Factors Causing Vaginismus / Painful intercourse & Its Treatment

Factors Causing Vaginismus / Painful intercourse & Its Treatment

Vaginismus / Painful intercourse Causes
By UPHI Hospital, May, 8 2019

Vaginismus is a problem involving a muscle spasm in the pelvic floor muscles. It can make sexual intercourse painful, difficult, or impossible to have. Even it won’t allow you to insert a tampon or undergo a gynecological exam

If you try to insert an object like a tampon, penis or speculum into the vagina, it tightens up due to an involuntary contraction of the pelvic floor muscles.

This escorts to generalized muscle spasm, ache and momentary cessation of breathing.

Pubococcygeus (PC) muscle group is the most commonly affected muscle group. These muscles are accountable for urination, intercourse, orgasm, bowel movements, and childbirth.

If untreated, it may lead to frustration and suffering, and it might get worse. However, treatment is possible.

Causes of Vaginismus

Emotional factors

These may include:

  • fear, for instance, of pain or pregnancy
  • anxiety about performance or due to guilt
  • rapport issues, like having an abusive partner or feelings of helplessness
  • distressing life events, which may include rape or a history of abuse

Physical Factors

These may include:

  • Infections like a urinary tract infection(UTI) or yeast infection
  • Vaginal dryness
  • health issues, like cancer or lichen sclerosis
  • delivery of a child
  • menopause
  • pelvic surgical treatment
  • insufficient foreplay
  • inadequate vaginal lubrication
  • medicine side effects

Treatment of Vaginismus / Painful intercourse

Treatment can involve different specialists, according to the cause. Any potential underlying causes, like an infection, should be treated first, before focusing on the vaginismus.

The goal of treatment will be to lessen the automatic tightening of the muscles and the fear of pain and to handle any other type of fear that may be linked to the problem.

Treatment may include:

Pelvic floor control exercises: Pelvic floor control exercises include muscle contraction and relaxation activities, or Kegel exercises, to get better control of the pelvic floor muscles.

Emotional exercises: This may help you identify, express, and sort out any emotional factors which may be contributing to your vaginismus.

Decreasing sensitivity to insertion and dilation training: A woman can be inspired to touch the spot as close as possible to the vaginal opening daily without making pain, touching closer every day. When she is capable to touch the part around the vagina, she will be inspired to touch and open the labia, or vaginal lips. The further step will be to insert a finger. Once a woman can do this without pain, she can learn to use a plastic dilator with no pain; the next step will be to leave it in for 10 to 15 minutes, to allow the muscles get used to the pressure. When she feels comfortable with this, she may let her partner put his penis near the vagina (not inside). When she is totally at ease with this, the couple may try intercourse again.

Surgery: In very rare cases, vaginismus needs surgery.

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