Vaginismus: When the Body and the Mind Say No
Are you feeling frustrated and defeated by pain during sex? Do you find yourself avoiding intimacy altogether because of discomfort and anxiety? You're not alone. Millions of women worldwide suffer from vaginismus, a condition that can make penetrative sex, inserting a tampon or menstrual cup and even gynaecological exams painful or impossible. Unfortunately, many people suffer in silence due to the stigma associated with this condition.
What is Vaginismus?
In simple terms, vaginismus is the involuntary contraction of the muscles surrounding the vagina. The tightness can range from mild discomfort to severe pain, and it can make penetration difficult or impossible. It's a frustrating condition that can take a toll on your mental health, self-esteem, and relationship.
Causes of Vaginismus
There is no single cause of vaginismus. In some cases, it can be caused by physical factors such as infections, trauma, or surgery. In other cases, it can be caused by psychological factors such as anxiety, fear, or past trauma. However, it's important to note that vaginismus is not caused by a lack of sexual desire or attraction.
Symptoms of Vaginismus
The symptoms of vaginismus vary from person to person. The main symptom of vaginismus is pain during attempted penetration. Some people experience mild discomfort, while others feel intense pain and it can be accompanied by anxiety and fear of penetrative sex. You might also have difficulty inserting a tampon or undergo gynaecological exams. Psychological symptoms such as anxiety, depression, and low self-esteem are also common among people with vaginismus.
Treatment Options
The good news is that vaginismus is treatable, and most people recover fully with proper treatment. The treatment options depend on the severity and underlying causes of the condition. Some of the common treatment options include:
Pelvic floor physical therapy: This is a type of therapy is done by a pelvic floor physiotherapist and it involves exercises to relax the muscles around the vagina. It is possible that some internal release work may also be done. Your physiotherapist will be able to recommend the best course of treatment for you.
Sex Therapy: Talking to a professional with qualifications in sex therapy (a Sexologist, Psychosexual therapist or Psycho-sexologist) can help you overcome the psychological triggers that cause and maintain vaginismus.
Dilators: These are cone-shaped devices that gradually stretch the vaginal muscles, helping them to relax. Either you physiotherapist or Sex Therapist can assist you with this type of treatment.
Medications: In some cases, medications such as muscle relaxants or anxiolytics can help reduce muscle tension and anxiety. Your GP or Psychiatrist can help you with this aspect of the treatment.
Vaginismus is a common condition that affects many people, but unfortunately, it's often not talked about. If you're experiencing pain or discomfort during sex, it's important to talk to your healthcare provider to determine the underlying cause of your symptoms. With proper treatment, including medical treatment, many people are able to overcome vaginismus and enjoy a fulfilling sex life. Remember, you're not alone, and there is help available.