Among sexual dysfunctions, the most common reason for applying to sexual therapy centers is the problem of vaginismus. Although decreased sexual desire or sexual interest/arousal disorder are seen more frequently, the problem of vaginismus, problems caused by incomplete marriage and unfulfilled pregnancy expectations lead couples to seek solutions and sexual therapies.
Vaginismus is the involuntary repetitive and continuous contraction of the muscles surrounding the outer third of the vagina, called the PC or pubococcygeus, that does not allow sexual intercourse or that sexual intercourse takes place in a very painful way. This often creates the feeling of hitting a wall and the perception that there is no vaginal opening or entry. Along with the contraction of these muscles, the act of pushing the spouse, closing the legs and contraction of the whole body are also frequently seen in vaginismus. Sometimes, symptoms such as heart palpitations and accelerated breathing may accompany the picture, suggesting a panic attack.
Vaginismus usually occurs during the first sexual intercourse attempt. Rarely, it may occur for the first time in gynecological examinations, finger insertion efforts of men or women, and the use of dilators or tampons. Vaginismus can also be seen in imaginations much more rarely.
In the vaginismus problem, the woman experiences intense fear and anxiety with negative thoughts that she will bleed, that there will be a lot of pain, that it will hurt. Depending on these, avoidance and procrastination behaviors often occur in vaginismus.
Repetitive and unsuccessful attempts at intercourse lead to feelings of frustration, humiliation, and inadequacy. The woman fears that she will be deceived or abandoned, thinking that she is not enough for her husband and that her femininity is lacking. Troubled, painful and frustrating sexual intercourse efforts result in a vicious circle. When there are no sexual intercourse efforts in vaginismus, there will be no symptoms, so the thought of having sexual intercourse begins to move away. Depending on these, the application to sexual therapy for the solution of ta vaginismus problem is gradually delayed. The continuation of the vaginismus problem can cause constant arguments and fights in the relationship of the partners, not only in the sexual life, but also in other areas of life. The man may develop feelings of anger and resentment by thinking that he is not wanted, loved, disliked by his wife and that the woman does not allow sexual intercourse even though she has it.
When the vaginismus problem is learned by relatives or friends, the relatives of the male partner question the virginity and femininity of the woman, while the relatives of the female partner may think that the man is incompetent and inadequate.
Primary vaginismus, also called primary vaginismus, occurs at the first attempt at sexual intercourse. In vaginismus, which is called secondary vaginismus or secondary vaginismus, there are periods of painless sexual intercourse before and appear later. Difficult births, traumatic abortions and surgeries, or sexual assault and violence can cause secondary vaginismus.
It is not uncommon for the vaginismus problem to result in divorce if sexual therapy is not used to solve the problem.