What is vaginismus? How is it noticed?

The main feature of vaginismus is recurrent or persistent involuntary contractions of the perineal muscles surrounding the outer third of the vagina when vaginal penetration is attempted. This contraction is accompanied by contractions of the whole body, closing of the legs, fear, avoidance response, belief that there is no entry. Of course, the woman with vaginismus is physically normal, but there is sexual dysfunction and the involuntary contraction of the vaginal entrance prevents sexual intercourse. Vaginismus is seen much more frequently in our country than in western countries. Vaginismus usually occurs at the beginning of the sexual life, from the moment the first sexual intercourse is attempted. It develops much less frequently after a gynecological examination or similar experiences.

vaginismus It can cause mutual compelling feelings in couples. It can cause women to feel their own femininity is lacking and to feel guilty towards their spouse. In men, it can cause resentment, difficulty in erection, and sometimes doubts about virginity, as they experience anger, undesirability and rejection towards their spouse.

If you think you have the clinical signs listed below, you should seek support from a mental health professional.

Fear of sexual intercourse with the partner and not even trying to penetrate (penetration)

While there is no problem in foreplay, involuntary contraction, fear and extreme panic when the moment of intercourse comes

Painful and difficult sexual intercourse (dyspareunia)

After the first one or more difficult sexual intercourse, the rest does not come back, unable to have intercourse, refusal to have intercourse

Unable to open legs during intercourse, rejecting partner by pushing with hands, feet or sliding hips

Half-life of sexual intercourse (only a part of the penis can enter)

Inability to place pads or tampons inside the vagina

Inability to insert a finger into the vagina

During the gynecological examination, they cannot be examined or they experience great distress.

Inability to undergo vaginal ultrasound, inability to have a smear test

Inability to look or touch the genital area

Not allowing the spouse to touch the genital area, not being naked in front of the spouse, being ashamed

Inability to insert therapeutic suppository (ovula) type drugs into the vagina

Inability to have sexual intercourse in different sexual positions

Lack of sexual pleasure, low arousal, vaginal dryness

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