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Vaginismus Treatment Approach

Involuntary muscle contraction preventing vaginal penetration.

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 Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Vaginismus Treatment Approach?

Vaginismus is the difficult or impossible performance of sexual intercourse, gynaecological examination or tampon use due to involuntary, reflex-like contraction of the pubococcygeal muscles surrounding the vaginal entrance.

It is divided into primary vaginismus (no penetration ever achieved) and secondary vaginismus (developing after previously possible penetration). Psychogenic and organic causes should be evaluated together.

Stepwise desensitisation, pelvic floor exercises, cognitive-behavioural therapy and use of vaginal dilators are the basic treatment approaches. The treatment success rate is over 90%.

Symptoms

Pain or burning during vaginal penetration
Sexual intercourse being completely impossible
Difficulty during gynaecological examination
Inability to use tampons
Fear and avoidance behaviour during attempted penetration

Risk Factors

History of sexual trauma or abuse
Strict sexual upbringing or cultural pressure
Painful gynaecological examination experience
Anxiety disorder
Vulvodynia or vestibulitis

When to See a Doctor?

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

  • Recurrent pain during sexual intercourse or difficulty with penetration
  • Inability to consummate marriage
  • Inability to undergo gynaecological examination

Treatment Methods

01
Stepwise desensitisation (vaginal dilators)
02
Pelvic floor physiotherapy
03
Cognitive-behavioural therapy
04
Sexual therapy and couples therapy
05
Topical anaesthetics (when needed)
06
Botulinum toxin injection (in resistant cases)

Which Department to Visit?

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

Learn About Kadın Hastalıkları ve Doğum Department

Let us help you

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.