23 years
Hello i have vaginismus , do u think that it could be treated totally or it may happen again after i finish my treatment? im consulting a sexologue and im still treating , thank you
Jul 11, 2014
There are several types depending on causes for vaginismus:
>Primary vaginismus:
refers to a patient who has always had pain with intercourse and typically occurs with first time attempts at intercourse. Many patients give a history of inability to use a tampon, and this is often the first awareness that something is different for them. Less severe forms of vaginismus will suffer through pain and burning. Severe vaginismus patients usually give a history of never having been able to have intercourse or that intercourse “is impossible”.
>Secondary vaginismus
In secondary vaginismus a woman has usually had a normal sex life. Something happens such as a yeast infection, childbirth, menopause or a number of other conditions, sometimes unknown, causing increasing pain with intercourse and reaching a point where the pain is too severe and intercourse can no longer be tolerated.
>Even though this term is not used in the literature, vaginismus associated with menopause is yet another widespread reason for sexual pain and inability to have intercourse. With menopause there is a drying of the vaginal tissues and loss of volume of the vulva. “Let down” is not what it used to be and sometimes “no amount of lube helps” as shared by a patient. I have found that this condition usually starts with small micro tears of the vagina leading to initial burning or pain. This becomes progressively more severe until the woman is no longer able to tolerate intercourse. Of interest is that these women have the same vaginal spasm that I see in my primary vaginismus patients, and find that they respond equally well to Botox injections and progressive dilation. An estrogen cream or estrogen replacement is very helpful in restoring the quality of the vaginal and vulvar structures and these tissues become more robust with these supplements. I have found that by combining estrogen replacement with the Botox treatment program and the use of dilators, sexual function can be restored.
As a summary and an answer for your question :
Primary vaginismus, secondary vaginismus and menopausal vaginismus all result in sexual pain and all share similar medical findings. These three forms of vaginismus are highly treatable.
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