Dyspareunia (painful sexual intercourse) and vaginismus…

Dyspareunia and vaginismus are disorders involving pain and sex. Pain states damage sex. It can lead to the emergence of accompanying secondary sexual disorders, negative sexual behaviors, avoidant or harmful behaviors, deterioration of relationship, decrease in personal self-confidence and mood changes. These increase the pain even more.
Dyspareunia is defined as repetitive or persistent pain during sexual intercourse, not only due to vaginismus or lack of lubrication. There is also pain in other penetration situations such as finger, tampon, or gynecological examination. The prevalence of dyspareunia is accepted as approximately 14% among women. Although it is thought that it should be seen more in menopause due to changes such as decrease in vaginal elasticity and lubricity, it has been determined that it is mostly between the ages of 18-24. It is also wrong to consider sex more than pain in the treatment of dyspareunia.
Vaginismus is the repetitive or permanent strain on the vaginal attachment due to involuntary muscle spasm in the distal 1/3 vagina. It is often difficult to distinguish vaginusmus from dyspareunia because both involve pain and contraction of the pelvic floor muscles. Some define vaginismus as the severe and phobic end of dyspareunia. What is specific to vaginismus is that it causes a fear of sexual intercourse that causes phobia both behaviorally and emotionally. The prevalence of vaginismus is around 1% in the community. Significant personal stress and difficulty in interpersonal relationships are diagnostic criteria for vaginismus and dyspareunia.
Although dyspareunia and vaginismus seem like a woman’s problem, it is actually a couple’s problem. Sometimes the couple may apply for therapy together. Women often think that they will participate in therapy alone. Correcting this perception is the first step in treatment attempts. Motivated couples should be taken to therapy together. However, there may be exceptions and the woman can be treated alone.
Since women with these problems are difficult to treat, it is important to be evaluated by a gynecologist who deals with the evaluation and treatment of painful intercourse. Women with vaginismus may not have been examined gynecologically before and may think that this is impossible. However, an interested gynecologist can perform the examination.
As a result; It is not impossible to solve the apparent primary problems as well as the more important secondary problems that are hidden or unrecognized. It should not be forgotten;
It is the sentence “WOMAN IS NOT BORN, IT IS BECOME A WOMAN”.
Stay with love…….
Dr. SIBEL MALKOÇ

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