This is a more frequent question than it seems and one that many of us women have asked ourselves at some point and for fear or embarrassment we have not verbalized it out loud.
Sexual dysfunctions are no longer a taboo for women and it is necessary to continue advancing in their normalization and knowledge. Therefore, today I bring you this article that analyzes and delves into the characteristics, causes and consequences of vaginismus. So that, among all of us, we can achieve healthy sexual relations where we can enjoy comfortable and safe sex.
It is an involuntary contraction of the muscles of the vagina, in the form of spasms, which produces its narrowing and, therefore, makes it difficult to carry out penetration in sexual intercourse, the introduction of objects or the performance of gynecological examinations. It is a reflex action that cannot be controlled by the woman, so physical pain often causes other types of problems derived from the impossibility of regulating this pathology.
The main and most frequent symptom is the inability to perform penetration during sexual intercourse without pain. The external muscles of the vagina close, preventing any entry, making it impossible to control.
There are two types of vaginismus:
Another factor to be taken into account is that a total or partial blockage of the vaginal area may occur. This depends on the type of contraction and duration of the contraction. We can also find global vaginismus, which is always present and affects with any action, and circumstantial vaginismus, which occurs in certain situations and as a reaction to specific stimuli.
The most common causes linked to vaginismus are diverse and it must be clear that they do not derive from a narrow or small vagina as it is often believed. In some cases it may be a problem that, without a specific cause, comes to light as an involuntary response of the body. However, in most cases the causes include one or more of these factors:
As it is a pain associated with sexual intercourse, the consequences go beyond the physical ones. It can produce psychological disorders derived from insecurities and the inability to perform penetration. In the life of a couple, it can be a trigger for a decrease in affectivity, lack of sexual pleasure and, consequently, the frustration that comes from not being able to enjoy with the person you love. To prevent the stress or anxiety that can cause this type of situation, it is necessary to know that vaginismus exists in order to detect it in time and provide a solution.
Before starting treatment, it is necessary to know in detail the causes of vaginismus in women. For this, we perform a thorough gynecological examination to determine what may be best for this dysfunction.
Treatments include:
Because sexual relations are to enjoy them, so if you see that something does not work, you do not get to enjoy or if you have a problem with your body in them do not hesitate to come to my office to try to solve it. Because sexual pain is not normal and you should not let it affect your quality of life. Therefore, I approach this pathology with a multidisciplinary approach, taking into account all the factors that may surround and affect the patient. Don’t hesitate any longer and don’t let pain come between you and your orgasm. There is a solution and we can make it happen. Request your gynecological appointment or contact me directly. I will be happy to help you.
Soy la doctora Bárbara Fernández del Bas, ginecóloga especialista en sexología, ginecología integrativa, funcional y medicina antienvejecimiento. Gracias a mi formación, la aproximación a mis pacientes siempre es de forma global. Soy consciente de que somos más que mamas, útero y ovarios. Somos un todo. Por eso, siempre busco los últimos avances científicos para ponerlos a disposición de toda mujer que los necesite