Vaginismus is the condition where the penis-vagina union cannot be experienced without a physical and medical problem. It is a sexual dysfunction that prevents sexual intercourse by involuntary contraction of the vaginal muscles. Women with vaginismus have negative beliefs about their vaginas and sexuality. They think that their hymen is too thick or that their vagina is too narrow to accommodate the penis, and they are in intense fear that they will feel pain when the penis is in the vagina. And in the face of this situation, contractions occur in the vagina and legs during the union. This situation is experienced not only during the union, but also when the person imagines the union or during the gynecological examination. Most of the time, when the intervention in the vaginal area ends, the woman relaxes and her muscles begin to relax. This is not something a woman does intentionally or voluntarily. Under normal conditions, the vagina is the only organ that can stretch, elongate and expand. Unless there is an organic cause, this situation is of psychological origin and results in a positive outcome with sexual therapy.
WHAT ARE THE PSYCHOLOGICAL CAUSES OF VAGINISMUS?
1-SEXUAL MYTHS: The concept we call myth is false information taught to us by society that we believe to be true. For example, “The first night it hurts and bleeds a lot. A woman who desires sexuality is a light woman. Sex should always be initiated by a man. The person may experience sexual dysfunction due to stereotyped thoughts about sexuality such as “Every sexual intercourse should end with ejaculation”.
2- MEANING ATTACHED TO THE SEXUAL ORGAN: This is a situation that creates problems for both men and women. While the meaning attributed to the penis by circumcision ceremonies in men may lead to sexual dysfunctions in the future, in women, a woman who first covers her body with sentences such as “close your skirt, cover it up” can then close her mind to sexuality. Many women with vaginismus cannot even look at or touch their own genitals and feel disgusted. This is a negative perception imposed on the genital organ.
3- FIRST NIGHT FEAR: Especially adolescence is the period when curiosity about sexuality is at its peak, and many young girls get inaccurate information about sexuality, especially before marriage, they hear the words that “the first night is very difficult, blood comes after too much intercourse” . Under normal conditions, if there is sufficient wetting and if there is a suitable environment, the hymen does not burst, bleed or tear. With such information, the woman is afraid of the first night and cannot have a comfortable union on her first night.
WHAT ARE THE ORGANIC CAUSES OF VAGINISMUS?
2-The hymen is thick
3- Some congenital abnormalities
WHAT ARE THE SYMPTOMS OF VAGINISMU?
Vaginismus is a woman’s panic attack. During intercourse, he experiences a panic attack-like situation. He closes his legs, his muscles tense. Not all women with vaginismus experience the same problems. This is different for every woman. Vaginismus is also divided into sections under itself. Some experience penile penetration limited to sexual intercourse only. Some are comfortable in gynecological examination and have problems in union.
“primary condition” if sexual intercourse has not taken place. If sexual intercourse has occurred before and this situation has occurred later, we can distinguish it as “secondary situation”. In the primary situation, having negative beliefs about sexuality, being sexually abused and raped, or an oppressive parental approach may cause this situation. In the secondary situation, it may be a traumatic event, surgery, difficult birth or abortion.
Vaginismus is a sexual dysfunction seen in one out of every 10 women in our country. Before sexual therapy, after a physical examination by a gynecologist, if there is no organic problem, therapy is started. It is a situation that can be resolved with sexual therapy. It is especially important for couples to have regular sessions together because sexuality is a common problem for the couple. After the Sex Therapist gets a good history, necessary information about sexuality is given and some exercises are given. Doing these regularly, the compatibility of the couple and the relationship established with your sexual therapist play an important role. Sessions last 8-16 sessions on average. This may vary depending on how long the problem is and whether there is another sexual dysfunction.