The problem of Vaginismus

Emy Maache 12 April, 2023

Vaginismus is a condition that can make it extremely difficult or even impossible for a woman to have vaginal intercourse or use tampons without experiencing pain or discomfort. It is characterized by involuntary contractions of the pelvic floor muscles surrounding the vagina, which can make penetration difficult or impossible. Vaginismus can be a deeply distressing condition that can cause significant emotional and psychological distress, and it can have a significant impact on a woman's quality of life and her relationships.
shape of the vagin

Symptoms of Vaginismus

The primary symptom of vaginismus is the involuntary contraction of the pelvic floor muscles, which can make vaginal penetration difficult or impossible. Women with vaginismus may also experience:

  • Pain or discomfort during sexual intercourse
  • A burning or stinging sensation during penetration
  • Difficulty inserting tampons or other vaginal devices
  • Anxiety or fear of sexual activity
  • Tension or tightness in the pelvic floor muscles
  • Difficulty relaxing during sexual activity
  • Loss of sexual desire

Causes of Vaginismus

vaginismusThe exact causes of vaginismus are not fully understood, but it is believed to be a combination of physical and psychological factors. Some potential causes of vaginismus may include:

  • Past trauma or abuse, including sexual abuse
  • Anxiety or fear of sexual activity
  • Negative attitudes towards sex or guilt about sexual activity
  • Painful intercourse or other painful experiences
  • Infections or medical conditions that affect the vagina
  • Hormonal imbalances or other medical conditions that affect the pelvic floor muscles

Treatment for Vaginismus

Vaginismus is a treatable condition, and there are several treatment options available, including:

  • Pelvic floor exercises: These exercises can help strengthen the pelvic floor muscles and improve their flexibility, which can make it easier to relax during sexual activity.
  • Therapy: Cognitive-behavioral therapy (CBT) can help women with vaginismus address the psychological and emotional factors that contribute to their condition. Therapy may include relaxation techniques, desensitization exercises, and other strategies to help women overcome their fear and anxiety about sexual activity.
  • Dilators: Vaginal dilators are devices that can be inserted into the vagina to help stretch and relax the pelvic floor muscles over time. They come in different sizes and are used gradually to help women get used to the sensation of penetration.dilators vaginal
  • Medications: Some women may benefit from medications that can help reduce anxiety or improve sexual function. Hormone therapy may also be used to help reduce pain and discomfort during intercourse.


Vaginismus can be a challenging condition that can cause significant emotional distress for women. However, it is a treatable condition, and with the right treatment approach, many women can overcome their symptoms and enjoy fulfilling sexual relationships. If you are experiencing symptoms of vaginismus, it is essential to seek medical attention to receive an accurate diagnosis and develop a treatment plan that works for you.

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