Vaginismus is a condition in which the perineal muscles contract, causing intercourse to be painful. False beliefs about sexuality settled in the subconscious, fears about the penis, birth, motherhood, etc., past traumas and rarely structural problems cause vaginismus.
Vaginismus is not a disease and is a hundred percent solvable condition. First of all, the woman must accept this situation and see a specialist without wasting time. As time progresses, problems will increase and time will be needed to solve them. In some cases, if the time to consult a specialist is prolonged, problems such as premature ejaculation, erectile dysfunction, and sexual reluctance may be added to the table. Spouses also need to be aware that this situation can be overcome. In addition, spouses may need to participate in the treatment in line with the recommendation of the specialist.
Women with vaginismus generally state that this situation they experience is 'strange' and that they blame themselves for not being able to do something that other women can easily do. The patient waiting shown by the spouses makes the woman feel even more guilty. Sometimes women are subjected to coercion by their husbands and even relatives. Child pressure often adds to these problems. Some women see a specialist when they want to have a child because they perceive that everything is fine in their marriages that have continued without a relationship for years. When you are on the verge of divorce, the process becomes one of its most harrowing.
The woman with vaginismus must first be removed from her false belief patterns and her awareness of femininity and body awareness must be increased. It is important to teach correct breathing techniques and general body relaxation exercises. Thus, the woman mentally provides a controlled relaxation of the vaginal muscles from the inside. The location, structure, functions of the pelvic floor muscles and how to control these muscles are also important issues. Pelvic floor exercises and perineal exercises play an important role in overcoming the vaginismus problem. A woman who learns to control and consciously relax her pelvic floor muscles can easily carry this experience into the relationship. She rediscovers the meaning of marriage and being a woman.
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