What is Vaginismus, How is it Treated? Common Mistakes in Vaginismus

What is vaginismus and how is it treated?
What is vaginismus and how is it treated?
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Although vaginismus is a disease that can be treated, when it is not accepted as a disease and its treatment is postponed, it harms the self-confidence, marriage and relationships of the person. There are some misconceptions about the vaginismus problem. Obstetrics and Gynecology Specialist Op. Dr. Meral Sönmezer gave important information about the subject.

What is vaginismus?

VaginismusIt is a sexual dysfunction that occurs due to involuntary contractions of the muscles in the vagina region. This disorder is currently included in the diagnosis and statistical guide of current mental diseases used in psychiatry clinics. Vaginismus The severity of the disorder is taken into account in the differentiation of dyspareunia and other dyspareunia.

In vaginismus disease, which is also defined as the inability of a woman to have a healthy sexual intercourse against her will, despite her desire to have sexual intercourse; The woman contracts herself and prevents the penis from entering the vagina. This disease, which has nothing to do with the narrow or small vagina, is an involuntary contraction during intercourse. The muscles in the vagina, which have a flexible and muscular structure, contract uncontrollably and prevent sexual intercourse. Involuntary contractions can occur not only in the vagina, but also in the whole body. Women with vaginismus usually do not allow intercourse by closing their legs tightly or may cause excessive pain during intercourse.

FALSE: Vaginismus resolves spontaneously over time.
RIGHT:Vaginismus is a psychological disease and must be treated. Years pass by waiting for the vaginismus to go away on its own. In vaginismus, which is very easy to treat when the right methods are used, women who delay the treatment steal their own happiness and harm their marriage. Therefore, do not waste time waiting for your vaginismus problem to go away on its own and consult a gynecologist with sex therapy training as soon as possible.

FALSE: You should keep trying hard.
RIGHT: The woman with vaginismus does not allow sexual intercourse by contracting the vaginal muscles during sexual intercourse. The woman's attempt to force herself to have sexual intercourse causes trauma in the contracted vaginal entrance, causing the woman to fear sexual intercourse even more. Unconscious self-treatment complicates this process even more.

FALSE: Vaginismus cannot be cured.
RIGHT: Vaginismus is a 100% curable disease and can be resolved in 1-5 sessions with the right treatment applied to the individual. After vaginismus treatment, the person can have a healthy sexual relationship.

FALSE: Vaginismus is seen in very few women.
RIGHT: Vaginismus is a disease that is more common especially in Eastern countries. In Turkey, the problem of vaginismus is encountered in 10 out of every 1 women. Women who have vaginismus think that they only have such a problem because they are afraid to share this situation. Because they are afraid of being examined, they do not go to the gynecologist and have to struggle with this problem for years.

FALSE: Vaginismus patients cannot become pregnant.
RIGHT: One of the well-known misconceptions is that a woman with vaginismus cannot conceive. However, it is possible to get pregnant without full sexual intercourse, albeit with a low probability. In a sexual intercourse where the man can approach the external genital area, as a result of the man's ejaculation to the vulva, that is to the external genital area of ​​the woman, the sperms in the outer part of the vagina can swim to the tubes and fertilize the egg, thus pregnancy can take place. In some cases, vaginismus patients can get pregnant by in vitro fertilization or vaccination. However, being pregnant and having children do not eliminate vaginismus. As long as vaginismus is not treated, the problem of having sexual intercourse will continue.

FALSE: Vaginismus is a psychologically based disorder, so only psychological treatment is sufficient.
RIGHT: Although 95% of vaginismus is caused by psychological causes arising from anxiety, fear, stress and anxiety, there are organic causes in 5% of cases. Vulvar Vestibulitis Syndrome (VVS), pelvic inflammatory diseases, bartholin's abscess and cyst, congenital anatomical obstacles, hymen abnormalities are among the organic causes of vaginismus and should be treated by an experienced gynecologist.

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