Education

Let’s Talk About Vaginismus

‘Women’s problems down there’ — are viewed as taboo and so inappropriate for discussion

Today I want to chat to you about a female health issue which is often swept under the carpet but is more common than you may think…

Symptoms

Vaginismus is a condition that causes involuntary tightening of the muscles surrounding the vagina. This may make penetration painful or impossible.

These symptoms can occur while

• attempting intercourse, which could be PIV or fingers.
• inserting a tampon
• during a gynaecological examination.

Common symptoms include burning or stinging pain upon penetration, as well as intense fear or loss of desire related to amorous activity.

Causes

The causes of vaginismus are often varied and complex. They may incorporate traumatic experiences, such as painful first intercourse or child-abuse. Other issues like concerns of pregnancy or childbirth can also have a bearing, as might a deeply ingrained belief that any form of physical intimacy is wrong.

Importantly, vaginismus can affect many activities. It can interfere with using sanitary protection, undergoing gynaecological exams, or even childbirth. This will possibly leave emotional scars, leading to depression.

Secondary vaginismus

Vaginismus can affect women at any time.

Secondary vaginismus occurs when a person who had previously had penetrative intercourse without problems suddenly experiences the onset of muscle spasms.

Various things can trigger this, including severe trauma, childbirth, surgery, infection, or psychological factors.

Treatment

With proper support and treatment, individuals can often successfully manage or even resolve symptoms.

Treatment may include:

• Pelvic floor exercises to help teach the patient how to relax the pelvic floor muscles.
• Counselling or therapy to look into any underlying…