How to overcome vaginismus

How to overcome vaginismus

Vaginismus is a condition in which the vaginal muscles tighten involuntarily when something is attempting to enter the vagina, such as a tampon, penis, or thou pap smear tool. It can make sexual intercourse and gynecological examinations painful or impossible.

There are two types of vaginismus: primary and secondary. Primary vaginismus is when a woman can never have vaginal penetration without pain. Secondary vaginismus is when a woman who has previously been able to have penetrative sex without pain begins to experience pain.

There are many different possible causes of vaginismus, including:

-Psychological factors, such as previous trauma or abuse, anxiety, or depression

-Physical factors, such as certain medical conditions (e.g., vulvodynia) or side effects from certain medications (e.g., chemotherapy)

-Problems with the structure of the vagina or pelvic floor muscles (e.g., congenital abnormalities)

Vaginismus can be treated with a combination of self-care and professional help. Self-care measures may include using water-based lubricants during sexual activity and doing pelvic floor muscle exercises (known as Kegel exercises). Professional help may involve sex therapy, counseling, and botulinum toxin injections into the pelvic floor muscles.

What is vaginismus?

Vaginismus is a condition in which the muscles of the vagina tighten involuntarily, making sexual intercourse painful or even impossible. The cause is usually psychological, but it can also be physical.

It is thought to affect around 1 in 500 women, although the exact figure is not known. It can occur at any age, but it is most common in women who are under 30 years old.

Vaginismus can be a very distressing condition, both for the woman who suffers from it and for her partner. It can have a big impact on both their sexual relationship and their emotional well-being.

There are two types of vaginismus: primary and secondary.

Primary vaginismus is when a woman has never been able to have penetrative sex because her vagina has always been too tight.

Secondary vaginismus is when a woman who has previously been able to have penetrative sex finds that she can no longer do so because her vagina has become too tight. This may be due to emotional trauma, such as rape or child abuse, or physical trauma, such as childbirth or surgery.

Vaginismus is treated with a combination of psychological therapy and pelvic floor exercises. In some cases, surgery may also be recommended.

Causes of vaginismus

Vaginismus is a condition wherein the vaginal muscles contract spasmodically, making intercourse painful or impossible. The cause is unknown, but it may be related to anxiety or past sexual trauma. Treatment usually involves sex therapy and dilators to help stretch the vaginal muscles.

Symptoms of vaginismus

When you have vaginismus, your vaginal muscles spasm when something is inserted into your vagina, making intercourse and other types of penetration painful or impossible. The spasms can be mild or severe.

Vaginismus is often linked to a fear of penetration. Still, it can also be a response to pain during sex (a tissue injury, for example), relationship problems, changes in hormone levels, or past sexual trauma. Vaginismus can occur before, during, or after sexual intercourse. The condition might come and go, depending on your level of anxiety or stress.

Vaginismus can make sexual intercourse a painful experience. Some women with vaginismus have trouble with gynecologic exams and procedures such as Pap smears. Using a tampon or inserting a cup for menstrual flow collection can also make it difficult.

Diagnosis of vaginismus

Vaginismus is often only diagnosed after a woman sees a doctor about her pain during sex.

Your doctor will likely ask about your sexual history and whether you’ve had any pain during sex. They may also perform a pelvic exam.

To rule out other causes of your pain, your doctor may order tests, such as:

-a pelvic ultrasound

-a cystoscopy, in which a small camera is inserted through the opening of the vagina to look for abnormalities in the bladder or urethra

-a labia minora biopsy, in which a small sample of tissue is removed from the labia minora for testing

Treatment of vaginismus

The success of any vaginismus treatment depends on the involvement of both partners. A woman needs to want to overcome the disorder, and her partner needs to be supportive and understanding.

Both partners must be committed to the treatment process, which can take several months. It’s important to be patient and understand that there may be setbacks.

The first step in vaginismus treatment is often to see a pelvic floor physiotherapist. They will carry out a thorough assessment and develop a tailored treatment plan.

Treatment usually involves a combination of:

-Pelvic floor muscle relaxation exercises

-Gradual exposure therapy (using dilators of increasing size)

-Counselling or sex therapy

-Use of local anesthetic gels or creams

Prevention of vaginismus

There is no one answer to the question of how to prevent vaginismus. However, there are some things that you can do to reduce your risk of developing the condition.

If you are sexually active, practice safe sex. This means using condoms and other barrier methods of birth control to reduce your risk of STDs and unwanted pregnancies.

Be sure to communicate with your partner about any pain you experience during sex. If you feel pain, stop and let your partner know. If the pain continues, consult a healthcare professional.

Stay informed about your sexual health. If you have any concerns, speak with a healthcare professional.


We hope this article has helped you understand vaginismus and how it can be overcome. This condition can be very distressing, but it is important to remember that you are not alone. With the right help and support, you can overcome vaginismus and start enjoying a healthy and fulfilling sex life.