Vaginismus: Painful Sexual Intercourse
Primary vaginismus occurs when a women experiences pain or penetration problems beginning with their first sexual experience. On the other hand, secondary vaginismus involves discomfort that develops after years of pain-free sex.
Primary vaginismus is best described as:
� Burning pain associated following penetration
� Inability to consummate a relationship
� Inability to complete a pelvic exam or insert a tampon
Secondary vaginismus may develop after:
� Birth of a child
� Trauma (rape or sexual abuse)
� Menopause
� Medical conditions (endometriosis, vaginal dryness, pelvic inflammatory disease, cysts, etc.)
Diagnosing Vaginismus
A gynecological examination is necessary to confirm the diagnosis of vaginismus. The physical exam may be slightly uncomfortable. To begin, your health care provider will perhaps check the vagina for involuntary contractions. This is done by inserting two fingers into the vagina. If this produces pain, the odds of vaginismus are high.
Nonethless, physicians will also evaluate medical history and preform a completed examination to rule out other conditions that cause painful sexual intercourse.
Treating Vaginismus
Because most cases of vaginismus are physical responses to psychological issues, treatment of this condition may require extensive therapy. For example, some women are apprehensive about sexual intercourse due to fear of penetration, pain, or anxiety about becoming pregnant. For this matter, it is common for women in this group to experience involuntary muscle contractions. Moreover, women who have experienced previous pain or trauma in this region may also develop vaginismus.
Fortunately, it is possible to overcome vaginismus. Treatment consists of varying relaxation techniques. The goal of therapy is to curtail any fears associated with sexual intercourse.