**Vaginismus** or in other words the fear of vaginal sexual intercourse, can be mentioned as a common sexual disorder among women, which is now possible to treat with the advancement of medical technology. Dr. Zahra Seifi, **the best gynecologist in West Tehran**, helps all women in this regard to treat this condition. Actually, ***vaginismus*** refers to the involuntary contraction of the muscles of the pelvic floor and vaginal wall, due to the entry of any foreign object into the vagina. In general, in women suffering from this disorder, we will see that during sexual intercourse, the path of the vaginal canal is completely blocked, and this issue leads to the failure of sexual intimacy. > In the video below, you can see the talks of Dr. Zahra Saifi, the best gynecologist and obstetrician in Tehran, about vaginismus. Symptoms of vaginismus
Tightening and involuntary contraction of vaginal muscles is the first sign of this disease. But the intensity of this cramp can be different among women. However, in all cases, the contraction of the muscles makes penetration during sexual intercourse difficult and sometimes even impossible. Women who suffer from vaginismus have often stated that they experienced burning and itching in that area during sexual intercourse or when surgical instruments were inserted into the vagina during procedures such as pelvic examinations. Types of vaginismus
This complication is divided into primary and secondary vaginismus. 1. **Initial vaginismus:** This type of vaginismus occurs when a woman has never experienced sex before and wants to experience it for the first time. After marriage, women who have tried almost 10 times in different periods of time and failed to have full penetration, may have primary vaginismus. 2. **Secondary vaginismus:** In this type of vaginismus, women who have experienced sexual intercourse before, express disgust to have sexual intercourse after repeated painful intercourse. Causes of vaginismus
As a result of vaginismus disease, during sexual intercourse, only a part of the male penis may enter the female vagina with great pain, or it may not occur at all. This disease can occur due to both physical and physical reasons and can be caused by a series of psychological reasons. **Psychological reasons:** Among the psychological reasons for vaginismus, or in fact impossible penetration, are:
- Rape
- Rough sex
- Marital disputes
- Fear of pregnancy
- Feeling guilty about sexual intercourse
- Not having enough knowledge about sexual intercourse
- Strict sexual restrictions from the family
**Physical causes:** According to **the best gynecologist in West Tehran**, among the physical causes that cause vaginismus and impossible penetration, the following can be mentioned:
- Vaginal infection
- Cervical ulcer
Pelvic inflammation
- Vaginal dryness
- Pelvic radiation therapy
Degrees of vaginismus
Vaginismus can be mild, moderate or severe in terms of intensity; Therefore, it is divided into different degrees, which are as follows:
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Grade 1 :** In this grade of **vaginism**, the patient will have pain during sexual intercourse; But he will not feel any problem during the pelvic examination. - **
Grade 2:** The patient will resist and have pain both during sexual intercourse and during the examination. - **
Grade 3:** In this case, the patient will not be able to lie down correctly during the vaginal examination and will pull back the examination in the first place. - **
Grade 4:** In this degree of **vaginism**, when the doctor intends to examine the patient's vagina, the patient involuntarily raises his back and hips from the examination table, compresses his thighs and pulls himself backwards. - **
Grade 5:** In this case, the person does not allow any kind of contact to the doctor, and performing a vaginal examination on him leads to more body reactions such as increased heart rate, excessive sweating, severe tremors, screaming, weakness and anesthesia. Diagnosis of vaginismus
It should be noted that sometimes some diseases, such as the presence of a septum inside the vagina, the lack of development of the urinary tract, and anatomical obstructions, are accompanied by symptoms similar to **vaginism**. Therefore, it cannot be said that a person is suffering from vaginismus just by observing painful penetration, and in order to confirm the existence of this disorder, the person must be examined by the best obstetrician and gynecologist in Tehran. Treatment of vaginismus
One of the most common questions that people with vaginismus disorder face is, is there a cure for the disorder? In answer to this question, it should be noted that yes, as mentioned at the beginning of the article, this disease can be treated. Of course, it should be noted that the treatment method will be different for each person based on the severity of the disorder, causes, etc. **Dr. Zahra Seifi** is the most experienced and **best obstetrics and gynecology specialist in West Tehran**, who has high experience in the field of treating women's diseases, including the above-mentioned conditions, and we can boldly name him as **the best doctor for the treatment of vaginismus in Tehran**. ### Ways of treatment
- Therapeutic counseling
- Practice with dilator
- Kegel exercises (exercise to strengthen pelvic floor muscles)
- Using lubricant to make the vagina slippery and psychoanalyzing
- RF treatment
- Botox injection
Regarding the treatment of this condition with Botox injection, please note that Botox injection is one of the definitive treatment methods for this condition, which cures vaginismus by temporarily paralyzing the vaginal muscles and bringing them to rest. To get enough information about **treatment of vaginismus with Botox**, please read the article on the site. When does vaginismus appear? The appearance of symptoms of this condition is likely at the end of youth and the beginning of adulthood, when a person experiences sex for the first time. It is even possible that **vaginismus** may appear when a person wants to use a tampon for the first time or undergo a pelvic examination. There is also a possibility that some women will develop this disorder over time, even if they have not had any such problems in the past. #### What other complications have symptoms similar to vaginismus? - **Vaginal atrophy**: The lack of estrogen after menopause causes the inner membrane of the vagina to thin and dry. - **Vulvar vestibulitis**: This condition also causes a person to experience painful sex. Complications of vaginismus
This disease can affect your emotional relationship with your partner and your sexual activity. In this way, the person is mentally and psychologically under pressure and it increases his stress and anxiety. For women who intend to get pregnant, the complication of **vaginismus** makes this process challenging for them. Is vaginismus preventable? This complication is not predictable and when it appears, a person looks for its cause. Sometimes it may not even have a specific reason. This is why vaginismus cannot be prevented. > Explanations of Dr. Seifi, the best gynecologist in Tehran, about the definitive method of treating vaginismus
The success rate of vaginismus treatment procedures
A large number of people who have been treated for this disease and have completed their treatment, were completely satisfied and did not face any serious problems. But remember that a successful **vaginismus in Tehran** treatment process can take time; Therefore, you should be patient and continue your treatment until the end. To have a pleasant sex, it is better to avoid any actions that may trigger this complication. Kegel exercises to treat vaginismus
First of all, you need to get familiar with Kegel exercises. In fact, this exercise strengthens the muscles of the pelvic floor, including the muscles of the vagina, bladder and rectum. Therefore, relaxing and tightening these muscles during Kegel exercises on a daily basis helps to treat mild vaginismus. To perform this exercise, you need to lie on your back and bend your knees. Then put the hands near the body and keep the head down. While the pelvic and abdominal muscles are calm and relaxed, relax your pelvic floor muscles and pull them up, just like when urinating. Pause in this position for 5 seconds and then slowly go back down and rest for 10 seconds. It is necessary to repeat this exercise up to 10 times a day at the beginning. Over time, you can increase the number every week and pause for a longer period of time up to 10 seconds to feel more contraction. ### Tips that you should pay attention to in Kegel exercises:
- In order for Kegel exercises to be performed correctly to treat vaginismus, it is necessary to pay attention to the following points:
- It is necessary to empty your bladder before starting the exercise. - During the exercise, no pressure should be applied to the hips, abdomen and thighs. - You need to rest for 10 seconds between each set. - You can insert 1 finger into the vagina while performing these exercises and gradually insert up to 3 fingers into your vagina as the exercises progress. - If you feel pain when inserting your finger into the vagina, you can use a small size dilator and gradually increase its size. Is there a permanent cure for vaginismus? Usually, according to the degree of this complication, the treatment method is determined. Sometimes a person may solve his problem with the help of a gradual vaginal expansion program or a series of dilators whose size increases weekly. Some people may also need vaginal medications to help with tight muscles in the vagina, and pelvic physical therapy can also help. However, it doesn't matter which treatment method is used, the results will be permanent after the treatment. How to inform the wife about vaginismus? For this purpose, you can familiarize your wife with this problem and its treatment methods by visiting reputable medical websites. Many men may not know about this complication; Therefore, do not understand your spouse. Giving awareness about this issue will make your partner understand and be with him in the continuation of this path and treatment. Getting rid of tension and stress and the cooperation and companionship of the wife in this way can be very effective in the treatment of vaginismus in Tehran. #### Can vaginismus be cured by itself? The main cause of this complication is related to the involuntary contraction of the vaginal muscles, which is why it is unlikely to disappear by itself. The only way to treat this problem is the methods that help relax the muscles of the pelvic floor and calm the mind. ### Does vaginismus prevent pregnancy? Yes, this problem may create obstacles in pregnancy, in such a situation, a person can get help from infertility treatment methods such as IUI or IVF to get pregnant; Of course, these methods are associated with a lot of costs, and our advice to you is to solve your vaginismus problem in the first place, so that you don't have problems with vaginal ultrasound during pregnancy. Treatment of vaginismus by removing the endometrium
One of the most common disorders in women between 25 and 35 years old is endometriosis. In this condition, the cells of the endometrial part of the uterus begin to grow and lead to the formation of masses outside the external parts of the uterus, it is necessary to know that having sex despite having endometriosis can lead to severe pain and fear of sex; In such a situation, when this disease is diagnosed by a gynecologist and obstetrician by performing the necessary tests, by performing surgery and removing endometrial masses and a few sessions of psychotherapy, it is possible to help solve the problem of vaginismus. ### The difference between dyspareunia and vaginismus
Sometimes this complication may be confused with the problem of dyspareunia or painful intercourse due to its signs and symptoms, but you should know that these two problems are completely separate from each other. Women who suffer from vaginismus, an involuntary contraction of the vaginal muscles, experience severe pain or dyspareunia during intercourse in any form. In fact, you should know that painful intercourse in any person is called dyspareunia. Advantages of treating vaginismus with botox injection
One of the sure and easy ways to treat vaginismus is botox injection, which comes with many advantages. After the end of the treatment period, most women see an improvement in their sexual performance, which makes it a pleasure for them. Other advantages of treating vaginismus or injecting Botox into the vaginal muscles include the following:
1. Short recovery period
2. Preventing involuntary spasm of vaginal muscles
3. Improve pain during intercourse
The role of pelvic floor muscles in vaginismus
Pelvic floor muscles can be considered as another important factor in the occurrence of this condition. This group of pelvic floor muscles is called pubococcygeus. These muscles play a significant role in the functioning of the urinary system, sexual function, and stool output in women. In vaginismus, the association of the body with the mind causes the muscles to react involuntarily to this issue, the muscles try to protect the pelvis from the supposed damage caused by sex by contracting the muscles. By doing exercises like Kegel, you can help the coordination between the muscles of the body and the mind.
