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Vaginismus, which is a kind of sexual dysfunction, is the problem of the inability to have sexual intercourse or painful sexual intercourse in women. The vaginismus problem, which is usually caused by psychological reasons; can be treated with several sessions of therapy and home exercises. Vaginismus problem; It is more common in countries with a closed social structure such as Turkey. Women with vaginismus problems cannot have sexual intercourse as well as gynecological examinations. Untreated vaginismus problem; causes insecurity in social environments and some psychological problems.
The fertilized eggs divide. Vaginismus, which is a kind of sexual dysfunction, is the problem of not having sexual intercourse or painful sexual intercourse in women. The vaginismus problem, which is usually caused by psychological reasons; It can be treated with several sessions of therapy and home exercises. So much so that the problem of vaginismus; It is more common in countries with a closed society structure such as Turkey. Women with vaginismus problems cannot have a gynecological examination apart from being unable to have sexual intercourse. However, untreated vaginismus problem; causes insecurity in social environments and some psychological problems.
Vaginismus is a condition that causes sexual intercourse to become difficult, impossible, or quite painful as a result of the involuntary and reflex contraction of the muscles in the lower part of the vagina of women, which is formed by the combination of the words vagina (sheath) and ismus (action). Depending on the degree of this contraction, the penis cannot enter the vagina. Sometimes even the thought of having intercourse can cause some symptoms similar to a panic attack, which can occur as a result of trying to have sexual intercourse. It is one of the commonly observed female psychosexual problems. Palpitations, commonly observed body convulsions, panic, and fear are the commonly observed symptoms. It can occur not only with the penis but also with the effect of fingers or tampons. It has been observed that similar reactions are given to the speculum used in gynecological examinations. In addition to all these, vaginismus can also occur due to imagining. This situation can occur with similar symptoms as a result of imagining the penetration of the penis or an object into the vagina. Therefore, it should not be limited to being related to sexual intercourse but should be defined as the result of pain and fear related to sexual activity in general. Vaginismus, which is a phobia-level fear of penetrating the vagina, causes severe physical pain during sexual intercourse as well as mental pain of the same severity. Often these symptoms bring with them the avoidance response. The resulting spasms lead to a vicious cycle of phobia and avoidance. This disorder causes difficulties and problems in relationships. Salemo Trotula defined vaginismus in 1547 as “a narrowing of the vulva that causes a woman to remain a virgin despite stimulation”, and the concept of vaginismus was first defined in 1867 by the American gynecologist Sims.
In the first studies on vaginismus, it was argued that the cause of the spasms was due to the insufficient size of the vagina. However, as a result of the researches carried out in the following years, it was revealed that sexual arousal provides an increase in the size and width of the vagina and that the vagina can accommodate almost any size penis due to its flexible structure. In this direction, researchers suggest that vaginismus is a psychological problem rather than a physical problem. In the developed vaginismus diagnoses, it was thought that there was a hypersensitivity situation seen only in the genitals. In this direction, the experienced vaginal muscle spasm has been described as a phobic response to pain. For this reason, “psychotherapy” and “sexual education” approaches have been adopted in vaginismus treatments rather than widening or surgical applications. If the experienced problem and the actual symptoms appear from the first sexual experience, it is called primary vaginismus. Primary vaginismus can also be defined as lifelong vaginismus. If the symptoms appear later and there is a satisfactory period in the sexual life of the individual without any symptoms and problems, secondary vaginismus is in question.
Situational (partial) vaginismus is when symptoms occur in certain settings and not in other situations.
(total) vaginismus is when the sexual problem occurs during all sexual activities.
Vaginismus is the involuntary contraction of the woman during intercourse, rejecting the man and not being able to have intercourse. The first sexual intercourse among young girls creates fear due to the fact that arranged marriages still exist in our country, and young girls are not informed by their families before marriage and during schooling. On the other hand, as long as men are taught about wrong and rude relationship advice the behaviors and approaches of men in the first sexual intercourse have a negative effect on young girls.
It is necessary to distinguish whether the man is doing the right thing. Real vaginismus patients are not even convinced by the gynecological examination, on the other hand, convinced patients show a reflex such as locking and contraction during the examination phase. In most of the patients, we can examine, we observe that there is a simple psychological, anatomical, or malefactor. After the man acts harshly, the girl has locked herself or the hymen structure is not suitable for sexual intercourse and the girl locks herself after a few tries. The gynecologist should establish good communication with the patient and convince the patient for the gynecological examination. If the gynecologist diagnoses that the patient’s vaginismus is not an anatomical or spousal problem, he or she takes action for the actual vaginismus treatment. At this stage, the patient is directed to vaginismus treatment with personal communication, hypnosis, anatomy education, and sessions. If there is an anatomical problem in the treatment of vaginismus, this problem is solved first and then the treatment continues with personal special methods and therapies. The real vaginismus treatment rate in Feminart Women’s Health and IVF clinic is 96%. In this process, we also keep our patients in contact with our psychologist colleagues who deal with sexual dysfunction when necessary.
Vaginismus is sexual dysfunction, which is briefly defined as the inability to have sexual intercourse or painful sexual intercourse. The treatment of the vaginismus problem should not be delayed, otherwise, some psychological problems may arise.
The problem of vaginismus can occur in every woman for different reasons. It is usually of psychological origin. Especially the events experienced in childhood and adolescence can also cause vaginismus.
If the vaginismus problem is not treated or if its treatment is delayed, some psychological problems may occur. This situation negatively affects both the social relations and the emotional and sexual relations of the woman.
In the treatment of vaginismus, the causes should be determined first and then the factors causing this problem should be eliminated. Different therapy techniques are used for treatment. Treatment should be started early in order to achieve recovery in a short time.
The problem of vaginismus should not be left to the responsibility of women alone, and it is recommended that spouses also attend in the treatment process.