may refrain from seeing a doctor. However, this disorder, which negatively affects a person's sexual life, must be treated. Otherwise, the person's relationships, social life, and activities in other areas of life may be disrupted.

Vaginismus treatment can be done with behavioral and cognitive methods. Methods such as finger exercises, sexual therapy, and emotional therapy can be listed among the methods used in vaginismus treatment. If you are researching how to solve vaginismus, you should definitely contact a gynecologist. After the underlying cause of the disorder is found, treatment can be planned in a personalized way.

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Assoc. Dr. Cigdem Yayla Abide

She was born in 1980 in Zonguldak. She completed her secondary and high school education at TED Zonguldak College with a degree and with her outstanding success in the university exam, she was entitled to receive medical education in English at Marmara University Faculty of Medicine. This is how she took the first step towards becoming the obstetrician and gynecologist she dreamed of. After graduating from the faculty of medicine, she obtained a high degree in the medical specialization exam (TUS) in 2007 and started to specialize in Zeynep Kamil Gynecology and Pediatrics Training and Research Hospital, which was her first choice. By working for many years in one of Turkey's leading, specialist hospitals; She has taken part in countless births and in the treatment of thousands of diseases. She worked at Nallıhan State Hospital between 2011 and 2014 in order to fulfill her obligatory duty of public service as a specialist physician.