Vaginismus is an involuntary contraction of the vagina that many women experience when making love, which makes penetration difficult and painful. In addition, if there is no excitement it is not lubricated, that is, the necessary fluids are not generated so that the penis enters the vagina without causing any pain.
For women with this problem the Psychological blockage is such that any idea of penetration triggers an involuntary contraction of the muscles of the vagina.
A rigid education, childhood trauma, complex or bad experiences may be at the origin of this problem, whose solution is a psychologist or sex therapist.
From an etiological point of view vaginismus is related to:
- Lack of training in issues related to sexuality.
- Strong inhibitions regarding sex originated in extremely conservative orthodox religious beliefs.
- Secondary, it may be related to traumatic experiences in previous sexual intercourse.
- Lack of communication with the couple.
- Sexual assault (harassment or rape).
- Fear of pregnancy.
- Fear of contracting sexually transmitted diseases.
- Less frequently, vaginismus may be a reaction to a sexual dysfunction in men or to a fundamentally homosexual orientation on the part of women.
Women who suffer from this dysfunction suffer not only in sexual intercourse, but also in gynecological examinations.
Dyspareunia is a recurring pain that occurs before, during or after intercourse..
It occurs more frequently during penetration and can occur in both men and women. However, it is believed to be more common in women. Dyspareunia is the most frequent complaint that gynecologists receive.
Since pain is a subjective experience, that is, interpreted by the sufferer, superficial pain and deep pain are discussed. This condition is one of the most challenging to diagnose and therefore should be started with a physical examination by a doctor.
In case the physiological reasons for the ailment are not found, the psychological causes behind the pain are investigated.
The types of dyspareunia include:
- Primary or Life Dyspareunia in which sex always caused pain.
- Secondary or Acquired Dyspareunia in which sexual intercourse becomes painful after being painless.
- Complete Dyspareunia in which when having sex is painful in any circumstance.
- Situational Dyspareunia in which having sex is painful only under certain conditions.
In the case of men, the most common cause of pain may be urinary tract infections. It can also be caused because the skin of the penis is irritated, penile cancer, prostate problems, disease or injury to the testicles, problems in the muscles that hold the penis.
In the case of women pain can occur:
- Only when inserting the penis into the vagina
- Only during deep penetration
- During the entire sexual act
The physiological causes in women can be varied such as:
- Healing after an episiotomy
- Vaginal surgeries
- Pelvic tumors
- Prolapsed ovaries
- Pelvic inflammatory processes
- Vulvar vestibulitis
It has also been found that maintaining rigid religious beliefs can lead to associating sex with morally speaking impure or incorrect beliefs.
Sometimes having a poor body image or a low self-esteem they entail not enjoying sexual intercourse due to lack of self-confidence. Even when the relationship presents difficulties As anger towards the couple, improper communication and distrust can occur dyspareunia. It has been found that when the couple is not assertive or can not accommodate the needs of the other, there is a risk that this occurs.
It is very important that before starting a psychological treatment the organic causes are discarded.