Vaginismus implies failure of penetration during sexual intercourse due to involuntary contraction of vaginal muscles in women. This spasm hinders sexual intercourse; even if penetration is achieved, it becomes seriously painful. The underlying cause of vaginismus is mostly psychological in nature. Incidence of this condition is, unfortunately, higher in populations, where sex is a taboo topic. History of sexual harassment, unpleasant first sex experience and the thought that sex is bad or incorrect may pave the psychological way for vaginismus.
Our in vitro fertilization center also admits patients who cannot have a sexual intercourse due to vaginismus. These patients may be offered in vitro fertilization therapy. However, it is necessary to start treatment of vaginismus, before in vitro fertilization therapy is considered. Treatment of vaginismus is guided by gynecologist and obstetrician with education and certificate on sexual dysfunctions and psychiatrists.
Vaginismus is generally refractory to sex therapy. Sex therapy generally focuses on feelings during penetration and involves gradual penetration exercises. In case of an underlying trauma, psychotherapy reveals out and solves the problem. Moreover, the patient is allowed to gain control of vaginal and pelvic floor muscles by instructing pelvic floor exercises.
”
Alo Yeditepe