Vaginismus – Understanding the Condition and Its Treatment
The inability of a woman to allow vaginal penetration is known as vaginismus. This sexual pain disorder is considered to be psychological. They say the condition was all in mind. There are different factors that cause painful intercourse.
For instance, if a woman is not lubricated or is not aroused, she might not enjoy the intercourse. If she is afraid of the pain and anxiety, her muscles may contract as a defense mechanism to prevent any pain.
What Causes Vaginismus?
In the past, vaginismus was identified as a psychosexual experience instead of dysfunction. One of the main factors why the number of vaginismus is high in the Jewish community is because of their belief about sex and sexuality. It has affected their sexual behaviors with guilt and led to sexual problems.
The number is also high among Orthodox Christian and Islamic faiths. This happens not because of their religion but on how strictly these rules are enforced. Because of the strict belief of Jewish about sex, the female children are made to believe that sex and passive sexuality was portrayed as dirty and unimportant.
How Vaginismus is diagnosed?
Vaginismus is diagnosed by describing the symptoms. You will be asked when you first experienced it and how often it occurs and what you think might trigger it. Your sexual history is important; this may include abuse or sexual trauma. A pelvic exam is also required.
It is normal for Jewish women to be nervous about pelvic exams. If the doctor suggests that you undergo a pelvic exam, it is best that you discuss it with your doctor first. Some women are not comfortable with stirrups and would request for other positions for the exam.
The exam is performed as gently as possible. Sometimes the doctor may ask your help to guide them in inserting the medical instruments or their hands into your vagina to make the penetration much easier.
During the physical exam, the doctor will check if there is any infection or scarring. In this sexual disorder, there is no physical reason for the vaginal muscles to contract. Your doctor might not be able to find another cause for your condition.
How Vaginismus is treated?
The treatment for vaginismus includes helping the woman to manage her fear of penetration by reducing the anxiety around the genital part. The therapy is a combination of psychotherapy with cognitive behavioral techniques.
Another important component in treating the condition is physiotherapy since it provides hands-on aid in learning to have penetration naturally. The experience of physiotherapy for vaginismus is directed towards relaxing the pelvic floor muscles and the body as well as overcoming anxiety.
Can also be treated with vaginal dilators
This condition can also be treated with vaginal dilators. This method is accepted in the Jewish community, so Jewish women can use this kind of treatment. It is a plastic rod available in different sizes. It stretches the vaginal opening gradually, and it helps the woman overcome the fear of penetration.
If one method does not work for you, you can test other methods to determine which will for you.