What is Vaginismus? What Does Vaginismus Mean?

In Turkey, it is the most common sexual problem among women who apply to sexual treatment centers, psychologists and sexual therapists. It is much more common in our country than the official rates in western countries. Vaginismus is the inability or painful/distressing sexual intercourse to occur due to severe pain and recurrent or continuous contractions in the muscles surrounding the outer third of the vagina when sexual intercourse is attempted. This contraction is an involuntary contraction that occurs outside the woman's conscious control. This contraction is accompanied by feelings such as contractions in the whole body, closing of the legs, a feeling of being locked, fear, avoidance of sexual intercourse, and the belief that there will be no entry. Rarely, sexual intercourse occurs, but since the contraction continues, sexual intercourse is painful or distressing.

There is also a type that can be called mild vaginismus. This mild type is active, despite the contraction of the muscles in the vagina, penis penetration can occur, but the woman still feels pain.

What are the symptoms of vaginismus?

Individuals with vaginismus problems have sexual intercourse. Not being able to have intercourse is not the only symptom. Apart from this, there are many problems that people experience. Depending on its intensity, symptoms of vaginismus range from slightly uncomfortable tightness to complete vaginal closure, making sexual intercourse impossible. The symptoms listed below should bring to mind the problem of vaginismus.

What are the symptoms of vaginismus?

• Extremely painful sexual intercourse (Dyspareunism). Painful sexual intercourse)

• Hard movement of the penis inside as a result of contraction during intercourse

• During sexual intercourse, the woman closes her legs or pushes her partner to try to have intercourse. Trying to prevent it

• Inability to insert a tampon, suppository or vaginal tablet into the vagina

• Inability to insert a finger into the vagina

• Not being able to have a gynecological examination, for example, a smear test

• Not being able to touch or look at the vagina

• Vaginal ultrasound inability to penetrate

• Stenosis that causes a slight burning or stinging feeling during sexual intercourse

• The vagina is completely closed and entry is impossible

• Avoiding sex or anything related to sex due to pain and failure

• Sexual reluctance

• Involuntary contraction of the vaginal muscles

This and all kinds of vagina-related conditions cause great difficulties for women with vaginismus and cause vaginal -They avoid all topics related to the vagina, except for penis intercourse. If vaginismus is not treated, it causes greater problems both in physical areas and in sexual life. What are the causes of vaginismus?

• Vaginismus, which is known to be psychological at an average rate of 90%, can be due to gynecological diseases or anatomical organic reasons in the remaining proportion.

• On average, 90% of the vaginismus problem is due to some psychological reasons. Women experiencing vaginismus experience muscle contractions that they cannot control.

• The intensity of these contractions may be different in each woman.

• Sexual myths or superstitions play a leading role in vaginismus. These myths; It creates false or exaggerated information about sexuality, hymen and the first night. Among sexual myths, false and exaggerated thoughts and sensations, such as excessive pain and bleeding on the first night, are primarily included.

• A woman's upbringing regarding sexuality, virginity and hymen.  Exaggerated or harsh attitudes cause an exaggerated attribution in the woman. This opens the doors to vaginismus.

• Some previously experienced negative traumas related to sexuality; Harassment, rape and sexual abuse are also causes of vaginismus.

• Previous negative gynecological examination or surgical interventions; Especially previous experiences such as being hurt or afraid after a harsh gynecological examination, abortion or birth can cause sexual function problems and vaginismus.

• In many women, this occurs. Vaginismus problem may occur even though there are no such reasons. unexplained It is known as vaginismus.

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Who gets vaginismus?

Vaginismus are disorders involving pain and sex. The feeling of pain and suffering harms sexual intercourse and sex, reaching levels where intercourse cannot be experienced. It is most common between the ages of 18-24. Vaginismus problem is a problem in which social, cultural, psychological and physiological reasons complement and integrate each other. It is more common in women who were exposed to sexual abuse and trauma in childhood. Lack of sexual education, negative attitudes about sexuality, and the circulation of horrific stories are social factors that affect vaginismus. Relationship problems experienced by the couple can also cause vaginismus. It has been determined that vaginismus is more common in women who are in negative relationships. Vaginismus is the most common sexual dysfunction problem in our country, and our social structure increases the frequency of vaginismus. Some influences in our culture, such as sexual values, the meaning of sexuality, and the definition of sexual intercourse, play an important role in this high incidence rate. Lack of sexual education in our culture, women not knowing their own sexual organs, exaggerated importance given to the concept of virginity, sexual experience not developing gradually but starting directly with sexual intercourse, taboos in the understanding of sexuality and myths about sexuality are among the reasons why vaginismus is more common in our culture. Vaginismus is a problem that can be seen in every segment of society. It is not correct to attribute the formation of vaginismus to a single factor. Many factors coexist in this problem. In general, vaginismus occurs due to psychological reasons arising from the person's personality structure and subconscious. The problem of most people with vaginismus has a psychological origin.

• The way they were raised by their family (oppressive, restrictive and conservative upbringing)

• Disrupted and problematic family relationships

• Incorrect or incomplete sexual information

• Traumatic sexual experiences in the past

• Sexually self Lack of trust in one's partner

• Relationship disorder between spouses

• Sexual dysfunction in the partner

• Repeated negative experiences

• Depression and anxiety

• Low self-perception

In summary, vaginismus is common in societies with a dominant and protective family structure, where the hymen is valuable and must be protected until marriage, and where strict moral rules apply. Vaginismus is likely to develop in virgin women who were raised with the idea that sexuality is shameful and sinful, who were misinformed and exaggerated about the first night, who do not even know the location of their sexual organs, who are afraid of touching and who feel uncomfortable.

What is the fear of the first night?

What is the fear of the first night?

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First night fear is caused by lack of sexual knowledge, misinformation or exaggerated smell. Although it is more common in women, men also experience this fear or anxiety. The source of the fear felt by women is the worry that there will be too much bleeding or "what if there is no bleeding", the thought that the penis will not be able to enter the vagina, and the fear that it will hurt a lot if it does. covers. Due to the exaggerated importance attached to the hymen and virginity in our society, it can be seen that while it is a balanced excitement that a woman should experience, it goes as far as a fear that she cannot control.

The woman both wants bleeding to happen, knowing that there must be bleeding, and actually internally because she is afraid. He doesn't want to. This serious dilemma that the woman experiences turns into a fear that she cannot cope with. The thoughts that harden this fear are fed by emotions filled with exaggerated, false expressions and information such as "the hymen will burst", "it will bleed", "blood will flow". This situation that the woman experiences gradually becomes stronger and settles in her mind as she progresses from childhood to adolescence, from adolescence to womanhood.

The pressure on the couple, who are already tired and exhausted, increases even more with the compulsion that the first night or wedding night should be the same night as the wedding. In this case, the pleasure that the couple should experience can almost turn into torture.

Truth The thing is, after all, he shouldn't have to double that night. The couple can sleep hugging each other. It is a healthy situation that they should have a more comfortable or stress-free sexual intercourse experience without experiencing that fear when they get rid of their tiredness and are physically and psychologically ready.

The couple should decide together what and when they will experience. In the end, what is important is that men and women get used to each other. After resting that night, everything will be more enjoyable the next day or in the following days when both of the couple are ready.

Can vaginismus be noticed before sexual intercourse?

Vaginismus can be noticed before marriage or before having the first sexual experience. A person's perspective on sexuality can provide preliminary information. In other words, their expressions and attitudes regarding their fears, concerns, and prejudices can give a lot of information about the person's point of view.

• Before sexual intercourse, one can make foreplay, but do not push his partner or hold back with involuntary movements and contractions. It shows withdrawal behavior.

• He does not allow intercourse, thinking that he will bleed a lot and feel a lot of pain when sexual intercourse occurs.

• He avoids sexual intercourse. He is so afraid that even foreplay does not occur.

• Every sexual intercourse situation turns into an "attempt to have sexual intercourse".

• Although he desires to have intercourse with his wife, he constantly postpones it, finds excuses, and avoids sexual intercourse.

• Sexual intercourse may remain in the form of only a small part of the penis entering and cannot go any further.

• He is very afraid of vaginal gynecological examination and cannot be examined.

• In some cases, he can be examined even if it is difficult, but in the case of sexual intercourse, the contraction becomes exaggerated and involuntary.

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• She may not be able to fully engage in sexual intercourse, she may become pregnant through external ejaculation, or even give birth.

• There is sexual desire, although she desires to have intercourse with her partner. , cannot have intercourse.

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What can spouses do in case of vaginismus?

In vaginismus, the behavior and approach of the partner is very important. A man can understand his wife's situation and help her better.

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