Last week, we started a topic on Vaginismus. We discussed the types, causes, signs and symptoms of vaginismus. This week, we will conclude with its diagnosis and treatment.
DIAGNOSIS OF VAGINISMUS
The clinician will ask about your symptoms and take a medical and sexual history to diagnose Vaginismus. Following that, a pelvic examination will be performed to rule out any other medical conditions that may be causing the pain. Before treating the vaginismus, the clinician may need to rule out any underlying causes, such as an infection. The clinician will move slowly and gently so that you may understand what they are doing.
A person must have one or more of the following symptoms for at least six (6) months and be in significant distress to receive a diagnosis:
TREATMENT OF VAGINISMUS
Treatment may involve a variety of specialists, depending on the cause. In general, vaginismus treatment aims to reduce the automatic tightening of the muscles, eliminate the fear of pain, and help ease any other fears associated with the problem.
Treatments typically focus on managing your feelings around penetration and exercises to gradually get accustomed to it, which may include:
Initially, treatment is carried out under the supervision of specialized therapists. After that, you will be expected to practice some of the exercises at home. You can choose to involve your partner if you are in a relationship. Fortunately, the majority of women who undergo these treatments can find relief and reclaim their sexual lives. While treatment can be beneficial, it is important to note that some women with vaginismus have very intimate, loving relationships without engaging in sex.
CONCLUSION
Experiencing this pain or shame during sexual intercourse is not something to be embarrassed about. Talk to a clinician, you do not need to keep suffering. Women who have vaginismus and keep to themselves frequently have disrupted sex lives, which can cause distress, loss of confidence, and relationship problems. It may prevent some women from pursuing intimate relationships or starting a family, worsening their problems.
Many issues, including vaginismus, can result in painful intercourse. Almost all of these issues are curable. Many people report significant improvements in their sex lives and mental health following vaginismus treatments. Vaginismus can be treated and even cured. Treatment typically entails diagnosing and treating any underlying physical issues, as well as undergoing psychological therapy, performing pelvic exercises, and using vaginal dilators to gradually improve tolerance of penetration.
Treatment, however, will be determined by the underlying cause, which could be physical, psychological, or a combination of the two. The longer treatment may take, the more complex the cause or the severity of the symptoms.