Vaginismus; From symptoms and causes to treatment methods

17 February 1403

Confirmed by Dr. Samane Abdullah Pour

The content of this article is only to increase the awareness of users. Before taking any action, consult the doctors of Afoz Roshan for treatment.

Vaginismus is a physical and mental disorder in which the vaginal muscles contract involuntarily. This complication brings with it the impossibility of penetration because the person endures a lot of pain. Involuntary contraction of the vagina can have various causes, including physical problems, psychological factors, or a combination of the two. The effects of vaginismus go beyond physical aspects and can have profound effects on marital relationships.

If vaginismus is not treated, it may decrease marital satisfaction and eventually threaten the stability of the relationship and even divorce. According to research, about 15 to 30 percent of divorces are due to sexual dissatisfaction. Of course, this statistic can vary in every country and culture.

Hoz Roshan Physiotherapy offers treatment of vaginismus with RF and biofeedback. You can call 02188686800 to book a free consultation. In the rest of the article, we are going to answer the questions of what are the symptoms of vaginismus? And how is vaginismus treated? to answer So we invite you to accompany us to the end of our article.

What is vaginismus?

vaginismus is the word used for vaginismus in English. In Persian, this disease is known as involuntary contraction of the vagina and vaginismus. In simple words, vaginismus disorder is a type of muscle spasm that some women experience with severe pain. This complication is completely involuntary, that's why its lack of control can be associated with anxiety, stress and fear during sexual intercourse and doctor's examination. Vaginism, like erectile dysfunction in men, can bring bitter experiences in sex.

This type of muscle spasm shows itself when a penis, finger, tampon or medical instrument penetrates into the vagina. Vaginismus can occur at any stage of a woman's life, but symptoms usually appear in late teens or early adulthood when a person experiences sex for the first time. However, some women may experience this problem in their later years, in their forties or fifties. In some cases, these symptoms appear suddenly after years without any problems. This phenomenon can have various reasons, from hormonal changes to psychological problems or the stresses of everyday life can have an effect on the occurrence of this condition.

Types of vaginismus

Most women may experience vaginismus in two different ways. Each of these two cases is caused by different factors in people. In the following, we will examine each one more.

Primary vaginismus

Primary vaginismus is when a woman has difficulty in penetration from the very beginning, that is, from the beginning of her sexual activity. This disorder usually appears during puberty or the first sexual attempts. Women with this condition endure pain when trying to insert anything into the vagina, either during sex or during medical examinations due to intense contractions. Primary vaginismus is usually caused by factors such as anxiety, stress, fear, or cultural and religious issues about sex.

Secondary vaginismus

Secondary or acquired vaginismus occurs in women who initially had no problems with sex, but over time or after a certain period of sexual experience, they experience problems with penetration. Various reasons, including negative sexual experiences (such as sexual injury or violence), physical or psychological changes (such as childbirth, menopause or hormonal changes), psychological problems such as anxiety, stress or depression cause this condition.

In this case, the woman may initially have painless and pleasurable sex, but gradually with the painful and involuntary contractions of the vaginal muscles, there is a possibility that her desire for sex will decrease.

What are the symptoms of vaginismus?

Painful intercourse (dysparony) is usually the first symptom of vaginismus. The pain only occurs during penetration and usually goes away after sex, although in some cases it doesn't. Many women describe this pain as burning or feeling similar to the penis hitting a hard surface like a wall. Among other things, we can mention the following symptoms:

Row number of symptoms 1 Feeling of pain when trying to penetrate 2 Description of a burning sensation or the penis hitting a hard surface 3 Involuntary contractions that prevent penetration 4 Fear or worry of pain or injury during intercourse 5 Difficulty inserting anything into the vagina, such as a medical examination 6 Decreased feeling of satisfaction or pleasure during intercourse 7 Tendency to avoid intercourse due to pain or fear 8 Pain that continues after intercourse ends (in some cases)

What is the cause of vaginismus?

The existence of some psychological triggers such as fear, stress, anxiety and physical triggers such as a history of rape, lack of knowledge about sexual relations and mistrust towards an emotional partner can trigger this sexual disorder.

Mental disorders

Mental disorders can specifically affect a person's physical and sexual reactions. For example, people with social anxiety or persistent worries about themselves may experience feelings of lack of control and fear of rejection or rejection during sex. These concerns can cause tension and contraction in the vaginal muscles, which manifests itself in the form of pain or a feeling of difficulty during sex.

In addition, previous negative experiences such as emotional or physical injuries can also make a person feel resistant or withdrawn towards sexual intimacy. The treatment of such diseases should not be neglected. So it is better to go to counseling or a sex therapist as soon as possible.

Physical disorders

Sometimes experiencing a painful sex or even rape can have irreparable consequences. Unfortunately, women who struggle with vaginismus experience a lot of pain and stress. Sometimes the sense of fear and anxiety is so high that the person does not feel any pleasure, so he faces a decrease in sexual desire day by day.

Several factors can cause problems such as vaginal dryness and sexual disorders. These factors include urinary tract infections, sexually transmitted diseases, some types of cancer, menopause, pelvic surgeries, lack of flirting and proper sexual communication, improper use of lubricants, and physical changes due to aging, which can lead to vaginal dryness and decreased sexual pleasure, especially after menopause.

How is vaginismus diagnosed?

Diagnosis of vaginismus begins with examining the patient's medical history and clinical evaluations. The doctor or gynecologist carefully asks the patient questions about symptoms, medical history, sexual experiences, and feelings related to sexual relations. After that, a physical examination is performed to evaluate the condition of the pelvic floor muscles and their function.

Next, the doctor may perform additional tests to confirm and rule out other physical or medical problems, such as infections, anatomical abnormalities, or hormonal changes. Because in some cases, this type of sexual disorder may also be resolved by eliminating infectious diseases. Also, an evaluation by a pelvic floor physiotherapist may be recommended to check the function of the muscles of the vagina and pelvic area more precisely.

Diagnosis of vaginismus is mostly based on the patient's physical reactions when trying to penetrate and feeling pain or involuntary contractions of vaginal muscles. This problem is usually rooted in psychological, emotional, or experiential factors, so its treatment is often a combination of psychological counseling, pelvic floor physical therapy, and sex education.

Treatment of vaginismus, one step to experiencing sexual pleasure

Vaginism sexual disorder treatment not only improves the pleasure of sex but also reduces the instability of married life. Because vaginismus disease and divorce have a direct relationship with each other. For this reason, it is better to think of a basic solution for treatment. We suggest using non-invasive methods such as physiotherapy for quick results. Treatment of vaginismus with rf device is one of the methods that is used a lot today. In the following, we will examine each of the treatment models.

Treatment of vaginismus with RF in physiotherapy

Due to the growth and advancement of technology, heavy surgical operations are not a priority for treatment. Rather, physiotherapy for vaginismus has helped to treat many women in this field. For example, Afogh Roshan is a physiotherapy center in Tehran that provides vaginismus treatment with the help of the latest equipment and specialists. The RF device for vaginismus uses high-frequency radio waves to non-invasively affect the tissues of the genital area. These waves stimulate blood flow and increase tissue temperature, which can help improve muscle flexibility and reduce vaginal spasms. To treat this type of disease, various other methods are used in physiotherapy, such as biofeedback, electrical stimulation, massage therapy, exercise therapy, etc.

With repeated treatment sessions, the vaginal muscles gradually return to their normal state, which can help reduce pain and discomfort during intercourse. This method usually has minimal side effects and is used to relieve symptoms of vaginismus, especially in mild to moderate cases. To know the cost of treating vaginismus with RF, you can contact the specialists of this physiotherapy clinic in Tehran.

Treatment of vaginismus at home

Some people may prefer to treat vaginismus at home first for reasons such as embarrassment. The purpose of this type of treatment is to reduce stress, increase body awareness and strengthen genital muscle control. One of the common methods is Kegel exercises, in which a person can control the contraction and relaxation of the muscles by strengthening the pelvic floor muscles. These exercises must be done regularly, otherwise the muscle will not be strengthened.

Using relaxation techniques such as meditation and deep breathing can help reduce stress and anxiety, which can also help a person to overcome anxiety, fear and a new attitude towards sex. It is also very important to pay attention to choosing the right psychologist or sexologist who can provide professional guidance along with home treatments. Also, using lubricants to reduce pain and discomfort during sex can be useful.

Vaginismus and pregnancy; The main concern of women

Does vaginismus prevent pregnancy? The answer should be no. This issue has an indirect effect on pregnancy. This question preoccupies the minds of most women, and unfortunately, this issue aggravates the condition of the disease due to high stress and anxiety.

Contrary to what many women think, pregnancy does not necessarily require full penetration. In some cases, even ejaculating near the edges of the vagina can lead to pregnancy, provided that this is done at the time of ovulation and the sperms are able to move to the cervix. Therefore, vaginismus does not directly prevent pregnancy. However, it is better to treat this problem before trying to get pregnant so that the pregnancy process is easier and stress-free.

Definitive treatment of vaginismus and pleasure in sex again

Vaginismus is a female sexual disorder that causes involuntary stretching of the vagina during the penetration of medical instruments. Fear, stress, anxiety, aggression, and painful sex can be mentioned among the aggravating factors of this condition. Most women experience feelings of shame, frustration, and discomfort due to vaginismus. Under this topic, it has a lot of impact on married life.

One of the important symptoms of vaginosis is the involuntary and painful contractions of the vaginal muscles when trying to penetrate or have sex. These contractions can cause pain or burning and feeling unable to perform penetration. Affected individuals usually avoid sexual intercourse and may experience anxiety or fear of intercourse. This disorder can also lead to feelings of shame and a decrease in self-confidence.

Afq Roshan is the best physiotherapy in Tehran, which offers the help of its experts and the most equipped devices, including RF treatment for vaginismus. You can call 02188686800 to book a free consultation. We are also happy to share your comments and questions. They will definitely respond as soon as possible.

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