Vaginismus is a fear of sexual intercourse that is mostly psychologically based, in a sense, it is the vagina's resentment of sexuality.
If we look at the scientific explanation, vaginismus is a repetitive, repetitive and voluntary disorder in the outer one-third of the vaginal entrance, in the muscles surrounding the vaginal wall. It is a sexual intercourse disorder in which extraneous contractions occur. The woman cannot have sexual intercourse due to involuntary contraction of the muscles surrounding the vagina. This situation is one of the reasons why marriages cannot be completed because there is a belief that marriage is completed with sexual intercourse.
While in some women, it can be seen as the penis not being able to enter the vagina, in most of them, it may occur as the penis, finger or tampon not being able to enter the vagina. This situation can prevent not only sexual intercourse but also gynecological examination.
There are two basic fears in vaginismus cases.
The first of these is that nothing can enter the vagina,
The second is Even if something enters the vagina, nothing else can enter the vagina.
Most women experiencing vaginismus do not have any abnormalities in their genital areas. While it generally occurs during the first intercourse experience, it can rarely be seen in women who have intercourse experience.
A woman experiencing vaginismus generally experiences pain when sexual intercourse is attempted and therefore feels intense fear. This expectation turns into a conditioned behavior and causes the vaginal muscles to contract uncontrollably and involuntarily.
In fact, seeing this situation as a tendency to avoid sexuality shows that it is misunderstood. Women experiencing vaginismus can enjoy making love when they do not have sexual intercourse anxiety. While they can continue with pleasure until the possibility of sexual intercourse arises, when the moment of sexual intercourse comes, they may contract uncontrollably and throw their partner off of them. In other words, vaginismus is not a sexual desire disorder, but a fear of sexual intercourse.
In vaginismus, women experience panic attack-like reactions during sexual intercourse attempts. Situations such as intense anxiety, involuntary reactions and loss of control are experienced. As a result, the woman throws her partner off and contractions occur in the vagina. lir.
This is how the event occurs. If we need to look at its effects, we can evaluate this separately for men and women.
For women, shame, guilt, not being enough for their spouse, failure, thinking that they cannot fulfill their most basic duty and as a result worthlessness, anger, thinking that they will not succeed, that is, hopelessness, alienation from their spouse, imagination. disappointment, thinking that he will lose his partner, and other depressive symptoms are observed.
For men, not being able to make sense of the event, blaming himself, helplessness, thinking that he is rejected, and as a result, humiliation and worthlessness, anger and alienation are observed.
A There is also a family factor. Virginity rituals and expectations, which were common in the past and continue even though they reduce their effect, increase the tension in individuals with vaginismus problems.
Causes of Vaginismus
If we examine the causes of vaginismus, this is an example. We can group it under two separate headings: physical and psychological reasons.
1.Psychological Reasons
a.False and Exaggerated Information. and First Night Stories
Sexuality still remains taboo in underdeveloped and developing societies. Although this situation has shown some changes from past to present, it remains a taboo in many places in our country.
Since the concept of sexuality is such a taboo, sexual education is given to young people. For this reason, young people who have started to discover their sexual identity are trying to learn this area from their friends. They are forced to engage in sexual life with false, inaccurate, insufficient and exaggerated information arising from close friends and the legends around them.
The fact that girls, in particular, are exposed to these prohibitions and are constantly kept away from sexuality, enables them to engage in sexual life with false and exaggerated information. Many myths are created to ban sexuality for girls. Some of the biggest myths are that they will experience unbearably severe and terrible pain while losing their virginity membrane, that they will bleed so much that they even require medical intervention, that it will cause disintegration in the penis entering the vagina, and that they will be locked during sexual intercourse. Girls from their early childhood years They are raised with these discourses and are constantly warned to cover their skirts and legs. It should not be surprising that a young girl who grew up under these conditions cannot reveal her skirt and legs to her husband when she gets married.
b.Sexual harassment(s) or rape(s) in the past
c.Fear of giving birth and becoming pregnant
d.Depression
e.Personality disorders
f.Social phobia
g.Oedipal conflict
h.Arousal problems
i.Inability to accept the feminine role
j.Gender identity problems
k.Other psychological problems
l.Feeling of distrust towards the spouse
m.Abandonment fear of rejection and commitment
n.Unsuitable marriages
2.Physical Reasons
a. Drug Use
b. Vaginal Infections
c. Wrong surgical operations
d. Difficult births and damaged vagina
e.Reproductive system diseases
f.Cyst formation
g.Using drugs etc.
Vaginismus Treatment
Before starting vaginismus treatment, medical It is necessary to have it checked whether there is a problem, and if there is a medical problem, it is necessary to wait for it to disappear.
Although there are different treatment methods for vaginismus (surgical operations, local anesthesia, inappropriate forced intercourse, etc.), the most appropriate one is to treat vaginal sexual intercourse. The healthiest way to make peace is sexual therapy. All other methods listed are only for the first penis-vagina intercourse. It will not be possible to have a quality sexual life afterwards.
10-12 s with sexual therapy Success can be achieved in such a short time as eans.
The first step is for the couples not to see this as the woman's problem, but to accept that this problem is the problem of both of them.
The work begins after this stage.
The first duty of a man here is to be patient. If he wants a healthy sexual life, he has to postpone his attempts at penis-vagina intercourse for a while and support his wife in exercises.
Since only penis-vagina intercourse comes to mind when sexuality is mentioned, postponement can cause some difficulty. Sexuality is not just about the penis-vagina relationship, and when the study is over, a pleasant sexual life will be waiting for them throughout their lives.
During the study, which lasts 10-12 sessions, there are some behavioral tasks that the spouses will do together at home and only the woman will do, and these assignments will be completed. It is expected.
Along with the homework, the problems underlying vaginismus will be worked on and family therapy will be given to this couple in order to become a family.
As I mentioned above, if the spouses do their part, a pleasant sexual life will be waiting for them.
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