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October 8, 2020

Understanding Vaginismus: when intimacy feels painful

What's vaginismus
Vaginismus is a condition involving involuntary contractions of the pelvic floor muscles around the vagina, making penetration during intercourse painful or impossible. It's a reflexive response that some women experience, and it can be triggered by physical or psychological factors.

Causes

Psychological Factors: Past sexual trauma or abuse, anxiety about sex, or fear of pain associated with intercourse.

Physical Factors: Conditions like infections, postmenopausal vaginal dryness, or inadequate lubrication.

Cultural or Personal Beliefs: Negative or strict beliefs about sex can contribute to a fear-based response.

How to Diagnose:

Medical History and Interview: To understand the patient’s symptoms, sexual history, and any contributing psychological factors.

Gynecological Exam: To rule out other causes of painful intercourse such as infections or anatomical abnormalities. This exam should be approached gently, considering the patient’s comfort and consent.

Referral to a Specialist: Such as a psychologist or sex therapist, for further evaluation if a psychological cause is suspected.

Kalma tips

Before the visit

The right Specialist:

Look for a gynecologist experienced in pelvic pain or sexual health issues.

Prepare your questions

Write down your symptoms, triggers, and concerns to discuss during the appointment.

Bring support

If comfortable, bring a trusted person for emotional support.

Practice Relaxation:

Deep breathing or hips stretching exercises can help reduce pre-visit anxiety.

During the visit

Be honest

Share all relevant details about your symptoms and emotional impact.

Request gentle approach

Ask the doctor to explain each step and ensure your consent during any physical examination.

Communicate discomfort

Speak up if any part of the process feels painful or triggering.

After the visit

Follow recommendations

Adhere to prescribed treatments, such as pelvic floor therapy or dilation exercice. Consistency is key to progress.

Stay patient

Progress may take time, so celebrate small improvements!

Go at your own pace

Healing is personal, take your time and listen to your body. Rushing ,ay cause unnecessary stress.

Seek support

Stay in touch with your healthcare provider or therapist for guidance and encouragement.

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