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VAGINISMUS

Vaginismus makes sexual intercourse

difficult or impossible (the vagina can
completely close up) & it can be so so
painful.

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.

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This can happen:

 as the partner attempts
penetration
 when a woman inserts a tampon
 when a woman is touched near the
vaginal area

Vaginismus doesn’t interfere with

sexual arousal, but it can prevent
penetration.

Vaginismus is reflexive tightening

around the vagina when vaginal

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entry is attempted or completed (eg,

using a penis, finger, or dildo) despite
women’s expressed desire for
penetration and despite the absence
of any structural or other physical
abnormalities.
Vaginismus usually results from fear
that intercourse will be painful; it
usually begins with the first attempt at
sexual intercourse but may develop
later after periods of stress. Women
may develop a phobia-like avoidance
of penetration.

Most women with vaginismus thus

cannot tolerate full or often even
partial penetration.

Some cannot tolerate insertion of a

tampon or have never wanted to try.

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However, most women with

vaginismus can enjoy nonpenetrative
sexual activity.

TYPES OF VAGINISMUS
 Primary vaginismus is when you
have never been able to have sex
because of the condition.

 Secondary vaginismus is when

you have previously been able to
have sex but now find it difficult or
impossible.

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This is a primary vaginismus

This is when a woman has had pain
every time something entered her
vagina, including a penis (called
penetrative sex), or when she’s never
been able to insert anything into her

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vagina. It’s also called lifelong

vaginismus.

This is a secondary vaginismus

This is when a woman has had sex
without pain before, but then it
becomes difficult or impossible. It’s
also called acquired vaginismus.

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It is clearer now

Vaginismus can strike any woman at

any time at any age.

There is also
 Global vaginismus
Where the Vaginismus is always
present, and any object will trigger it.

 AND Situational vaginismus

where it only occurs in certain
situations. It may happen during sex

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but not during gynecological exams or

tampon insertion

SYMPTOMS

They may include:

 painful intercourse (dyspareunia),
with tightness and pain that may
be burning or stinging

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 penetration being difficult or

impossible

 long-term sexual pain with or

without a known cause

 pain during tampon insertion

 pain during a gynecological

examination

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 generalized muscle spasm or

breathing cessation during
attempted intercourse

 loss of sexual desire if penetration

is attempted

 Some women are unable to insert

anything into their vagina

 Some women can insert a tampon

& complete a gynecological
exam, but intercourse isn't
possible

 Other women can try to have

intercourse, but it is very
painful

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CAUSES
 It can be as a result of traumatic
life events, including rape or a
history of abuse. This Emotionally
triggers it

 It can also result from relationship

problems, for example, having an
abusive partner or feelings of
vulnerability

 Pelvic pain due to a medical

condition, infection, physical
trauma or assault, age-related
changes, or painful physical
events such as childbirth can lead
to vaginismus

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anxiety about performance or because

of guilt can make you stay away from
sex there by leading to vaginismus

Physical condition such as;

 infection, such as a urinary tract
infection (UTI) or yeast infection

 health conditions, such as cancer

or lichen sclerosis

 vaginal dryness, which can occur

after the menopause

 pelvic surgery or previous

surgery to the genital area

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 inadequate foreplay or lack of

sexual arousal

 insufficient vaginal lubrication

 medication side effects or side

effects of some medicines

Sometimes cultural or religious taboos

around sex might affect you... You
know, like trying to marry with your
virginity

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DIAGNOSIS

If you have symptoms of vaginismus,

see your female GP (general
practitioner).

your GP may need to ask some

personal questions to find out more
about your condition. These might
include:

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 Can you tolerate anything

penetrating your vagina, such as
your finger or a tampon, & is this
painful?

 are you worried at the thought of

anything penetrating your
vagina?

 Have you ever had a traumatic

sexual experience?

 Are you in a relationship & are you

sexually active with your partner?

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In a standard hospital

This is how you will be checked

So, don't be shy

Burning, tightness, and difficult

penetration symptoms may not be at
all noticeable during a pelvic exam.

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For some women, these symptoms

occur only during intercourse
attempts. So, an examination of your
genital area is necessary to rule out a
physical cause of vaginismus.

If the cause is psychological, your GP

may refer you to a sex therapist or
gynecologist

Many of us will be so shy to walk up to

a hospital and start saying I have
Vaginismus

Or I'm looking for a Gp

I know my ladies

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So, this write up script might help a lot.

TREATMENT
This treatment am about to give you, it
works perfectly.

But it takes time, days, weeks, months

and years.

PROGRESSIVE DESENSITIZATION
First start by touching yourself daily as
close to the introitus as possible, by
separating your labia with your
fingers.

Don't tell me you're too religious. So,

you won't wanna touch yourself. I
laugh you in Spanish

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Here is your introitus

In case you don't know where it is
located..

Once your fear and anxiety due to

introital self-touch has diminished,
Now you will be more able to tolerate
physical examination.

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The next stage is for you to insert your

finger past your hymen; pushing or
bearing down during insertion
enlarges the opening and eases entry.

I hope you're understanding?

Once finger insertion causes no

discomfort, you should start inserting
vaginal cones in gradually increasing
sizes progressively.

leaving a cone inside for 10 to 15 min

helps perivaginal muscles become
accustomed to gently increasing
pressure without reflex contraction.

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You just have to first inserts a small

cone; when you're comfortable with
the cone,

allows your partner to help you insert

another one during a sexual encounter
to confirm that it can go in comfortably
when she is sexually excited.

This is a vagina cone

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Here it is again

So once insertion in this context is

comfortable, you can now start inviting
his dick in little by little.

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Starting from the tip little by little. So,

that you become accustomed to
feeling penis on your vulva.

Ultimately, you can insert the dick

partially or fully, holding it like an
insert.

Okay for those that do not understand.

Let me explain it again below.

DIAGNOSIS OF VAGINISMUS
The diagnosis is based on the woman’s
description of the problem and her
medical and sexual history, including
childhood and adolescence, and a
subsequent pelvic examination.

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To make the examination as tolerable

as possible, doctors often move slowly
and gently while they explain what
they are doing in detail. They may
offer women a mirror to see their
genitals, and in some cases, doctors
may suggest that women guide the
doctor’s hand or instruments into the
vagina. Usually, women need to be
treated before a pelvic examination
can be done. Doctors look for scars,
infections, or other abnormalities to
determine whether they could be
causing the symptoms. When
vaginismus is the problem, no such
abnormalities are found.

TREATMENT OF VAGINISMUS
Treatment aims to lessen the reflexive
tightening of vaginal muscles and the

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fear of pain that occurs when the

vagina and surrounding area are
touched. To weaken this reflex,
women are instructed to do certain
touching exercises.

At first, women touch an area as close

to the vaginal opening as they can
without causing pain. Each day, they
should move a little closer to the
opening, slowly increasing how close
they can come to the vagina without
causing pain. When they can touch the
tissues around the opening (called
labia), they can practice opening the
labia. Women are encouraged to use a
mirror to see their genitals. They are
taught to bear down (as when having a
bowel movement), which makes the
vaginal opening larger, so that it can
be seen more easily. Eventually,

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women can touch the vaginal opening

without causing pain. They are then
instructed to insert their finger into the
vagina, pushing or bearing down
while inserting the finger to enlarge
the opening and make insertion
easier.

When they can do these exercises and

experience no pain, they can start to
use cone-shaped inserts, which are
placed in the vagina. An insert is left in
for 10 to 15 minutes. Then the vaginal
muscles become used to pressure. As
women become comfortable with an
insert, they use progressively larger
inserts, which gradually increase the
pressure in the vagina. Eventually,
women invite their partner to place an
insert in the vagina. Thus, women

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learn to relax the vaginal muscles and

override the reflexive tightening.

Once the partner can insert the cone

without causing pain, the couple's
sexual activity can include touching
the woman's genital area with the
partner's penis, but without it entering
the vagina.

Only after completing these steps

should the couple try intercourse
again. Doctors usually recommend
that women hold their partner’s penis
and place it partly or completely in
their vagina in the same way that they
placed the insert. Some women are
more comfortable being on top during
intercourse at this point. This process
may make some men be overly

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cautious and too reluctant to push, or

they may lose their erection. They may
benefit from a phosphodiesterase
inhibitor (such as sildenafil, tadalafil,
or vardenafil).

Vaginismus is very treatable. But it

takes months before 100% is
achieved.

These methods can also be used if the

above method is not working;
 Surgery
 Sensate focus
 Pelvic floor exercises
 Relaxation & touching
 Sex therapy
 Vaginal trainers

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Talk to your GP before trying these

methods.

GOODLUCK SWEETIE

By Queen Preshiii, msdmanuals and

healthline.

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