Loading...

Quality Medical Advice When You Need It

Vaginismus -- When Sexual Intercourse Seems Impossible

Sat, 01/27/2018 - 20:10 / By Andrew Rynne

Vaginismus -- When Sexual Intercourse Seems Impossible

Vaginismus – When Sexual Intercourse Seems Impossible

 

 

Vaginismus is defined as a Genito-Pelvic Pain/Penetration Disorder. Its immediate cause is an involuntary spasm of the muscles surrounding the vaginal opening over which the patient has no control. This makes all attempts at vaginal penetration difficult or impossible. Included in this would be attempted penetration with a finger, vaginal dilator, GYN examination, sex toys and of course intercourse.

 

Women with vaginismus experience involuntary muscle spasms in the vagina at the start of penetration, making it difficult or impossible for intercourse to occur.

Experts have linked sexual abuse and relationship conflict to this condition, but new research in the Journal of Sexual Medicine suggests that these causes might not be as prominent. 

In the study, scientists compared both physical and psychological factors in 20 women with vaginismus and 235 women who did not have vaginismus but did have other forms of sexual dysfunction. 

In many ways, the two groups were similar, but women with vaginismus tended to have more pain and a greater likelihood for histrionic (e.g., emotional) traits.

 

 

 

Vaginismus was first described in 1861 by Sims. Here he gives a classical case study description thus:

 

 “The most interesting point in the account of the woman was the fact that although she had been married for a quarter of a century, she was still a virgin. In my examination about this phenomenon, vaginal examination utterly failed. Even my very slight touch to the vaginal entrance was causing an intensive reaction. Her whole body was turning rigid intermittently and trembling. She was screaming and her eyes were glaring and mad.”

 

It would be nice to think that things have moved along considerably since Sims time. But the fact of the matter is that they have not. At least Sims recognised the condition in 1861 while many doctors today still don’t seem to get it.. Vaginismus remains a woefully underestimated and under diagnosed sexual dysfunction.

 

What are the grades of Vaginismus?

 

In 1978 Professor John Lamont of McMaster University classified vaginismus into four grades. This is a very useful exercise as it helps both clinician and patient decide on the severity, and thus appropriate treatment, of their unique vaginismus. He graded it thus:

 

  • 1st Degree. Patient can be reassures and relaxed sufficiently to be examined vaginally by the doctor.
  • 2nd Degree. Pelvic floor spasm held as a steady state such that patient can’t tolerate examining finger.
  • 3dr Degree. Spasm so severe that patient elevated buttocks at any attempt at vaginal examination.
  • 4th Degree. Spasm and fear so severe that patient raises buttocks, closes thighs and legs and retreats up the examining couch.

 

Treatment of Vaginismus

 

The treatment of vaginismus will depend on severity. In many cases it can be treated by the patient herself at home and under clinical management. All degrees of vaginismus are curable given the correct, sensitive and understanding management. Be careful about quick-fix solutions offered on the Internet. I consider Dr Peter Pacik to be a world authority on this subject and I would urge you to join him here at www.vaginismus.com/vaginismus-md-forum and that is the best piece of advice that you are going to get on this subject today.  

 

 

Leave a Reply

Recent Posts
Categories
Tags
STD