What is vaginismus, its causes and treatment process

Vaginismus is a sexual dysfunction seen in women. During sexual intercourse, sexual intercourse is prevented as a result of involuntary contraction of the muscles surrounding the vagina. The woman does not do these contractions voluntarily, so she cannot have contractions voluntarily. Contraction may not only be around the vagina, but also in certain parts of the body or in the whole body. Women at the time of contraction; They may squeeze their legs, push their partner away from themselves, vomit, show symptoms such as palpitations, sweating, trembling, crying, and feeling bad.

In some women, there is no problem during foreplay, but involuntary contractions are seen when the moment of intercourse comes. For some women, contractions may begin the moment they attempt foreplay. In addition, women experience the contraction of the vaginal muscles not only during sexual intercourse, but also during gynecological examination, tampon use or any object attempt.

Most women with vaginismus think that their genitals are abnormal, that the vagina or hymen forms a wall, that the male genitalia is too large and will hurt a lot.

Reasons

Among the causes of vaginismus, social judgments that do not allow women to be in a position that demands sexuality or a social perspective that imposes their tendency to be a good girl are effective. False beliefs and taboos about sexuality have an important place in the development of vaginismus. Women acquire these false belief patterns in early childhood. At the first night of reunion, we grow up listening to the story of excessive bloodshed, telling that the first night is very difficult and being a woman is an ordeal. In addition to these, since we have a traditional culture, the prohibition of flirty relations and the transition to the moment of direct sexual intercourse with marriage cause vagisnimus. In addition, reasons such as a history of sexual abuse in the past, fear of becoming pregnant may also cause vaginismus.

Treatment

It is the most common sexual dysfunction in women in our country. The reason why it is seen so much in Turkey is because of the suppression of sexuality. The cause of vaginismus is highly (99%) psychological, but gynecological examination is requested before starting sexual therapies. Here, the woman’s belief that she is not a physiological problem and that she learns that there is no problem anatomically provides psychological comfort.
In the treatment process, firstly, information about double vaginismus is given. If the couple has wrong thought patterns about the first night or the hymen, these are detected and correct sexual information is placed in their place.

The most important rule in treatment is the prohibition of sexual intercourse until the couple reaches a certain point. Why is this important? Because, if sexual intercourse is experienced without preventing contraction during treatment, a high rate of couples will experience contractions again, which will reduce the motivation for treatment. For this reason, this prohibition is applied since the sexual intercourse that takes place here will not only serve to eliminate the concerns about sexual intercourse, but to fuel it even more. Afterwards, the exercises for getting to know the client’s body and the homework that the couple should do together in the following stages are started. Treatment approaches applied by sexual therapists show 100% success in vaginismus. On the contrary, methods such as hymen removal, stunning, tying hands and arms, alcohol use, and drug use do not eliminate vaginismus. These methods cause vaginismus to become more traumatic.

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