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What is Vaginismus?

It is the situation in which women do not allow or refuse sexual intercourse by contracting their pelvic floor muscles as a protection reflex due to their fear, anxiety and anxiety.

The woman closes her legs, pulls herself back, there are tremors and contractions in her legs, especially in the thigh area, and she pushes her partner. In more advanced cases of vaginismus, the patient may even experience fainting spells.

What are the Causes of Vaginismus?

Incorrect social learning about sexuality causes contractions in the pelvic floor muscles during sexual intercourse and sexual intercourse becomes impossible.

Most women do not have enough information about the structure and location of their genitals. The unknown about the hymen and the vagina continues with fear. The idea that the hymen is completely closed to the vagina and the fear that it will burst during the first sexual intercourse and that there will be heavy bleeding is one of the main reasons for the fear in patients with vaginismus. Other than that, questions such as "My vagina is never suitable for a man's penis", "If my penis enters my vagina, I will be stuck there and I have to go to the hospital", "My vagina is torn apart by sexual intercourse" also cause reflex contractions in the pelvic floor muscles.

Women with vaginismus always associate sex with pain. This pain may be experienced during the first sexual intercourse experience, or it may be a pain taught by someone else.

Since childhood, girls have been taught to keep their virginity. The fact that the married woman does not want to lose this most valuable thing she has unconsciously can also cause vaginismus.

Apart from these, sexual or familial traumatic situations in childhood also pave the way for vaginismus.

How is Vaginismus Diagnosed?

Diagnosis;  is made by the patient's detailed history and gynecological examination. The diagnosis is largely shaped when the patient tells about the difficulties he has experienced in his history. With the gynecological examination, it is seen that the patient does not feel comfortable and anxious even when he goes to the examination table with difficulty. Although the treatment of vaginismus is not primarily surgical, there may rarely be anatomical problems of the hymen that require surgical correction. Therefore, gynecological examination is important in the diagnosis of vaginismus in the first place.

What are the causes of vaginismus?

 

There can be many reasons for involuntary contractions in vaginismus, it is usually the result of a combination of physical and emotional factors. But mostly there are underlying psychogenic reasons;

 

-Fear of the first night, hymen, the concept of honor, sexuality, false, false and exaggerated information that women hear from the environment settles in their subconscious and prevents them from having sexual intercourse.

Conditions such as the woman's first sexual intercourse, excessive pain, bleeding, forced intercourse by her partner, and rape cause vaginismus in the future.

-Traumas such as sexual abuse, harassment or rape, exposure to domestic incest, witnessing the sexual relations of their parents, fearing the moment of birth or watching the birth video may prevent them from having sexual intercourse in the future.

-Woman's feeling of inadequacy, unsuccessful and hopeless, excessive stress, anxiety and panic are among the causes of vaginismus.

Women who do not like their bodies and psychological disorders that cause problems in body perception are also reasons that make sexual intercourse difficult.

 

What are the types of vaginismus?

 

Vaginismus disease is classified according to the period of the woman's sexual life. If it occurs in women who have had sexual intercourse for the first time, it is called primary vaginismus .  secondary vaginismus is the case of developing vaginismus as a result of traumas such as a painful gynecological examination, miscarriage, abortion, traumatic birth while her sexual life is normal.

 

When is vaginismus diagnosed?

 

Vaginismus usually occurs during the first sexual intercourse attempt. It can also occur during a gynecological examination or during an attempt to use tampons.

 

Vaginismus diagnosis; It is determined according to the patient's history and gynecological examination findings. In cases that anatomically prevent penile-vaginal union, the existing pathology should be surgically corrected and then the couple should be re-evaluated.

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How is Vaginismus Treatment?

Vaginismus is a 100% curable disease. The treatment should be done with double-specific and scientific methods. The duration of treatment varies according to the motivation of the couple and the level of vaginismus.

The first step in treatment is "Cognitive Restructuring". old wrongreplaced by new truths they know. Afterwards, body recognition exercises, pelvic floor muscle exercises (kegel exercises) and then vaginal entry exercises are performed. Vaginal entry exercises can be done with finger exercises or dilators.

When couples follow the therapy plan exactly and complete their homework, results are achieved much faster.

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