Sexuality consists of 4 basic stages: arousal, plateau, orgasm and resolution. If sexual problems
It is defined as disruptions that occur in one or more of these four stages. sexual response
Sexual pain disorders and vaginismus are among the sexual dysfunctions.

Sexual dysfunction according to Masters and Johnson: adequate sexual dysfunction in the human sexual response cycle.
It is any disruption that may lead to an inability to achieve arousal and/or gratification.


1) Inadequacy of sexual education: not knowing about sexuality and sex life.
may cause false or exaggerated requests. Insufficient about genitalia or sexual intercourse
Individuals who have knowledge may refrain from exhibiting normal sexual behaviors.

2) sexual myths; Insufficient information about sexuality leads to some frightening events that are told about sexuality among the public.
may lead to belief. Too much blood after intercourse is a sign that sexual intercourse hurts too much.
exaggerated and unrealistic sensations, such as being told, or being locked in during intercourse
may prevent you from entering.

3) Growth in a conservative environment; from childhood on about sexuality from our family and close environment.
Individuals who hear negative sensations, prohibitions or frightening words may have a negative view of sexuality.
they can have an angle. consciously or unconsciously that they did something bad during their sexual life
They may experience feelings of guilt.

4) insufficient sexual experience; Like everything else in life, sexuality is a learned condition. Marriage
People who have not had a sexual experience before, talk about their sexual life in line with what they hear from the environment.
they try to discover and find Many people with sexual problems have their genitals or
not fully recognizing the sexual organ of the opposite sex and inaccurately due to inexperience.
trying to have sex.

Especially many women who have vaginismus problems use their own vagina or sexual intercourse with the man they are with.
never took a close look at her organ, even her genitals as very bad, ugly or disgusting
is evaluating.

5) Broken family relationships; sexual function in many people who have serious conflicts and problems with the root family.
disorder is very likely.

6) Traumatic sexual experiences; studies have shown that negative sexual experience or
that many sexual problems occur in people who have had a life (sexual abuse, harassment, forced intercourse, etc.)
shows. In particular, women who have vaginismus problems have had negative or
It is seen that he was exposed to coercive sexual attempts.

7) Insecurity in gender roles; make mistakes before sexual intercourse or are not good enough.
Individuals who are worried about not being able to have sex can avoid sexual intercourse for reasons such as humiliation, ridicule, etc.
They may stay away or experience various sexual problems.

8) Fear of getting pregnant; vaginismus in women who are worried about getting pregnant after sexual intercourse and
Other sexual dysfunctions may occur.

9) Virginity anxiety; blood will not come out even though she is a virgin, or the hymen is thick-flexible or not at all
Vaginismus may develop in women who think that they will be blamed by their partners if they do not. maiden
The hymenal membrane (himene) may not be present congenitally in some women, because it remains in the posterior region of the vagina or
Since it is flexible, it may not bleed during intercourse. Even some women’s hymen
It can be torn after birth.

10) Psychological problems; sexual dysfunction due to some psychological problems such as loss of
disorder may develop.

11) Exaggerated performance expectations; unrealistically exaggerated interest in one’s or partner’s sexual life
If they have expectations, the person is concerned about whether they will be able to meet those expectations.
can feel, which causes performance anxiety. The person does not think about the performance he will exhibit.
He can’t focus on making love.

12) Problems in relationships; Among the questions in bilateral relations, the desire to punish the spouse, being cheated on, abandonment
Worrying about being sexually assaulted can cause sexual problems in the person.

13) Feelings of guilt and sinfulness; especially from conservative or over-traditional family structures
the belief that what they do is bad, especially as an unconscious thought, even if they get married
continues. Such thoughts cause feelings of guilt and sin in the person.

14) Anxiety (anxiety); It is the most common cause of sexual dysfunction. before sex or
The feeling of pleasure (enjoyment and arousal) that will occur in the person regardless of the anxiety during sleep.

Fear that the same negative feelings will be experienced in repetitive sexual experiences due to anxiety
arousal does not occur. Thus, a vicious circle emerges and performance anxiety causes sexual dysfunction.
causes the disorder to persist. Frustration of the partner, the patient’s performance
increases anxiety. In order to get rid of this distressing situation, the patient begins to avoid sexuality.
While the person who abstains from sexual intercourse may feel relief, perhaps he is “no longer wanted” by his partner.
interpreted as. Thus, conflicts between spouses begin. This negative vicious circle is just
It plays an important role not only in vaginismus but also in other sexual dysfunctions.


In a healthy adult woman, the external genitalia is called the vulva. Vulva; outer lips, inner lips, clitoris,
It consists of the urethra (urinary tract) and the vagina (the point where the penis enters during sexual intercourse). If the internal genitalia
It consists of hymen, vagina, uterus, fallopian tubes and ovaries. external genitalia in women
may have different appearances.


Vaginismus is the most common sexual dysfunction in women in our country. approximately every 10
one woman has vaginismus. The cultural, religious and educational method has contributed to the emergence of this problem.
plays a huge role. Although it is seen in women of every education and socio-economic level, it is closed,
conservative, overly traditional, raised in the countryside, overvalued the concept of virginity
It is more likely to occur in women who give birth.

The main diagnostic criteria are; “Recurrent or persistent, involuntary and sexual intercourse in the muscles of the outer third of the vagina”
It is the contraction that prevents the relationship. Pain during sexual intercourse in women with vaginismus,
Fear of pain, fear of sexual intercourse or avoidance behaviors are also common.

The contractions that occur during attempts to have sexual intercourse are involuntarily controlled by the person.
emerges outside. Contraction is in the vagina muscles as well as in the female legs and the whole body.
it could be. This contraction is caused by fear, avoidance of sexual intercourse, feeling like the penis will never be able to enter the vagina.
and thoughts accompany. If women with vaginismus problems can have sexual intercourse very rarely
Even if they do not enjoy this relationship, they feel pain and pain.

If the woman with vaginismus has never had sexual intercourse before, primary, normal sexual intercourse
If it occurs some time after intercourse, it is defined as secondary.

DSM-IV –TR Diagnostic criteria:

A. Persistent or recurrent arrhythmia in the muscles of the one-third of the vagina, preventing coitus
involuntary spasm.

B. The disorder causes marked distress or difficulties in interpersonal relationships.

A. This disorder cannot be explained by another axis 1 disorder and can only be directly explained by the actual medical condition.
not dependent on its effects.

Many women who are not aware of this problem in sex situations where there is no vaginal entry before marriage.
are available. Some of the couples who cannot have sexual intercourse after marriage, this problem is temporary.
They keep on experimenting thinking it’s okay. But after many failed attempts
They may be tempted to try different avenues. It doesn’t work but is used by many couples who have this problem.
among some methods; attempts to have sexual intercourse after drinking alcohol and getting drunk, marijuana, etc.
We can talk about attempts to have intercourse using substances.

Some physicians, who are not aware of the solution to this problem, use creams that numb the vagina area,
It tries to solve this problem by cutting the membrane by operation or by giving sticks. above
Although these methods sometimes work, they do not completely solve the problem, even if they have sexual intercourse, the woman’s
fears and pain-pain continue.

Some couples can continue their lives without having vaginal intercourse for many years or even a lifetime.
they can become pregnant and have children by ejaculating on the vagina by friction. In a few sessions this
Instead of solving the problem and having a quality and enjoyable sex life, resorting to these ways is beneficial for both women and women.
It can cause long-term relationship problems for men. The most important point to keep in mind
vaginismus is not a problem that goes away on its own.


Vaginismus is a problem arising from the psychological life of the woman and the muscular system in the vagina. This question
It cannot be treated with medication or a surgical operation. The only treatment for vaginismus
It is sexual therapy. With sexual therapy, it is a problem that can be solved with a probability of 95% in an average of 4-8 sessions.

In sexual therapy, both the home practices (homework) to be done at home and the person during the therapy session.
The problem is completely resolved by working on the negative situations that he has experienced with his partner or in the past.
is eliminated. The purpose of sexual therapy is not only to solve the problem experienced by the person, but also to solve the problem.
In order for the couple to have a better quality, more satisfying sexual life after the solution,
necessary information is provided. Although the treatment of vaginismus is preferably done with the spouse,
can be done alone.

The most important point to keep in mind in the treatment of vaginsmus is sexual therapy or vaginismus.

The psychologist you will receive support for the treatment must have a master’s degree in this field (expert psychologist
In addition to her expertise, she has received special training in the field of sexual therapy. sexual intercourse in Izmir
There are many psychologists who state that they do therapy. Every psychologist or every expert psychologist
It is not an enforcer. Sex therapists of people who tell you “set a day and do it that day” etc.
It is recommended that you keep in mind that In the treatment of sexual therapy or vaginismus, in a session every week
Topics to be talked about and practices to be done at home go according to a certain order. The couple has a new one each week.
goes to my name. For this reason, before applying to the specialist, you should definitely download the specialist’s CV (CV) for a master’s degree.
Find out if she has practiced sex therapy and whether she has received any special training in sexual therapy. Otherwise
The new negative situations you will experience may break your motivation to solve the problem.
It can also cause the problem to escalate. Change Psychology and Family Counseling Center in İzmir
It is one of the few institutions working with expert staff where you can get help for problems.

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