Vaginismus is a pathological symptom that describes the inability to have sexual intercourse or its being quite painful as a result of involuntary contractions of the vaginal muscles.
vaginismus treatment ankara The reason for this situation is usually subconscious fears due to being raised with taboos about sexuality in closed societies. . However, it is a situation that can be seen not only in closed societies but also in western societies.
Moreover, it can be found in all segments of society, regardless of intellectual level and age. However, the incidence is approximately 10 times higher in closed societies.
The important thing is to diagnose the patient and start treatment by experts as soon as possible before this condition becomes chronic. Otherwise, it may cause serious family problems. In fact, once the diagnosis is made, treatment is possible very simply.
Before starting vaginismus treatment, it is important to inform the patient about the anatomy of the genital area. The vagina is a flexible tube-shaped structure located in the continuation of the circular space in the middle of the outer lips. Apart from sexual intercourse, it is the anatomical structure where the urinary tract opens, menstrual bleeding occurs and birth takes place. The most important muscle around the vagina is the PC (pubococcygeus) muscle. These muscles, which especially control the outer part of the vaginal canal, contract involuntarily in vaginismus patients, making sexual intercourse impossible. They bring it. Many patients and their partners describe this situation as if there was a wall at the entrance of the vagina. Meanwhile, many patients develop a panic attack-like situation due to extreme anxiety.
The aim of pelvic treatment is to overcome the contraction in these muscles through various methods and thus make sexual intercourse possible.
There are generally two methods of treatment:
1.Classical treatment:
With the method called finger exercises (in vivo desensitization), starting from the little finger, gradually inserting the finger into the vagina every week. It is intended to be removed and to continue the treatment with the participation of the partner after two fingers can be removed. In this way, the person is enabled to discover himself and it is possible for him to master his vaginal muscles. This treatment usually takes a long time. It is preferred by some patients for this reason. He may not die.
2.Cognitive Behavioral Treatment methods:
Other vaginismus exercises are used to relax the muscles in the office and with homework. The methods used can be summarized as: Examining the genital area with a mirror, Massage exercises, Vaginal dilator (bougie) exercises, Kegel exercises.
a. Examining the genital area with a mirror:
A person tends to be afraid of what he does not know. Knowing the genital area well and its anatomy is very important at the beginning of treatment.
b. Massage exercises:
Getting to know one's own organs and exploring pleasure areas provides psychological relief. Touching the vulva, which is difficult at first, allows the person to focus on pleasure in this area as you get used to it over time.
c. Vaginal dilator exercises:
It is aimed to loosen the vagina with the help of bougies (rods) used gradually. It can be applied with the help of a therapist.
d. Kegel exercises:
These are exercises aimed at strengthening and controlling the pelvic area muscles. It is effective not only in the treatment of vaginismus but also in urinary or fecal incontinence problems.
vulvar It is also recommended for patients who have sexual reluctance and orgasm problems. It is effective when combined with other treatment methods. If cognitive behavioral treatment methods are used, the treatment duration varies between 2-5 days on average. After vaginismus treatments performed with scientific methods, the improvement is permanent.
Other than these, recommended treatment methods should not be trusted.
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