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Vaginismus Treatment

Vaginismus is a condition that generally prevents women from vaginal penetration in the form of having sexual intercourse, internal exams and tampon insertions without experiencing excessive pain. The cause is an involuntary spasm in the vaginal muscles that occurs when any kind of object tries to gain entry into the vagina. To learn about vaginismus and the available treatments for this condition, take a look below at the questions that have been answered by the Experts.

What causes severe pain in the vagina at the time of penetration during intercourse?

Generally, when a woman experiences severe vaginal pain during penetration it could be caused by vaginismus. Vaginismus is a condition that prevents or hinders a woman's ability to have penetrative sex, use tampons or have normal pelvic exams in a doctor's office.

Vaginismus is a spasmodic reflex of the pubococcygeus muscle which causes the vaginal muscles to suddenly seize up making penetration nearly impossible. A woman affected by this condition generally has no control over the spasms. A common explanation of the reflex can be associated with the reaction of the eye closing when something unexpectedly approaches. Every woman affected with vaginismus generally has varying degrees of severity.

There are different forms of treatment available such as sensate focus exercises, feeling the insides of a woman’s vagina very carefully by touching them and using vaginal dilators which gently and gradually stretch the vaginal canal. A recent introduction of Botox as a treatment for vaginismus appears to be a promising treatment. Satisfactory intercourse was achieved by 75% of the people who tested Botox with only 17% of the participants experiencing pain during intercourse.

In most cases, with women who are affected with vaginismus, sexual intercourse/penetration will be a painful experience until the problem is resolved. In this situation, a woman may avoid penetration while exploring other sexual activities.

What can cause pain during penetration of the vagina during sex?

It is possible that vaginismus may be the cause of the pain during penetration of the vagina. Vaginismus occurs when an involuntary reaction of the vaginal muscles causes them to contract upon initial attempts of penetration. There are a number of strategies that can be used to relieve this condition. These strategies include: Education about vaginismus and how to train the vaginal muscles to relax during intercourse; vaginal dilators that gradually stretch the vaginal canal in order to allow penile entry as well as sessions with a sex therapist and a pelvic floor physical therapist.

What is the best treatment for vaginismus?

Generally, one of the best forms of treatment for vaginismus is to work with a physical therapist who can train the woman on how to exercise muscles in the pelvic floor and how to manage the pain associated with vaginismus. These therapists are more specialized in working with conditions like this and can be found in the larger cities.

How long does it take to get over vaginismus?

Case details: Had a hysterectomy, used to take Estrace Cream for vaginal dryness. Experienced pain during penetration even before the surgery. Now the pain has increased with even minimal penetration.

It is possible that in this situation the woman has vulvodynia as well as vaginismus. Vaginismus is an involuntary spasm of the vaginal muscles when a woman attempts to have sexual intercourse. These spasms usually cause excessive pain and make sexual intercourse very undesirable. In many cases, when a woman does not find herself getting better after treating the vaginismus, vulvodynia could be the cause. A good gynecologist can help diagnose this condition properly and treat it perhaps with estrogen or other medication. Basically, if a woman has both conditions, the vaginismus may not be cured until the vulvodynia issue is addressed.

Vaginismus is a painful condition that affects a woman's ability to have sexual intercourse. Many issues and questions arise when dealing with vaginismus. If you have any questions or concerns regarding vaginismus, ask an Expert for medical clarity and suggestions for proper treatment based on your individual case.

Ask an OB GYN Doctor

Dr. C.
Dr. C., Board Certified
Category: General
Satisfied Customers: 1647
Experience:  29 years of experience and an award-winning educator.
54412793
Type Your OB GYN Question Here...
characters left:
OB GYN Doctors are Online Now

How JustAnswer Works:

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    Rate the answer you receive.

OB GYN Doctors are online & ready to help you now

Dr. C.
Board Certified
Satisfied Customers: 1618
28 years of experience and an award-winning educator.
Monika Hearne, M.D.
Board Certified OB/GYN
Satisfied Customers: 5745
With experience and compassion, I treat my patients like family.
Dr. Charles
OB/GYN (Doctor)
Satisfied Customers: 140
Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.

Recent Vaginismus Questions

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    I'm really paranoid that I could be pregnant again . I had my daughter 6 months ago and I'm on the mini pill now . My husband and I always use a condom and insertable spermicide too. The reason I'm scared I migt be pregnant is because a few times my husband has taken his condom off and we've had anal sex . I'm scared some perm might have gotten in my baginal and gotten me pregnant .
  • Hi I'm Wendy. I was hospitalized 2 weeks ago for seizures.

    Hi I'm Wendy. I was hospitalized 2 weeks ago for seizures. They found I also had a bladder infection. They put me on Levaquin for 10 days of which I'm now finished (2 days ago). I've had external vaginal itching for 10 days (started after I was released from hospital). Vagisil isn't working. Gone through almost a whole tube! Any advice would really be appreciated at this point.
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    Is it possible for a man to have gonorreha for years withhout knowing and without passing it onto another? My wife has tested positive - she thinks I'm cheating. I had a very active sex life before we got married and I haven't cheated. I really don't think she has either - she was pretty upset and shes not that good of an actor. And she has never acted like she was cheating.
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