What is Vaginismus

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Vaginismus is a treatable condition characterized by involuntary spasms or tightening of the pelvic floor muscles, making vaginal penetration difficult, painful, or impossible. Often linked to anxiety, fear of pain, or past trauma, it causes symptoms like a "brick wall" sensation during intercourse or tampon use
. Treatment includes pelvic floor physiotherapy, vaginal dilators, and counseling



Key Aspects of Vaginismus:

• Symptoms: Intense pain, burning, or inability to achieve penetration. It is a physical, involuntary response, not a choice.
• Causes: Often a cycle of fear and muscle tightening, contributing factors include anxiety, past sexual trauma, negative views on sex, or painful gynecological exams.
• Types:
  
  
  • Primary: Never experienced pain-free penetration.
  • Secondary: Developed after previously having no issues with penetration.
• Diagnosis & Treatment: Diagnosed by a doctor through history and physical exam. Effective treatment includes:
  
  
  
  • Pelvic Floor Physical Therapy: To learn how to relax muscles.
  • Vaginal Trainers/Dilators: To gradually desensitize the area.
  • Counseling/Sex Therapy: To address underlying psychological fears or anxiety.
• Impact: It does not affect fertility directly but can make conception difficult.

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