Vaginismus has different characteristics due to its nature. For this reason, there are different types. It can occur during the first sexual experience or develop later. In other words, women with sexual experience may also be diagnosed with vaginismus due to certain reasons. We can say the following for vaginismus that occurs during the first sexual experience: It is a condition in which there is a constant involuntary contraction in the outer third of the vagina that prevents intercourse, this is experienced at moderate intensity for the first time, and it is described as painful, which does not allow intercourse. The person has never had a successful sexual intercourse in his life. When we look at vaginismus that develops later, we see the following: A person has had sexual intercourse before, but later encountered a vaginismus problem due to reasons such as miscarriage, birth, tear, abortion, poor examination and severe infection.
There is no sexual trauma from the past. If the vagina is entered with a finger, but the partner still pushes and contracts during intercourse, this condition is called simple vaginismus and is easier to treat. If there is sexual trauma in the past, it means there are many repressed emotions and treatment becomes difficult, this situation is called severe vaginismus.
Dr.Keçe Vaginismus Classification;
Stage 1 Vaginismus: Love during sexual intimacy. There are involuntary contractions in the muscles, and these contractions immediately disappear when the client calms down after sexual intercourse ends. The client is comfortable during the gynecological examination, the client has no trauma in the past, the client can easily check the inside of the vagina with her finger, there is limited penile intercourse and she pushes her partner with her hands.
Stage 2 Vaginismus: There are involuntary contractions in the love muscles, these contractions occur after sexual intercourse is over and It ends immediately when the client calms down. A gynecological examination takes place, but her contractions continue and she is not comfortable. The client does not have any trauma from the past. The client can control the entrance to the vagina with her finger, but cannot control the inside of the vagina. Although he allows limited penis access, he avoids intercourse with excuses.
Stage 3 Vaginismus: There are involuntary contractions during sexual intercourse. These contractions do not go away immediately after intercourse ends and the client calms down. Gynecological examination takes place, but He is not comfortable and the contractions in his hip continue during the examination. The client cannot control the entrance or inside of the vagina with her finger. He has not experienced limited penile penetration, he pushes his partner with his hands during intercourse.
Stage 4 Vaginismus: During sexual intimacy, there are intense contractions in the love muscles and back. This stage includes anxiety, fear, closing of the hips and legs, contraction, resistance to intercourse and manifests itself as withdrawal. Even though the client calms down, this state of fear continues for a while. The gynecological examination takes place, but the client has a lot of difficulty and is not comfortable at all, and has contractions in his hips. The client cannot touch the vaginal entrance or inside the vagina with his finger, he has not experienced limited penile penetration, he pushes his partner with his hands.
Stage 5 Vaginismus: During sexual intimacy, the love muscles, back and whole body muscles contract. Anxiety, fear, disgust and panic emerge. Hips and legs close, pushing his partner. Even though the client feels relieved after sexual intercourse, the contractions do not go away. The client refuses gynecological examination. She can't touch her vagina at all. He pushes his partner with his hands during intercourse.
Different problems in the relationship cause the woman to develop a voluntary fear of experiencing pain, suffering, and burning, and accordingly, not allowing intercourse. The woman allows different things such as tampons but does not allow the penis, this situation is called Situational Vaginismus.
The treatment program is created according to the stage of vaginismus.
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