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What is Vaginismus?

With involuntary contraction of sub perineal muscles independently of the will of the people, penis-vagina for the unity of that becomes completely impossible. Most of the time, psychic origin is experienced. Vaginismus of organic origin is less common. Women with vaginismus often relate they experience intense excitement, fear and anxiety. During the sexual intercourse, they exhibit these behaviours; excitement, chills, contraction, closing the whole body to the partner, pushing. Then they feel guilty. Self-hate can be observed. One in ten women suffer from this problem. Education, status, living conditions are not relevant.

History of Vaginismus

Salerno Trotula stated in ‘’Gynaecological Diseases’’ thesis in 1547 that the condition we call vaginismus is the shrinkage of the vulva causing a woman to remain like a virgin despite of being aroused. (Elke 1999) Then, the American gynaecologist Sims used the term ‘’spasmodic contraction of the vaginal sphincter with increasing physiological arousal” in the 19th century. The concept of ‘’vaginismus’’ was first described by Sims in 1861. Regarding the vaginismus, Sims said that ‘’ based on my research, I don’t know of any other disease that creates such a great unhappiness in the marriage relationship. However, I can say that this is an easy, reliable and definitive treatable disease. In the first articles about vaginismus, it is stated that this disorder is caused by an insufficiency in the size of the vagina. In the following years, it has been discovered that sexual intercourse is associated with sexual stimulation, the size of the vagina, its height and width, and the fact was discovered that due to the elastic structure of the vagina, almost any size of penis can get into it. Walter argued that the vaginal muscle spasm is a ‘’phobic response’’ to the pain by questioning the concept of hypersensitivity that Sims described as specific to sexual organs. Therefore, he emphasized that ‘’sexual education’’ and ‘’psychotherapy’’ approaches are important rather than surgery or expansion practices in the treatment of vaginismus.

Causes of Vaginismus

  • Lack of sexual knowledge, skills and experience
  • Exaggerated first night stories
  • The idea that hymen is a very significance thing to be protected
  • Fear of pregnancy
  • Oedipal conflict
  • Pressure of a repressive and authoritarian family
  • Repression of sexuality by means of shame and sin
  • Traumatic sexual experiences
  • Passive, dependent and overly tolerant partner
  • Obsessive personalities
  • Problems of harmony and incompatibility between partners
  • Sexual myths
  • Painful gynaecological examinations
  • Low pain threshold
  • Problems with vaginal moisture
  • The perception of women as a sexual commodity or sexual object
  • The entrance of the sexual organ is unknown
  • The woman hurts during her first sexual intercourse
  • Arranged marriage
  • Fears of suffering or fragmentation because of the penis that is symbolically enlarged
  • A pulse or trauma to the genital area in the past
  • Use of the multiple rectal suppositories in childhood
  • Some infections and abnormalities

Symptoms of Vaginismus

Vaginismus is usually seen in the first sexual intercourse. During sexual intercourse, the woman’s sub perineal muscles contract involuntarily, her legs or whole body contracts, her legs cannot be opened and sexual intercourse become impossible. At this stage, chills and palpitations occur and woman pushes her partner. She feels anxiety, fear and excitement intensively. She thinks that the hymen will rupture, it will hurt a lot, it will bleed and it will ache. Some women think that the entrance of the vagina is like a wall and penis cannot enter into the vagina. The woman feels guilty about this fear, worry and at the same time she cannot please her husband, she cannot be a real woman. If you experience these symptoms during sexual intercourse, you should seek help from a specialist. Many women living with vaginismus has husband who is considerate of her problem and they think that it will be overcome in time. Therefore, they refuse to get help for a long time which can take months or years sexual intercourse cannot be achieved. This may cause other problems between couples.

Vaginismus Fear Types

There are three basic fears of women;

1. Nothing can enter into the vagina

2. Nothing that belongs to others can enter into the vagina

3. Penis cannot enter into the vagina

In the treatment of vaginismus, it is determined which of these 3 basic vaginismus fears and these are gradually eliminated with the help of variety of exercise and therapy.

TREATMENT of VAGINISMUS

Vaginismus treatment is carried out in 3 stages and in 3 to 5 days we complete your treatment 100%.

1. A short physical evaluation by the expert gynaecologist and sexual therapist, evaluation of physical structure.

2. With our expert psychologist and sexual therapist, you will permanently say goodbye to vaginismus with a comfortable, pleasant and painless behavioural treatment program to discover yourself and sexuality.

3. You will increase your quality of sexual life by programming your post-treatment process together with cognitive therapy with your partner or individually.

When should we consult?

Vaginismus is usually seen in the first sexual intercourse. During sexual intercourse, the woman’s sub perineal muscles contract involuntarily, her legs or whole body contracts, her legs cannot be opened and sexual intercourse become impossible. At this stage, chills and palpitations occur and woman pushes her partner. She feels anxiety, fear and excitement intensively. She thinks that the hymen will rupture, it will hurt a lot, it will bleed and it will ache. Some women think that the entrance of the vagina is like a wall and penis cannot enter into the vagina. If the woman shows these symptoms during sexual intercourse, the couple should seek help. Our experiences show us that vaginismus is also an avoidance and postponement disease. When couples enter this vicious circle, they should consult a specialist when the symptoms become chronic.