Vaginismus Questions

How is vaginismus treated?

One of the most curious questions of a person with vaginismus is whether there is a treatment. Psychological factors are very high in vaginismus, which is a psychological distress and where the feeling of fear is intense. Therefore, the treatment method for vaginismus is vaginismus-specific sexual therapy. To date, many physical and psychological practices have been performed for the treatment of vaginismus, but it has been concluded that the most effective is sexual therapy. Another question is whether the therapy or treatment will be successful.

 

Sexual therapy is a psychotherapy method and does not include a physical examination. Since vaginismus is a psychological problem, not a physical one, vaginismus-specific sexual therapy methods are applied for vaginismus treatment. Although the therapy process varies depending on the person and the severity of vaginismus, it consists of approximately 6 - 12 sessions. The reason for this is that the techniques applied progress step by step. In some cases, these steps can be changed according to the person and progress can be made faster or slower. One of the situations encountered is that people diagnose themselves with vaginismus. We would like to mention that; Not everyone who makes this diagnosis may have vaginismus. This problem can be overcome more quickly and easily by providing sexual information and changing false beliefs specific to sexuality.

 

 Vaginismus therapies are short-term and problem-oriented. During the therapy process, it is ensured that vaginismus is perceived not only as a woman's problem but also as a common problem of the couple. The emphasis is on eliminating the couple's perspectives and misconceptions about sexuality and providing correct information instead. Wanting to solve the problem and believing that you can do it is an important step in vaginismus treatment. Therefore, the couple must take responsibility and contribute together. Especially for people who receive positive support from their spouses, the problem can be solved in a short time.

 

One of the question marks of people with vaginismus problem is what they will encounter in the treatment and whether they will be asked to do the things they are afraid of doing. They have a desire to solve the problem. However, fear comes into play at this point as well, and you do not hesitate to proceed with the stages of the treatment process. It results in . However, vaginismus is a problem that is easy to solve. The first step to take to solve vaginismus, also known as a procrastination problem, is to decide on treatment. The person who decides on treatment, his/her spouse and the therapist will work as a team to overcome this problem easily.

 

Can vaginismus patients get pregnant?

 

Vaginismus problem does not prevent pregnancy. Among women with vaginismus, approximately 1 in 10 can become pregnant without sexual intercourse, and they usually give birth by cesarean section. Since sexual intercourse does not occur in vaginismus, pregnancy is not possible in this way as a natural result. There is only a problem in experiencing the sexual intercourse required to become pregnant. A person with vaginismus who becomes pregnant as a result of medical treatments or, in rare cases, through friction, experiences a normal pregnancy.

 

A woman with vaginismus can give birth to a child. However, the problem of vaginismus continues after birth. Vaginismus needs to be treated after birth. Because the psychological effects of vaginismus cause women to experience problems in many areas. The fears and anxieties underlying vaginismus negatively affect their relationships with their spouses and their social lives. It may also cause marital problems in the future. To treat the vaginismus problem, steps must be taken before or after birth.

 

 

What are the symptoms of vaginismus?

 

In individuals with vaginismus problems Not being able to have sexual 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?

 

• The sexual intercourse is extremely intense. being painful (Dyspareunia - Painful sexual intercourse)

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

• Sexual intercourse The woman closes her legs or tries to prevent intercourse by pushing her partner

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

• Not being able to insert a finger

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

• Not being able to touch or look at the vagina

• Inability to undergo vaginal ultrasound

• Stenosis causing a slight burning or stinging sensation 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 women with vaginismus It causes great distress for women and they avoid all vagina-related topics except vagina-penis intercourse. If vaginismus is not treated, it causes greater problems both in physical areas and in sexual life.

Who gets vaginismus?

Vaginismus is a disorder 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. existing in our culture Lack of sexual education, 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.

* Upbringing by the family (Opressive, restrictive and conservative upbringing)   * Disrupted and problematic family relationships  

* Incorrect or incomplete sexual information   

* In the past Traumatic sexual experiences   

* Lack of sexual self-confidence

* Relationship disorder between partners   

* Sexual dysfunction in the partner  

* Repetitive negative experiences

* Depression and anxiety

* Low self-perception

In summary, vaginismus is caused by people with a dominant and protective family structure, where the hymen is valuable and marriageable. It is common in societies where strict moral rules are imposed and which must be protected as much as possible. 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.

 

Can women who have a sexual life experience vaginismus later?

 

In some cases, women may experience vaginismus later on. . One of these is vaginismus that occurs after "dyspareunia". Pain experienced during intercourse; It is defined as “dyspareunia”. However, vaginismus is not “dyspareunia”. It is necessary to distinguish between painful sexual intercourse, that is, "dyspareunia", and vaginismus. This condition usually occurs after birth. After vaginal birth Dyspareunia may develop due to reasons such as hanging stitches and associated scar tissue, vaginal dryness and atrophy due to decreasing estrogen in menopause, vaginal infections, and wounds in the cervix, that is, sexual intercourse may become painful. If dyspareunia is not treated, it may cause vaginismus to develop over time. This may lead to the development of vaginismus later in a woman who has a sexual life.

 

“Sexual frigidity” is another factor. Psychological and physical changes or relational problems experienced after birth may cause women who do not have any problems in their sexual life to later experience sexual frigidity. Sexual frigidity is also colloquially described as frigidity, and sexual problems related to women are generally generalized in this way. However, frigidity and vaginismus are also different from each other. In frigidity, a woman does not enjoy sexual intercourse, is not sexually aroused, and cannot have an orgasm. For this reason, there is no or very little wetting in the vagina. In vaginismus, there is no problem in terms of sexual desire and orgasm. Although actual sexual intercourse does not occur in these people, the woman can be stimulated by alternative means, experience orgasm, and vaginal wetting occurs during sexual desire. Vaginal dryness in women who experience long-term sexual frigidity can make intercourse painful and vaginismus may subsequently occur.

 

Women with vaginismus may experience physical or emotional pain caused by temporary vaginal bruising, tearing due to childbirth, attempting sexual intercourse before healing is complete, or any other temporary pain, including the normal birth process. It may be triggered by shaking. In women who have not been fully treated and who have given birth before the problem is resolved, sexual pain and penetration difficulties that continue for the months and years following birth are encountered. Once triggered, vaginismus causes the body to tighten the pelvic floor when penetration is attempted, making it very difficult to attempt sexual intercourse again. When sexual intercourse efforts result in pain and failure, the body reacts even more strongly to this situation, further strengthening the vaginismus effect. This situation turns into an ongoing and worsening experience.

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