There are many muscles in our body. The most important function of muscles, which have different properties depending on the region they are located in, is to enable flexible movement. Likewise, there are muscles in the vagina that enable stretching. Thanks to these muscles, sufficient stretching is achieved during sexual intercourse so that vaginal penetration can occur. Due to psychological and sometimes physiological reasons, the condition in which the muscles in the vagina contract in a way that does not allow the necessary flexibility during sexual intercourse and prevents entry into the vagina is defined as vaginismus disease.
Vaginismus symptoms; It varies from person to person depending on the types of vaginismus and the degree of vaginismus. Symptoms in general:
During sexual intercourse, severe contractions and spasms in the vagina that make intercourse almost impossible,
Despite the desire for sexual intercourse, an intense feeling of having to cover oneself up,
A desire to completely cover the vagina with the legs during sexual intercourse,
Experiencing the same fear when using tampon and suppository type drugs,
Even if sexual intercourse is achieved, it occurs partially due to contractions and pain, stinging or burning is felt in the vagina,
Occurrence of situations such as sweating and shaking due to intense stress during or before intercourse,
Dryness in the vagina,
If you have one or more of these symptoms at the same time, you may suspect vaginismus.
Problems such as vaginal contraction during sexual intercourse and the vagina not allowing sexual intercourse may not always be symptoms of vaginismus. However, a diagnosis of vaginismus can be made if the woman cannot have sexual intercourse due to problems such as anxiety, fear, and stress despite wanting sexual intercourse. To determine whether the problems experienced in sexual intercourse are caused by vaginismus, the person must go to a gynecologist examination. During the examination, it is investigated whether there are physiological problems that may prevent sexual intercourse. However, some vaginismus patients may not allow any pelvic examination to be performed inside the genital area because they are afraid of the examination. If the woman does not have a physiological dysfunction, the patient can be diagnosed with vaginismus after determining that the problem is psychological.
Types of vaginismus are examined in two groups: primary vaginismus and secondary vaginismus, depending on the answer to the questions about when the vaginismus symptoms in women appear in sexual life and in what period they affect the woman. The symptoms of vaginismus in women are during the first sexual intercourse, during vaginal penetration. If it occurs, this condition is called primary vaginismus. In this type, the person's intense state of fear and stress resulting from misinformation heard in the past does not allow sexual intercourse to occur. A woman who does not yet know her own sexuality is shy of her partner and feels uncomfortable about any situation related to the vagina. Due to such problems, the couple's harmony with each other may be damaged. In some cases, problems caused by vaginismus may arise in relationships after the first sexual intercourse. Vaginismus symptoms may appear shortly after the first sexual intercourse or may appear years later.
The only scientifically proven treatment for vaginismus today is sexual therapy. We can say that it is the sexual dysfunction that responds to sexual treatment best and in the shortest time. There is nearly a hundred percent improvement in vaginismus with appropriate sexual therapy. Sexual therapy is mostly carried out in the form of couple interviews. First, a comprehensive sexual life history is taken, the couple's difficulties are evaluated, and their concerns are investigated. It is a delayed sexual education done in the first sessions. The aim is to inform the couple about sexual health, correct misconceptions, and convey the truth about sexual organs and sexual physiology. Afterwards, the contraction and fears about entry are gradually addressed with exercises.
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