4 correct steps that lead to successful treatment when faced with vaginismus:
Seeing the problem
Coping with the emotional burden
Evaluating treatment options
Starting treatment
Until a few years ago, vaginismus was a strange, unspoken word that brought to mind the word 'vagina' rather than a nameless, treatable disease.
With the spread of the internet and easier access to the internet, doctors in Turkey started to focus on the subject. Sharing accurate and useful information about sexual dysfunctions, including sexual dysfunction and vaginismus, by physicians on the internet has helped change society's perspective on the subject. Although vaginismus is still not well known by the society, it has become easier for people who encounter the disease to access accurate information.
In this process, I saw how the vaginismus patient changed, was literally 'staged', and the level of knowledge and awareness about the disease increased at the time of application.
The profile of the patient who did not understand the situation he was in just 3-4 years ago, who could not share his troubles with anyone, and who had no choice but to accept his 'fate' and wait for a 'miracle' salvation, is conscious, reads about Vaginismus and understands that it is treatable because it is a disease, and bravely and a patient profile is formed that follows the necessary treatment steps without hesitation.
At this stage, the best thing I can do to help Vaginismus patients as a physician is to provide access to the correct information and to guide patients to take steps towards treatment in the shortest way without being overwhelmed by a lot of information floating around on the internet.
The correct path to treatment for the person experiencing vaginismus can be summarized in 4 steps:
Seeing the vaginismus problem, understanding that it is a disease, and accepting his own discomfort.
To solve the problem. The first right step is to admit that you are sick. In this way, the person can get rid of the fruitless and exhausting process of 'self-blame'.
The inability to engage in sexual intercourse due to fear, contraction and panic avoidance is not the person's 'crime' or 'incompetence', but the deep anxiety and fears coming from the subconscious. is the result. Here, the body's uncontrollable contractions and 'closing itself off' from the relationship The 'a' behavior is the same behavior we develop in any phobia and aims to protect oneself from the subconscious elements of fear associated with sexual intercourse or sexuality.
It is useful to know that forcing oneself and 'overcoming fears' cannot provide the desired healing, since the process cannot be managed by consciousness. In this way, the patient is protected from 'trials' that wear him out and frighten him more and more each time. A person who understands that he is sick and knows that the treatment of his disease is possible does not allow the disappointment to be experienced when he pushes himself and does not get results, allowing the disease to be reinforced.
Being able to cope with the emotional burden.
Vaginismus as a couple. It may not be easy to resist the destructive process of . The level of communication between partners is very important. It also becomes easier for the woman to accept the disease, to see the truth without blaming herself or seeing herself as 'defective', and to talk openly about her fears with her husband, avoiding possible misunderstandings and accusations.
In this process, facing the Vaginismus problem as a couple and acting together on the steps leading to treatment. Treatment both shortens the process of starting treatment and has a significant impact on the success of the treatment.
If communication problems are experienced during this period, help from a psychologist or family therapist can be obtained.
Evaluating treatment options.
>Methods such as Sexual Therapy, hypnosis, acupuncture can also be useful and can be used as an auxiliary method, but they are never sufficient alone.
Drug treatment, various Methods such as local anesthesia creams and libido enhancers are useless; on the contrary, they cause failure, harm the treatment process, and can destroy people's belief that treatment is possible. Since there is no structural abnormality in the genital organs in real vaginismus, 'opening the hymen' or 'hymen' Membrane removal surgeries are practices that should never be performed, increase fears, prolong the treatment process and harm patients.
With the information and exercises provided, the person makes peace with his or her own body and sexual identity. With the strengthening of consciousness, the 'normalization' of sexual behavior also occurs. Y Suddenly, the person begins to see sexuality not as a frightening element, but as a part, a component of normal life and a healthy relationship, as it should be seen. He/she learns to think about and manage his/her own sexual behaviors.
Starting treatment.
Starting treatment may be the most difficult step of treatment. The woman/or couple, who has knowledge about the disease itself and its treatment methods up to this step, may still postpone the treatment for various reasons.
The most important reasons for 'postponement' are:
Right at the first meeting. Fear of the gynecological examination required for diagnosis,
Fear of the exercises to be performed during the treatment process,
Thinking that the treatment process will strain oneself psychologically, the balance in the couple's relationship may change and the relationship may be damaged in case of failure,
Fear of failure and thus the process will be more difficult. When deciding to start treatment, it would be very useful to have a detailed discussion with the doctor who will apply Sexual Therapy and discuss all fears and concerns.
In the detailed interview, you will get clear information about the treatment steps. They also have the opportunity to establish a dialogue with the doctor and establish a bond of trust.
There is no reason for the couple who are determined to start the treatment, whose concerns are resolved, who have no questions in their minds about the treatment process, and who trust their doctor, not to be successful.
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