Vaginismus and Hymen
Hymen is known as 'hymen' in medicine. To understand whether vaginismus has anything to do with the hymen structure, it is necessary to know the hymen structure and hymen types.
Where is the hymen? The hymen is located right at the entrance of the vagina. It consists of a thin and often elastic skin fold of 1.5 – 2 mm in size. There is a hole in the middle. Menstrual blood flows out of this hole. Very rarely, as a result of congenital defects such as not having a hole in the middle, when the person reaches puberty, he consults a physician with complaints of amenorrhea and abdominal pain (imperforated hymen), and in this case, the membrane is opened with a surgical procedure.
What is the structure of the hymen? The structure of the hymen is mostly elastic, but sometimes it can be (hard). Although it is usually round (ring) in shape, there can also be types with a web in the middle, a thin hole and a half-moon shape with high edges. Vaginismus is the state in which a woman tenses herself with anxiety when the moment of intercourse comes to intercourse and prevents sexual intercourse. Most of the time the situation is purely psychological; As you reduce fear and anxiety, the problem is easily solved. However, in rare cases, congenital defects related to the hymen (webbed hymen, hard hymen, sieve-shaped or crescent hymen) may cause vaginismus problems. The hymen puts pressure on the penis during sexual intercourse and may not allow intercourse due to the effect of contraction.
How can hymen problems be diagnosed in vaginismus? A gynecological examination by an experienced gynecologist is mandatory in the first session of a woman suffering from vaginismus. If there is a congenital defect related to the hymen during the gynecological examination, this can be easily determined after a visual examination of 10-15 seconds.
If vaginismus is accompanied by a hymen defect… In this case, removal of the hymen by surgical procedure (hymenectomy) or an incision in the hymen hymenotomy operations are essential.
Hymen surgeries are not always necessary in vaginismus... is taken from unnecessarily. Unless there is a problem with the hymen, surgical removal of the hymen will not solve the problem and will make the solution even more difficult. It makes the treatment process even more complicated
In summary; Vaginismus is usually not a hymen or vagina problem and the source of the problem is usually psychological.
It is the inability to have sexual intercourse due to reflex contractions that occur after an anxiety disorder that develops due to the traditional upbringing style and the exaggerated messages about the first sexual experience heard from a young age. .
Surgical procedures can be performed in women who cannot have sexual intercourse if there are anatomical obstacles related to the hymen. Sexual therapy should usually be performed after this surgical procedure. As a matter of fact, physical obstacles can cause psychological problems over time.
Although there is no problem with the hymen in vaginismus patients, unnecessary removal or cutting of the hymen will not solve the problem.
Vaginismus and Clitoris
strong>The clitoris is a structure that has an important role in sexual pleasure. Vaginismus patients can have clitoral orgasm with external stimulation without sexual intercourse. They can achieve orgasm by their partners or by stimulating the clitoris themselves.
The main purpose of sexuality is to get pleasure and enjoyment. The common feature of many women who have vaginismus problems is that they do not know their own bodies well enough. Most of them have never looked at or touched their own genitals in a mirror in their lives. There are patients who are afraid or even disgusted when they look at their genital organs with a hand mirror.
Women who have vaginismus problems must look at their own genital organs with a mirror, explore the clitoris and other pleasure areas through masturbation, that is, they must know their own body. Such practices are extremely difficult and troublesome for women who were raised with extreme taboos.
Correcting the mistakes in upbringing, providing accurate sexual information, and correcting misinformation about the clitoris, hymen and sexuality are the first steps in the treatment of vaginismus patients.
What is the anatomical structure and function of the clitoris?
Clitoris; It is the main organ that provides sexual pleasure and orgasm in women, with the head visible from the outside at the point where both small (inner) lips meet at the top, the body embedded in the tissue, and the leg parts extending in both directions. During sexual intercourse, the clitoris swells and expands with blood, just like the man's penis, and it receives blood from here. The orgasm function occurs when the stimulus is carried to the brain. Having a quality orgasm is extremely important for satisfaction in sexual intercourse.
How many types of orgasm are there in women?
Clitoral orgasm:
strong> Some women can experience orgasm by external friction with clitoris stimulation. Friction generally occurs with the hand, penis, a foreign object or the partner's body.Vaginal orgasm: In fewer women, both external friction occurs. They can have orgasm through both the penis and the vagina, that is, during intercourse.
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Is vaginismus a vaginal problem?
Is vaginismus a vaginal problem, does the name vaginismus come from the vagina? Questions may come to your mind. In fact, many patients pronounce the word "vaginamus" incorrectly instead of vaginismus. Vaginismus is a problem of inability to have sexual intercourse that develops due to involuntary contractions during sexual intercourse. In general, contractions can occur throughout the body or are generally located in the lower 1/3 of the vagina. Intercourse cannot occur in this way.
What kind of organ is the vagina?The vagina is an organ that is between 8 and 10 cm long, has the capacity to expand transversely and longitudinally, and consists of connective and muscle tissues. It is a transition zone where sexual intercourse and birth occur. At the same time, the menstrual blood coming out of the uterus is carried out through the vagina. The jagged structure inside the vagina increases the pleasure of intercourse and causes the tissue to stretch (ruga vagina). Although the word vaginismus evokes the vagina; Actually, vaginismus is not a problem with the vagina. The problem is involuntary vaginal muscle contraction due to anxiety and the inability to have sexual intercourse. The areas in the vagina where pleasure is experienced most intensely are the entrance. part. As you go deeper, the pleasure decreases. The vagina is closed by the cervix in its deepest part, and the four deepest parts end with blind pockets (fornix vagina).
Vagina stenosis and vaginismus
Those who have vaginismus problems Many patients have the idea that their vagina is narrow. Vaginal stenosis is very rare in gynecological examinations, negating such concerns.
Can congenital vaginal problems cause vaginismus?
Congenitally narrow vagina. (mullerian agenesis), compartments in the vagina (vaginal "septums"), formations that occupy space in the vagina (cysts, myomas born inside the vagina, genital giant condylomas) can cause vaginismus. However, such situations are observed in less than 1% of all vaginismus patients. Vaginismus is generally not a vagina problem. Vaginismus is often an anxiety problem due to negative sexual messages received in the past, rather than a vagina or hymen problem. Therefore, a simple gynecological examination performed in the first session of vaginismus patients is a definitive diagnosis.
What if vaginismus is due to congenital problems with the vagina?The gynecological examination performed in the first session of vaginismus patients If there is a congenital problem with the vagina, surgical methods are preferred.
If there is vaginal stenosis that may cause vaginismus, surgical procedures such as enlargement surgeries, and if there are intermediate compartments called "septum" in the vagina, surgically cutting and removing them are preferred.
If the vaginismus problem is due to congenital problems with the hymen and vagina, it can be solved with simple surgical procedures. However, it should be known that unnecessary surgeries will not solve the problem.
Vaginismus and PC Muscle
Many vaginismus patients tighten their vaginal muscles during sexual intercourse. It is very tight and does not allow access to the entrance. Involuntarily contracting pelvic floor muscles prevent intercourse. The largest pelvic muscle that prevents intercourse by contracting during sexual intercourse is the PC muscle, known as the 'pubococcygeus muscle'.
When the PC muscle contracts involuntarily, the vagina 'turns into a wall of flesh' and sexual intercourse becomes impossible. Where is the PC muscle? The pelvis is called "pelvis" in medicine. The uterus, tubes, the last parts of the large intestine and the bladder located in the pelvis are known as "pelvic organs". There are many muscle groups within the vagina and pelvis, the best known of which is the "PC muscle".
PC muscle is used as the abbreviation of "Pubococcygeus muscle" (Pubococcygeus muscle).
PC muscle is the most important muscle group among the pelvic muscles during sexual intercourse. Other pelvic muscles include the bulbospongiosus muscle, transverse perineal muscles, and bulbocavernosus muscle. Why does the PC muscle get out of control? Normally, the PC muscle is under our own control, that is, it is a muscle that we can contract and relax at our own will. As a matter of fact, we contract the PC muscle (that is, we hold ourselves back) while reaching the toilet when we need to urinate, and we relax it while urinating. In people with vaginismus problems, the PC muscle contracts uncontrollably (on its own) when the moment of sexual intercourse comes. This is because the subconscious comes into play. Just as our eyelid reflexively contracts and protects our eyes against a foreign object coming towards the face, the vaginal muscles in vaginismus patients contract in a similar way when the moment of intercourse comes, preventing sexual penetration (intercourse). They contract and thus do not allow intercourse. In fact, these contractions are often not limited to the pelvic muscles, but can spread to the groin, abdomen, leg, eye, back, toes and facial muscles. In fact, the severity of the contractions is related to the size of the vaginismus problem.
How does the male partner feel the contractions in the vaginal muscle?
Involuntary contractions are caused by the male partner "putting himself against the wall" during intercourse. It creates a feeling of impact. It creates the feeling that there is a "flesh wall" at the entrance of the vagina and the penis is touching it. Uncontrolled vaginal contractions in vaginismus patients can be eliminated by "muscle memory" that is re-created during vaginismus treatment. Thanks to the re-established muscle memory, the PC muscle will
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