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Vaginismus during intimacy

التشنج المهبلي
The virgin girl has multiple fears related to the fear of the pain that she imagines accompanying intimacy, and misconceptions related to this matter, it is a widespread condition among a number of girls and ladies, especially in our Arab world, but many people are not widely aware of it yet, so they seek help from the wrong parties. It is a condition during which a woman cannot complete a sexual relationship due to a feeling of pain in the vaginal area.

What is vaginismus
Vaginismus is a condition during which a woman’s vagina narrows as a result of involuntary contraction and spasm of the pelvic muscles, which makes it very difficult for a man’s penis to enter the vagina, and with this intercourse never happens, and if it does ,it is very painful, but despite this, this condition does not affect a woman’s libido, as she can do all other forms of sexual communication, and some women suffer from vaginismus after menstruation, when estrogen levels decrease, the elasticity and moisture of the vagina decreases

The reasons for the occurrence of vaginismus for some ladies
It is difficult to determine the main reason why vaginismus occurs, but there are several reasons that may cause the occurrence of this spasm:
1. exposure to sexual abuse: a woman is subjected to sexual abuse in childhood or old age, such as harassment or rape
2. Fear of pain associated with sexual intercourse, especially at the first attempt at sexual intercourse
3. exposure to a painful vaginal examination such as internal examinations of the uterus
4. physical causes: such as the occurrence of inflammation in the bowels of the pelvic area for example; causing muscle spasm in an attempt to reduce pain

Types of vaginismus
Vaginismus is classified into two main types, namely:
1. primary vaginismus: it is a type of spasm in which there is no penetration of the vagina either by penetration or during internal examinations of a woman, and most often occurs with a virgin girl
2. secondary vaginismus: is a condition in which the sexual process can be completed once, and then no longer can do it, and this type may be caused by gynecological surgery or radiation therapy

Symptoms of vaginismus:
1. Difficulty or impossibility of establishing a sexual relationship
2. Muscle spasm, inability to breathe during intercourse
3. Pain during gynecological examination

Treatment of vaginismus
The treatment of vaginismus depends on the treatment of the cause leading to it and the methods of treating it varied as the causes of its occurrence, including:
1. do some exercise like Kegel
2. awareness and psychological counseling: treatment of vaginismus requires the participation of a partner to reduce the psychological burden of a woman, and in an attempt to gain some confidence, and get rid of this health problem psychological counseling may help a woman to understand the sexual relationship well, and stop feeling afraid of this practice, but she should enjoy it with her husband.
3. warm and cold compresses: they help to calm vaginal cramps, but be sure to dry the vaginal area well after finishing the compresses so that moisture does not cause the growth and reproduction of bacteria and germs in the vagina
4. medication treatment: the use of some medications such as local anesthetics, muscle relaxants, or anti-anxiety medications may be useful in this case, but you should be under medical advice
5. cognitive-behavioral therapy: where the psychologist changes misconceptions and modifies the behaviors caused by them.

It is clear that the main cause of vaginal cramps are psychological things such as fear, anxiety, and erroneous thinking in some concepts. So you need to communicate without hesitation or embarrassment for marriage   and psychological counseling with Dr. Mona Reda

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