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Vaginismus Treatment

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Vaginismus

It is the inability to have sexual intercourse or painful intercourse as a result of involuntary contraction of the vaginal muscles. This situation can sometimes become such that a similar contraction may occur not only in the muscles around the vagina, but also simultaneously in the legs and even in the whole body. The person cannot manage these involuntary contractions, and eventually, either intercourse cannot take place or a difficult, painful intercourse is experienced. In vaginismus, the same reaction is encountered not only during intercourse but also during gynecological examination, and it is not even possible for the patient to apply suppositories or tampons for self-treatment. Over time, this ongoing situation of the couple causes deep wounds in their relationship.

Vaginismus is a condition that can be treated. As long as the person does not postpone seeking professional support by constantly thinking that he can solve this problem on his own, despite unsuccessful attempts. Couples who have struggled with this situation alone for years state that their only regret is the time they lost by postponing treatment. The reasons underlying this difficult situation are mostly psychological; In other words, the patient, who has listened to scary stories about sexuality and especially the first intercourse until that day, and who accepts as facts such as the rupture of the hymen, severe bleeding, and the vagina and penis being locked during intercourse, may naturally experience a panic attack-like situation during intercourse. In addition, the issues of sexuality, hymen and virginity are brought to the fore when being raised in the family, the subject of sexuality is a taboo in the family, the topic of sexuality is a taboo in the family, not only learning but even talking about it is shameful, feeling pressure, when the time comes to have sexual intercourse, prepares the ground for vaginismus and perhaps lays the foundations of unhappy marriages.

Vaginismus Treatment

The first step in the treatment process should be to have a gynecological examination and share the situation with your doctor without hesitation. Although very rare, anatomical variations of the Hymen (hymen) that cause this condition can be seen in approximately one in 10 patients. Normally, the hymen is very thin, located approximately 1 cm inside the entrance to the vagina, and does not cover the vagina. So it does not create an obstacle to the relationship. Rarely, those with webbed or thick-sided structures may not allow intercourse, so gynecological examination is essential for detection. However, at this point, there may be reservations about the examination, so I would like to especially point out that the examination is painless, short-term, and no intervention is made inside the vagina.

Surgical removal of the hymen in patients where we do not see any anatomical variation of the hymen is an unnecessary and not recommended intervention that has no place in the treatment of vaginismus and does not change the course of the disease. Our aim in the patient whose first examination is completed is never just vagina-penis union. The aim of the treatment is for the couple to achieve sexual intercourse and harmony. At this point, we can complete our treatment in a short time and with pleasure, with our therapy process starting with mutual trust and understanding, and with treatment methods that help us in this regard.

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