How can I overcome vaginismus
What is vaginismus?
Vaginismus (vaginal cramp) is an involuntary cramping of the outer third of the vagina and the muscles of the pelvic floor. It is a spastic muscle spasm that occurs when an attempt is made to insert something into the vagina, be it a finger, a tampon, the partner's penis, or the speculum during a gynecological examination. The degree of cramping can vary: some women can insert a tampon, but they cannot have sexual intercourse. The cramp makes it impossible for the partner to penetrate. Although vaginismus is a sexual disorder that is not painful in itself, attempting to resist the spasm can cause significant pain. If the barrier that manifests itself in the vaginal spasm is not observed, the sexual act is doomed to failure and in most cases only leaves both partners frustrated and disappointed. It is still necessary to define whether it ispainful intercourse or a coitus phobia (fear of sexual intercourse). In both cases, penetration of the penis into the vagina is possible, but is experienced as painful or fearful. Sexual responsiveness is often unaffected. Affected women can experience their sexuality with pleasure through manual or oral stimulation or through masturbation. Affected couples sometimes develop creative alternatives to sexual intercourse with one another. Often the desire to have children is the reason to seek medical help.
What are the causes of vaginismus?
A prerequisite for the diagnosis of vaginismus is that there are no physical reasons such as adhesions in the area of the vaginal entrance that make penetration impossible during sexual intercourse. Therefore, such causes should be ruled out by a pelvic examination. Can be used as reasons for a vaginal spasm mental andpartnership problems accepted. Many affected women imagine sexual intercourse as something dangerous, uncomfortable or painful. Sometimes the penetration is associated with a specific uncomfortable experience, such as a painful, awkward sexual act, an awkward pelvic exam, or sexual assault. It is also possible that the women concerned are not aware of any specific memory of a certain negative experience. The fear of sexual intercourse can also be shaped by a "sex-hostile" style of upbringing. Partnership reasons can also play a role. Since it is possible that the partner is unconsciously involved in maintaining the symptom, it makes sense to include them in the diagnosis and treatment.
How can vaginismus be treated?
If left untreated, spontaneous improvement in vaginismus is unlikely. Once the disorder is present, it turns out to be relatively persistent. However, there are promising sex therapy treatment options. Vaginismus is considered to be the most effective female sexual dysfunction to be treated. Since it is often a matter of mutual fears about the common sexuality, it has proven to be extremely helpful to include the partner in the therapy.
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