Learn about its causes, symptoms, and treatment. Journal of Sexual Medicine. Foundations for a Contemporary Understanding. When estrogen levels drop, a lack of vaginal lubrication and elasticity makes intercourse painful, stressful, or impossible. Practicing these exercises helps you control when your muscles contract and relax. People with vaginismus are twice as likely to have a history of childhood sexual interference and held less positive attitudes about their sexuality, whereas no correlation was noted for lack of sexual knowledge or non-sexual physical abuse.
These include the entry muscle bulbocavernosum and the mid-vaginal muscle puborectalis.
What Is Vaginismus?
You may feel more at ease if you can use a mirror to see what your doctor is doing. The underlying cause is generally a fear that penetration will hurt. Have you ever tried this? You can ask your doctor to explain every step of the exam to you as they go along. Treatment may include behavior therapy such as graduated exposure therapy and gradual vaginal dilatation. In second degree, the spasm is present but maintained throughout the pelvis even with reassurance. Spasms may also occur.