The most common reason for applying to sexual therapy in female sexual function problems is vaginismus. Vaginismus is the inability to have sexual intercourse as a result of involuntary contraction of the vagina muscles of the woman during sexual activity or it is very difficult and painful. Most of the time, there is a spasm of violence that does not allow sexual intercourse in the muscles at the entrance of the vagina. It is accompanied by self-protective behaviors such as twitching in the hips, back, and even the whole body; locking the legs, pushing the partner, withdrawing, fear and avoidance.
Although many women with vaginismus (inability to have sexual intercourse) think that my vagina is small and there is a structural problem in my vagina; Anatomically, there is no abnormality in the vagina. The problem is that due to subconscious fears, the person involuntarily contracts his vagina for fear of pain and pain (most of the time, the person is not aware that he is contracting himself) and the relationship does not take place for this reason.
The most important distinguishing feature of vaginimus is almost phobic fear and avoidance of vaginal sexual intercourse. For example, women who have dysspora (painful sexual intercourse) do not have phobic avoidance from vaginal intercourse as in vaginismus.
Women who have vaginismus problems question why they have this problem and cannot make sense of it. Mostly women think that there is a deficiency in my own femininity. They feel guilt towards their spouse. On the other hand, men feel unwanted, rejected, resentment and sometimes anger. erection problems may occur. Disappointment as a result of unsuccessful experiences leads the couple to distance themselves from sexuality and fights. The fact that the family knows about the situation aggravates the problem and increases the pressure on the couple. The expectation of spontaneous recovery is very common in vaginismus. This prolongs the solution process.
Women with vaginismus try to avoid sexual activity by finding various excuses for fear of pain or fear of being humiliated. Thus, vaginismus becomes a procrastination avoidance problem.
It is more common in underdeveloped and developing countries than in developed countries. It is thought that there are reasons such as adequate sexual education, conservative value judgments, and excessive importance given to virginity.
Vaginismus usually occurs in newly married couples at the beginning of their sexual life. If left untreated, it can last for years. In some cases, the reason for seeking treatment is family pressure to have children and the spouse’s bringing up the issue of divorce.
What are the Basic Symptoms of Vaginismus?
Having sexual intercourse or having a painful experience
Phobic avoidance of sexual intercourse
Feeling pain during sexual intercourse attempts
fear of gynecological examination
Inability to insert tampons into the vagina
Inability to insert a finger into the vagina
Burning, stinging, and tightness during sexual activity
Shortness of breath during intercourse attempts
closure of the legs during intercourse attempts, showing self-protective behaviors by pushing the partner with his hands and knees, pulling himself back
Inability of the couple to have sexual intercourse
Chills, nausea, icing, sweating during intercourse attempts.
Difficulty looking and touching genitals.
If you think how to understand vaginimus, you can look at the basic symptoms of vaginimus above and do a small vaginismu test for yourself to see if you have vaginimus.
Types of Vaginismus
Primary Vaginismus:Vaginimus has existed since the first sexual intercourse attempts. No sexual intercourse has taken place before.
Secondary (secondary) Vaginismus:It arose after a previously usual phase of sexual functioning.
Generally, primary vaginismus is seen in our society. Rarely, secondary vaginismus develops after sexual traumas, severe psychological traumas, abortion and severe gynecological surgery after a successful sexual life phase.
In the emergence of vaginismus, many factors come together and interact with each other and play a role in the development of vaginismus. Accordingly, we can list some of the main causes of cavaginismus as follows.
Sexual fears stemming from childhood and adolescence.
Inadequate, false and exaggerated sexual information and beliefs.
Feelings of guilt, shame and shame.
Childhood and adolescence sexual traumas and negative sexual experiences.
Physical and mental traumas.
Fear of suffering pain during sexual activity.
Unconscious fear of the symbolically enlarged penis and hence of the rupture, scraping, and bleeding of the vagina.
The society and family structure that humiliates and devalues sexuality.
I’m gay identification.
Disgust with sex and sex organs.
Fear of losing her hymen.
Inability to complete sexual development.
Vaginismus Sex Therapy Exercises
The solution of vaginismus is based on the application of gradual sexual therapy. The essence of the progressive sexual therapy program is the practice of cascading vaginismus homework. After each sexual therapy session, with the feeling that sexuality is a beautiful thing; There are practices that spouses should do together at home by supporting each other. To these applications in the solution of vaginimus It’s called vaginismus exercises (vaginimus homework).The couple gives feedback to each other and to their sexual therapists about the homework they have done in the next session. These feedbacks affect the couple’s life and sex life positively.
Purpose of Vaginismus Exercises
Alteration of inappropriate cognitive-behavioral responses
Increasing the couple’s Chinese knowledge and positive sexual experiences
To enable them to communicate sexually
Developing bodily awareness.
Developing functional Chinese skills
Learning to take control by relaxing the body and love muscles
The important point in the application of vaginismus exercises is that the mental, emotional and behavioral components of vaginismus should be considered as a whole; only mechanical vaginismus homework will not be useful without studying the intellectual and emotional part.
What are Vaginsmus Exercises?
We can list the vaginimus homework given in overcoming vanismus as follows:
Bodily awareness exercises to explore the body and genitals and learn their functions.
Breath control and muscle relaxation exercises
PC muscle exercises (kegel exercises)
Sexual stimulation exercises
Devotion to sensations (love games)
Depersonalization by imagery (systematic desensitization)
Systematic desensitization by dilator or finger games
Progressive sexual intercourse exercises
How to Overcome Vaginismus?
The solution of vaginismus takes place at the end of a cascading sexual therapy process. In this sense, the solution of vaginismus is based on the operation of a gradual sexual therapy process. The most frequently asked and curious questions of clients with vaginismus are: how to overcome vaginismus? Is there a cure for vaginismus? Is there a definitive solution for vaginismus? How can I beat vaginismus? How can I overcome vaginismus? How is vaginismus treated? What is the vaginimus treatment?
Vaginimus, under the guidance of an experienced sexual therapist, the couple’s participation, focusing on the solution, and the couple and the sexual therapist working in harmony as a team, almost all of the vaginismus cases are successfully resolved.
Increasing Communication Between Spouses
It is very important that spouses support each other in the solution process of vaginimus. Regulation of communication between spouses, especially increasing sexual communication, affects the vaginismus solution process positively. Ongoing relationship problems and sexual miscommunication play an important role in the continuation and beginning of sexual therapy.
It is known that in addition to the lack of sexual knowledge and experience in vaginismus couples, they often have problems in establishing sexual communication. When necessary, regulating the communication between the couple and increasing sexual communication is a part of the vaginismus sexual therapy process.