Vaginismus - Symptoms, causes and treatment

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Vaginismus - Symptoms, causes and treatment
Vaginismus - Symptoms, causes and treatment

Vaginismus is a condition where the vaginal muscles tighten without realizing it during sexual intercourse, putting on a tampon, or undergoing a Pap smear. This condition can cause pain and discomfort so that it interferes with the relationship between partners

Vaginismus consists of two types, namely primary and secondary. In primary vaginismus, complaints occur without ever successful sexual penetration. Whereas in secondary vaginismus, the patient has succeeded in sexual penetration, but cannot do it again in the future.

Vaginismus - Alodokter

Vaginismus is often considered a taboo by women and their partners so that many couples feel embarrassed to consult. As a result, there is no data on how many women in Indonesia have vaginismus.

Causes of Vaginismus

The exact cause of vaginismus is not known. However, this condition is thought to occur due to emotional factors, such as:

  • Fear of sexual intercourse
  • Fear of pregnancy
  • Negative views on sex
  • History of sexual assault, such as rape or harassment

In secondary vaginismus, the cause can be several factors, namely:

  • Have you ever had a pregnancy operation
  • Experienced the trauma of sexual violence
  • Have had radiotherapy in the pelvic area
  • Entering the menopause phase so that the vagina becomes dry and inelastic

Vagismus Symptoms

The main symptom of vaginismus is vaginal muscles that tighten and narrow during sexual intercourse, causing pain (dyspareunia). In addition, vaginismus can also cause painful symptoms when using tampons and when undergoing obstetrical examinations, such as pap smears.

When to see a doctor

Immediately check with a doctor if you experience the above symptoms. You are also advised to go to the he alth service if you experience the following complaints:

  • Irritation or itching around the vagina
  • Pain during sexual intercourse
  • Pain when urinating
  • Pain, swelling, and redness in the vagina
  • Unusual or foul-smelling discharge

Vaginismus is not a taboo subject that must be covered up, because it is a sexual disorder that often occurs in women and can be treated.

Diagnosis Vaginismus

To diagnose vaginismus, the doctor will ask questions about symptoms, medical history, and history of sexual intercourse. After that, the doctor will proceed with a physical examination and a pelvic examination.

If needed, the doctor may suggest additional examinations, such as obstetric ultrasound or pelvic CT scan, to check the condition of the uterine organs.

Vaginismus Treatment

Vaginismus treatment aims to reduce anxiety and tension in the vaginal muscles. Some treatments for vaginismus include physical and psychological therapy. Here is the explanation:

  • Ointment containing lidocaineThis topical medication serves to relieve vaginal pain during sexual intercourse.

  • Pelvic muscle exercise

    Pelvic muscle exercise aims to teach vaginismus sufferers how to relax the muscles in the pelvic area.

  • Vaginal dilator therapy

    This tube-shaped device of various sizes aims to stretch the vagina, create a sense of comfort, and reduce pain during sexual intercourse.

  • Sex therapy

    Sex therapy is aimed at couples to increase arousal so as to improve sexual relations.

Vaginismus Complications

Vaginimus that is not treated immediately can affect the mentality of women and their partners. Other complications that can occur are:

  • Domestic sex life is disturbed
  • Lost confidence in women
  • Fear of sexual intercourse
  • Pregnancy program is difficult to implement

Vaginismus Prevention

Vaginismus cannot be prevented as the exact cause is unknown. However, good communication with your partner and applying foreplay before sexual intercourse can help prevent vaginismus.

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