What is vaginismus, Causes, symptoms and Treatment
When a woman has vaginismus, her vagina’s muscles squeeze or spasm when one thing is coming into her, like a tampon or a penis. It can be mildly uncomfortable and painful.
Vaginismus is a situation where there’s involuntary tightness of the vagina during sexual intercourse. The tightness is definitely attributable to involuntary contractions of the pelvic floor muscle tissues surrounding the vagina. The woman doesn’t directly control or ‘will’ the tightness to occur; it’s an involuntary pelvic response. She might not even have any awareness that the muscle response is inflicting the tightness or penetration drawback.
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In some circumstances vaginismus tightness could start to trigger burning, ache, or stinging throughout intercourse. In different circumstances, penetration could also be tough or fully unattainable. Vaginismus is the principle explanation for unconsummated relationships. The tightness will be so restrictive that the opening to the vagina is ‘closed off’ altogether and the person is unable to insert his penis. The ache of vaginismus ends when the sexual attempt stops, and often intercourse should be halted on account of ache or discomfort.
Doctors don’t know exactly why vaginismus happens. It’s usually linked to anxiety and fear of having sex. But it’s unclear which came first, the vaginismus or the anxiety.
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What can I do if I have vaginismus?
The good news is that there is a cure for vaginismus; it simply involves learning how to control and relax the muscles that are tightening involuntarily. The bad news is that this does not happen overnight and requires you to do “exercises” for several weeks to several months. How long it takes for the exercises to work depends on how faithful you are in doing them and also on how long the vaginismus has been a problem.
vaginismus
Presentation
Most ladies are very reluctant to debate their sexual issues and so, for them to seek the advice of their GP, the affected person should view the issue as being critical. Alternatively, their partner might have pressured them to seek the advice of their GP.
It could be essential to ask numerous questions to establish the precise nature of the issue.
In addition to the issue of inability to achieve penetration related to vaginismus, the girl might complain of:
Lack of interest in intercourse when their partner needs it.
Incapacity to become aroused.
Dryness and lack of lubrication.
Incapability to realize orgasm (anorgasmia).
Dyspareunia – this can be as a consequence of lack of arousal and/or poor lubrication however might point out different problems, such as pelvic inflammatory illness (PID) and endometriosis or problems inflicting irritation of the vestibule.
Management
Examination of the exterior genitalia and vagina is crucial, searching for any congenital urogenital anomalies, ulceration and irritation. Pelvic examination could also be troublesome with vaginismus and require persistence, and perhaps a second visit.
