Causes and Treatment of Vaginismus

Vaginismus is a condition of muscle spasms that surrounds the vagina and closes the vagina while sexual act, thus not accommodating the complete penetration of the penis. The pelvic muscles in the region contracts and the person usually experiences pain and discomfort while the intercourse is just about to happen. Often a reason for the abrupt sexual health, vaginismus is considered to be a sexual dysfunction in some cases. This is a common situation faced by one in every twenty women who fail to complete the sexual act due to acute and unbearable pain or uncomfortable penetration. The partner might feel like hitting on a hard wall as the involuntary spasmodic muscle reactions stop the pathway. Read on more to know the possible causes and treatment of this condition.

Psychological causes:

Psychological causesIn majority cases, this is the prime cause for vaginismus where the patient had faced some psychological trauma in relation to sex or intercourse. Forced sex, molestation, rape and sexual trauma can be some causes for such a disorder. Sometimes domestic violence can also be a fear factor behind vaginismus. Other psychological causes that can trigger vaginismus include fear of pain while penetration previously, fear of hymen rupture, physical trauma, anxiety bouts, excessive stress, negative ideology about sex, conservative nature and so on. With the help of some medications and counselling the above said situations can be dealt with.

Vaginal Infections:

Vaginal InfectionsWhen vaginismus occurs due to infections, the condition is termed as “primary vaginismus”. In such conditions, penetration is extremely painful as the yeast infection makes the muscles sore and stiff. This is a common disorder in teenagers and women aged within 25 years. The associated causes of such infections are unhygienic practices, usage of tampons, extended hours of unchanged sanitary pads, penetrative sex, or going for a Pap smear. Vulvar vestibulitis syndrome, also known as focal vaginitis is a sub-clinical inflammation in the vaginal muscles that again leads to vaginismus. Urinary tract infections are also known to be a common cause for vaginismus.

Vaginal Dilators:

Vaginal Dilators
There are many vaginal dilation exercises that target the patients of vaginismus and are performed with the help of plastic dilators that can be used safely into the vagina. However, initially these exercises should be done with perfection and one should seek help of a sex therapist or some specialized health care provider. After 2 weeks of continual practice, patients usually can perform the dilation exercise on their own. In the initial stages of using vaginal dilation, patients might need anesthetic injections in the spasm muscles. This therapy usually involves a partner in the later stages, and the steps eventually lead to sexual intercourse in a calm, smooth and successful manner.


ExercisesExercises that make the pelvic muscles free and flexible can cure the state of vaginismus effectively. Kegel exercises are considered to be the apt one for such patients as they cause the repetitive movement of the pelvic muscles making them loose by contraction and relaxation. The Kegel devices such as barbells, electro stimulations, rubber resistant balls and vaginal springs can also be used, but under supervision. If done regularly, Kegel exercises can easily relax and improve the movement of the vaginal muscles treating the condition naturally. Apart from treating vaginismus, Kegel exercises also ensure frequent and strong orgasms in women.

Personal counselling:

Personal counsellingThe primary cause of vaginismus in majority patients is “fear” for sex. The causes can be varied as discussed in the first point, but to treat the condition a considerate, understanding and counsellor is essential. Many studies have shown that analyzing the causes and incidence of mental trauma and addressing it directly have solved the condition within a few months time. Sex education, discussing about sexual myths and alarming about sexual practices amongst the rural community women is also essential to prevent the occurrence of vaginismus.