Involuntary contractions during sexual intercourse and accordingly; Vaginismus, which we can define as a problem that manifests itself in the form of not being able to have sexual intercourse or feeling pain or discomfort during sexual intercourse, often occurs due to psychological reasons.
Do not let vaginismus turn your relationship into a nightmare!
Because this contraction is severe, it makes sexual intercourse impossible and can cause chain problems in marriages.
Among the psychological reasons, the perception of sexuality and virginity in society, inadequacy in sexual information, inexperience and taboos come to the fore. Denigration of sexuality, excessive meaning attached to the hymen, feeling pain at the first attempt or hearing it this way, a family that shames sexuality, not loving one's spouse, miscommunication, religious and moral dogmas also play an important role in the emergence of the problem.
HOW IS VAGINISMUS? DOES IT HAPPEN?
The situation that triggers vaginismus, which is based on fear of physical pain and associating sexuality with this pain, may be a past experience or the expectation of a pain that has never been experienced. Despite this, most of the time women do not have problems with arousal. Wetting of the vagina, called vaginal lubrication, may also occur and clitoral orgasm may also occur. However, the contracted muscles around the vagina do not allow intercourse.
This situation may cause thoughts of inadequacy, as well as avoidance of sexual intercourse and even the inability to become aroused after a while. The diagnosis of this disorder, which can cause a process between spouses that may lead to the end of the marriage, can only be made after a pelvic examination.
HOW SHOULD VAGINISMUS BE TREATMENT?
First of all, it is necessary to undergo a gynecological examination. If this situation occurs due to an organic reason, the physician informs the patient for the necessary treatment. If it is not due to an organic cause, then it would be beneficial to see a mental health specialist to evaluate the psychological aspect of the incident. Treatment generally takes two stages.
In the first stage, the necessary treatment methods are applied to eliminate phobic avoidance. These may be cognitive therapy, psychodynamic therapy, EMDR, hypnotherapy or medication. The second stage is expansion exercises, which is a behavioral method. These exercises are explained to the patient. It is given as homework for practice at home. During treatment, the treatment is discussed with the couple, but it can also be discussed individually if necessary.
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