Vaginismus is the state of inability to allow sexual intercourse due to the woman's fear and anxiety, experiencing involuntary contraction and fear.
Sexual therapy includes Cognitive-Behavioral Therapy and imagination methods.
Vaginismus1-5. It is graded according to the severity of the problem. I can give an example of this spectrum as follows. While some women cannot even look at or touch their vagina or undergo a gynecological examination, some can insert a finger or even partially take their partner's penis inside and undergo a gynecological examination, albeit with some anxiety.
The degree is important for the therapist because by adjusting the therapy technique and frequency accordingly, It is necessary to plan a process suitable for the client's personality structure. Vaginismus is a problem that occurs when one cannot have a healthy intercourse with his or her partner after the first sexual intercourse. It is not a situation that can be predicted in advance. If at least a month has passed since your marriage and you still have not had sexual intercourse with your spouse, you may think that you have a vaginismus problem.
Since vaginismus is a problem of avoidance and postponement, gynecological examination anxiety prevents people from getting treatment.
Because vaginismus is a problem of avoidance and postponement. The person, who is already unfamiliar with his sexual organ and feels anxiety and fear, thinks that the doctor will intervene by inserting a speculum or finger into his vagina. This is a completely wrong thought. 'I couldn't have intercourse and I'll have it checked to see if I have a physical problem.' If you provide information like this, the doctor will not take any intervention anyway. Looking from the front will be enough.
Another reason for postponing or avoiding treatment is the concern arising from the inclusion of finger or dilator exercises in the treatment. However, the finger or dilator that is part of the treatment varies from person to person. In other words, some of my clients find the finger very repulsive, while others find the dilator repulsive.
I understand your concerns and concerns, and I even find them justified. However, in this process of getting to know and normalizing your own sexual organ, which is the content of the therapy, these exercises that you are worried about will not be started until you are ready.
In the cognitive phase of the therapy, we apply some techniques to relieve our client's anxieties and fears and then learn about his own anatomy. After gaining extensive knowledge, we move on to this phase, the behavioral phase, step by step. In other words, you will not be the same person you were when you started treatment. In therapy, through videos and models, the woman gets to know her sexual organ thoroughly, sees that it is not as she imagined it to be, and begins to touch and look at it step by step, thus completing the preliminary preparations for the dilator stages. When the person is ready, that is, when he inserts anything into his own vagina, he feels that there is no pain or pain as in his head, and he labels it in his mind. In summary, vaginismus Therapy is not a long-lasting and harmful process as you think. Although the treatment process varies from person to person, it lasts a maximum of 1 month. In the process of overcoming vaginismus, our goal is not only to insert the penis into the vagina. Thinking that this is an adaptation problem, he also focuses on helping the couple experience a healthier, pleasure- and satisfaction-oriented sexuality. For this reason, spouses are also included in some sessions of this therapy process. By giving comprehensive information about sexuality, the negative thoughts and misconceptions in the minds of both parties are replaced with superstitions, taboos, myths and scientific knowledge.
Read: 0
