Vaginismus is the presence of recurring, continuous involuntary contractions in the muscles surrounding the outer third of the vagina. These contractions are accompanied by fear of pain and anxiety during sexual intercourse. In addition, it may be accompanied by contractions in various parts of the body, or even throughout the body, closing of the legs, tremors, palpitations, sweating, nausea, vomiting, feeling sick and crying. These intense contractions in the vagina do not allow sexual intercourse. In some women, penetration may be forced, but intercourse remains very painful. Many women experience this situation willingly
Women generally realize that they have vaginismus on their first attempt at sexual intercourse. Less commonly, it occurs after a negative sexual experience with a partner, sexual harassment, birth, miscarriage, curettage, gynecological examinations and operations that are unpleasant for the patient.
Vaginismus is due to the socio-economic and cultural characteristics of our country compared to other western countries. is seen more frequently. Seeking a doctor is when intercourse is not fully experienced rather than when intercourse is painful. It has been determined that in a large part of the society, they describe fear, pain and avoidance behavior at the first attempt at intercourse, and sexual intercourse does not occur.
Sexual education is given appropriately, sexuality can be discussed, sexuality is not considered a taboo from childhood onwards, and women's sexuality is also valued. Vaginismus is less common in societies where Most women with vaginismus do not have sufficient information about the structure of their sexual organs. They have the wrong belief that the male genital organ will hurt and cause a lot of damage. Even changing the definitions can be effective in learning and treatment.
Women with vaginismus do not show any particular differences in terms of age, education, socioeconomic and sociocultural status, rural or urban. The reason for this is that sexual education and information are shaped not by the general education level of the individual, but by the insistence of society and culture.
The only scientifically proven treatment for vaginismus today is sexual therapy. The one that responds best to sexual therapy is sexual dysfunction. Nearly 100% improvement with appropriate sexual therapy Couples are taken to sexual therapy together. Men see this as a disease of the woman only. This therapy is done as couples therapy. Sometimes they may think that the situation may be related to their own inadequacies, and due to anxiety, sexual reluctance and erection problems may develop over time. For this reason, a comprehensive sexual life history is first taken. Information about the couple's delayed sexual education is given. While there are mild cases that can be resolved with one or two meetings and counseling, there may also be difficult cases that require long-term treatment. Apart from couple therapy, sometimes long-term individual therapies may be required.
The aim of vaginismus treatment is not to somehow ensure that the penis enters the vagina, but to ensure that the woman does not experience negativities such as contraction, pain, avoidance, fear, and that the couple feels pleasure and satisfaction. This is achieved by overcoming the mental fear of the penis through therapy, not by mechanical methods.
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