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Vaginismus

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One of the most common types of sexual dysfunction is a condition called vaginismus. It refers to an involuntary spasm of the muscles at the lower end of the vagina which can make penetration an incredibly painful and sometimes impossible affair. It happens because instead of relaxing the muscles tense up. A woman suffering from it can’t control when the muscles will spasm. It can happen when she is trying to have sex or when she is having a medical examination, like a pap smear. The spasm can be so strong that nothing can go into the vagina and she feels pain when trying to put anything into the vagina (including fingers, tampons, penis or speculum for pap smears).

Successful vaginismus treatment does not require drugs, surgery, hypnosis, nor any other complex invasive technique. Effective treatment approaches combine pelvic floor control exercises, insertion or dilation training, pain elimination techniques, transition steps, and exercises designed to help women identify, express and resolve any contributing emotional components.

The only solution is therapy to overcome the feelings of anxiety. Most often, it’s caused by physically painful conditions like childbirth, painful intercourse, child sex abuse and molestation and some believe it’s the body’s natural fear response.  Therapy involves teaching the woman to relax while slowly inserting a gradual series of dilators (lubricated rods) to make her comfortable to with the mechanisms of sex.  Other methods include exercises like Kegels and pelvic muscle contractions which will help the voluntary response of the vaginal muscles. 

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