Vaginismus is the inability to have sexual intercourse due to repetitive or continuous contractions in the muscles surrounding the outer third of the vagina and constant pain when sexual intercourse is attempted, or it is painful/distressing. This contraction is involuntary, that is, it is a contraction that occurs outside the woman's conscious control. This contraction is accompanied by contractions in the whole body, closing of the legs, a virtual locking, fear, avoidance of sexual intercourse, and the belief that there will be no entry. In its less common or partially resolved form, sexual intercourse occurs, but since the contraction continues, sexual intercourse is painful or distressing. It develops after gynecological examination, difficult births or similar experiences. Vaginismus is the most common problem in women applying to sexual treatment centers in our country. It is more common in our country than the rates reported in western countries. It can be said that lack of sexual education, conservative value judgments related to sexuality, the frequency of sexual myths, women's lack of recognition of their own genitals, the importance given to the concept of virginity, the fact that sexual experience in women in our society does not develop gradually but begins directly with sexual intercourse, and the taboos in our general understanding of sexuality play a role in this. It has been reported to be 6% in studies conducted in society.
CAUSES OF VAGINISMUS
The causes of vaginismus are 90% likely due to psychological concerns. Organic (i.e. structural) causes play a role in 10%. Therefore, a gynecological examination before starting the correct treatment is of great importance.
Psychological causes of vaginismus:
Psychological causes of vaginismus: strong>
– Messages and fears from childhood about the protection of the hymen,
-Excessive development of internal discipline, protective family order,
-Sexual traumas (abuse , rape, incest, physical violence, sexual abuse, being disgusted by watching pornographic movies, witnessing parents' sexual intercourse, etc.),
-Those who are afraid of getting pregnant (Abortion or birth is a nightmare for them),
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-Living in an extremely rigid social order, strict moral rules and taboos,
-Equating sexuality with concepts such as guilt, shame and sin,
-One of the parents being oppressive (authoritarian) approach,
-Incorrect, exaggerated and incomplete information and prejudices about the first night (thoughts that there will be a lot of pain, suffering or bleeding in the first night),
-Sexual intercourse Fear of being locked up and humiliated during pregnancy,
-There is the thought that the vagina is narrower and smaller than normal, the penis is thicker and larger than normal, and that it is impossible for the penis to enter.
-Those who have never had a vaginismus problem before. Vaginismus may also develop as a result of bad experiences (birth, miscarriage, abortion, a rude gynecological examination, etc.).
Sometimes, couples' lack of knowledge about sexuality, false beliefs and prejudices about the first intercourse, accompanied by fear and anxiety. It may cause vaginismus by causing panic.
Some women may not have any of the reasons listed above. (“Vaginismus of unknown or undetermined cause”)
In order to overcome these incorrect subconscious fears, appropriate psychological support should be provided to inform women and men, to relax them, and to create a spiritual environment that will calm excitement and fears.
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