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Vaginismus

Muscle contraction that makes vaginal entry painful or impossible.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Psikiyatri department. Book Appointment →

What is Vaginismus?

Vaginismus is the involuntary contraction of the muscles around the vaginal entrance, causing pain and/or impossible entry during intercourse, gynecologic examination, or tampon use.

Causes are most often psychological; fear, anxiety, trauma, and misinformation are leading factors. However, physical problems must also be ruled out.

Collaboration of obstetrics-gynecology and psychiatry is important for diagnosis and treatment. Cognitive behavioral therapy and gradual exposure are highly effective.

Symptoms

Pain or impossibility of intercourse
Contraction during gynecologic examination
Difficulty using tampons
Avoidance of sexuality
Anxiety and fear
Relationship conflicts
Decreased self-esteem

Risk Factors

Sexual taboos and misinformation
History of sexual trauma
Anxiety disorders
Strict religious upbringing and guilt
Previous painful experience
Painful gynecological conditions
Relationship problems

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If there is pain and impossibility of entry during intercourse
  • If gynecologic examination cannot be performed
  • If there are relationship conflicts and concerns about not having a child
  • If psychological distress is significant
  • If physical causes need to be ruled out

Treatment Methods

01
Cognitive behavioral therapy
02
Pelvic floor exercises (relaxation, biofeedback)
03
Gradual dilator therapy
04
Couples therapy
05
Sexual education and accurate information
06
Treatment of accompanying anxiety/depression

Which Department to Visit?

You can visit our Psikiyatri department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.