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Writer's pictureMD.Kubra Altintas

Understanding Vaginismus: When Intimacy Turns Painful

Updated: Jul 6

Hello everybody!

We have a different topic this week. I focused on one common problem that I received from my patients; vaginismus. It is known as intimate trouble or intimate problems among women too. Intimacy shouldn't hurt. The number of my patients who have experienced painful intercourse for years surprises me. I'm also relieved that they've made the decision to get help.


In this blog I will explore the ways to overcome vaginismus and enhance intimate and emotional health also I will investigate the factors that contribute to this problem, provide an answer to the question of whether vaginismus can be treated, and list the numerous treatment methods currently accessible.


Vaginismus is a medical disorder characterized by involuntary contraction of the muscles surrounding the vaginal entrance, resulting in pain or the inability to engage in penetrative intercourse. This disorder causes an important impact on the intimate and emotional well-being of women, and thankfully, it can be treated and cured.


The effects of vaginismus and related conditions, such as dyspareunia or painful intercourse, go beyond physical discomfort. They infiltrate all aspects of life, from everyday tasks to close relationships, requiring deep comprehension, careful management, and often expert assistance.


The Impact of Vaginismus: Exploring its Definition and Impact on Women


The fact that vaginismus is usually an anxiety-based illness makes diagnosis and therapy that much more difficult and complex. When vaginismus patients finally have the courage to visit a traditional gynecologist, they are often met with the standard line that "nothing is wrong with your genital organs, you are fine there, it is all in your head, just have a drink..."


What Causes Vaginismus?


Having vaginismus could be the result of a number of different factors. Some of them are:

· Personality-driven problems; fear and/or anxiety caused by a history of physical, emotional, or sexual abuse

· Physical trauma from a vaginal tear during childbirth

· Medical disorders such as urinary tract infections or pelvic tumors

· Sexually transmitted diseases

· Lack of vaginal lubrication due to a decline in estrogen levels after menopause


vaginismus treatment
Vaginismus Treatment

Vaginismus Signs and Symptoms


The symptoms of vaginismus can be different for each woman, but they all include a burning or stinging feeling when trying to insert something, difficulty or pain when trying to use a tampon or a vaginal applicator with medication, difficulty or pain during a gynecological exam, and inability or a lot of pain when trying to have an intimate relationship. In some cases, the muscle cramps are so bad that there is no way to get through them. This is often called "hitting a brick wall.


The Impact of Vaginismus on Intimate Health and Relationships


This condition has a profound impact on all aspects of a woman's life, resulting in diminished feelings of libido and closeness, challenges in achieving orgasm, anxiety towards engaging in libido-stimulating behaviors, limited access to appropriate gynecological care, and an inability to utilize tampons.


Additionally, vaginismus can lead to mental distress and interpersonal difficulties, since those affected by this disorder may experience feelings of embarrassment, guilt, or humiliation. These events may result in the development of depressive symptoms, heightened levels of anxiety, and a perception of social detachment.


Vaginismus also has implications for self-esteem and body image. If left untreated, vaginismus can lead to a lifetime of pain and emotional distress.


Treatments for Vaginismus


Indeed, it is important that vaginismus can be successfully managed with the implementation of appropriate protocols.

I will collaborate with the patient to ensure that she receives a complete evaluation and a comprehensive treatment plan. Empathy and care are offered at every step to ensure that the patient is comfortable. The treatment plan is customized according to the individual needs of each patient, typically including the following components:

  • Pelvic floor rehabilitation

  • Botox Injections

  • Home programme

  • Genital Anatomy Awareness and Education

If vaginismus makes penetration uncomfortable, you don't have to put up with it. You also don't have to decide that intimacy 'isn't for you. I've witnessed several women overcome vaginismus and find satisfaction in intimate relationships.


I am here to support you, do not forget you are not alone I am here to support you.

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