Vaginismus is the involuntary contraction of the muscles surrounding the vaginal entrance and ultimately not allowing penetration. It does not allow not only sexual intercourse but also some situations such as examination and tampons. It is a very rare condition. It can affect women of almost all age groups. Its incidence is not known exactly. The reason for this is that patients are hesitant to consult a physician. It is estimated that two out of every 100 women have this condition.
Women with vaginismus generally do not have a problem in terms of sexual desire and orgasm. These people can experience orgasm with alternative methods other than sexual intercourse. vaginismus is examined in 2 classes as primary and secondary according to the way it occurs. In primary vaginismus, if the person has not had any successful sexual intercourse in his life, but occurs later in women who had a normal sexual life before, it is called secondary vaginismus.
The most important reason underlying primary vaginismus is fear. In their consciousness. The physical and moral fears experienced cause the person to want to have sexual intercourse but not be able to perform it. This causes a vicious cycle in later trials and can lead to erectile dysfunction in men. From one point of view, primary vaginismus can be considered as a phobia. In vaginismus, it is not possible to provide insufficient desire and / or wetness. Reluctance towards the partner and all factors that cause dyspareunia can lead to secondary vaginismus.
The most beneficial approach in treatment is psychotherapy applied to couples. Before that, a general gynecological examination is performed on the underlying organic matter. It is important for recognizing a cause and providing its treatment. Enlarging the vagina with plastic cannulas and using artificial lubricants may be beneficial from time to time. Treatment of vaginismus is of interest to psychiatry, not gynecology.
Studies show that the situation improves by 80-100% in women who receive professional help. One of the important factors affecting the positive results is the psychological support received from the spouse during the treatment of this anxiety-producing condition. The patient should be told that this is not about femininity.