Vaginismus
The vagina is a stretchy, muscular canal that plays a vital role in the female reproductive system. Vaginismus is a condition where the pelvic floor muscles contract involuntarily and make vaginal penetration and gynecological examinations painful or impossible.
Vaginismus can be classified into two main types:
Primary vaginismus: when the condition has been present from the first attempt at vaginal penetration.
Secondary vaginismus: when it appears following a period of regular sexual activity.
Causes:
The causes of vaginismus can often involve a combination of physical, psychological, and interpersonal factors.
Treatment:
Treatments are always tailored to each individual’s case and preferences. They include:
Counseling or therapy/sex therapy: assists in addressing psychological concerns, such as anxiety, depression, or performance problems.
Pelvic floor physical therapy: methods for relaxing and strengthening the pelvic floor muscles.
Gradual desensitization: a systematic strategy to gradually introduce vaginal penetration to lessen muscular spasms and anxiety.
Dilator therapy: the use of vaginal dilators of increasing sizes to help the person become more relaxed with vaginal penetration.
Kegel exercises: strengthen the pelvic floor muscles.
Sensate focus techniques: Exercises performed alone or with a partner(s) that lower anxiety and fear related to penetration and increase sensitivity to physical sensations to enhance intimacy and connection.
Written by:
Cristel Lahoud | Sexual health educator, midwife
Cristel Lahoud is a sexual health educator at Marsa, holding a Bachelor's degree in Midwifery and currently pursuing a Master's degree in Clinical Psychology. Her profound dedication lies in raising awareness and promoting advocacy for both sexual and reproductive health.