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Vaginismus (Painful Sex)
100% curable. With Vaginismus, the muscles surrounding the vagina involuntarily spasm, causing discomfort or pain during vaginal penetration.
Vaginismus comes in many forms — some are mild, while others can be severe to the point that an insertion of a cotton bud can cause tremendous pain. Medical examinations may also cause discomfort.
Sex and pregnancy is possible with vaginismus! All we need is a little bit of guidance to overcome this 100% curable condition.
Due to shame and embarrassment, many women who suffer from vaginismus are hesitant to discuss their condition or seek help for it.
At Insync, our doctors understand that sharing details about your sex life and any difficulties may be arduous. We are here to guide you through with respect and patience, without rush.
What to expect in your first consult
(We’d love for partners to be present):
We will work with you to determine the options that are most suitable for you.
To get women with vaginismus comfortable with penetration, start by inserting small tube-shaped dilators into the vagina. Gradually work your way up to larger dilators. We encourage partners to be involved in this process.
Botox is used to paralyse the spasming muscles at the entrance of the vagina. The muscles enter a relaxed state, and not be able to spasm again for the duration of the botox’s effect. Penetration now becomes painless. Oftentimes, this is paired with other therapies, so that botox seamlessly wears off and you are cured.
It is common to have fear and anxiety, when you have vaginismus. We will teach you the rhythm of mindful deep breathing exercises, and how to time penetration with these breaths helping you reduce the discomfort. This reminds you that you are in control.
In some cases, tight pelvic floor muscles can cause vaginismus. We will have you to work hand in hand with a pelvic floor physiotherapist familiar with vaginismus issues, should this be the case.
Did you know that yoga could be used to open up your pelvic floor like the happy baby pose (Ananda Balasana)?
With vaginismus, it is important to realign how you approach sex. Counselling can help women better understand their body and sexual response cycle, as well as work through their anxiety. Importantly, sex therapy helps women cope with past trauma.
We’re here to answer even the most sensitive and intimate questions. Take the first step, and we’ll take care of the rest.
Does vaginismus only occur in women who have never had sex?
No. Vaginismus can also be experienced by women who previously never had a problem with sexual intercourse. This is what we call Secondary Vaginismus.
Will vaginismus go away on its own?
Vaginismus is an involuntary, self-perpetuating condition that is not normally resolved on its own. When a woman with vaginismus attempts to have intercourse, the pain experienced heightens her fear of penetration and this then lowers the success rates of curing vaginismus.
However, vaginismus is 100% curable and I work with my patients to achieve this by breaking the vicious pain cycle associated with vaginismus.
How long does it take to treat vaginismus?
Every patient’s journey to recovery is unique, with its own set of challenges and triumphs. Typically, patients who are motivated and do not have significant complications can resolve their sexual pain or penetration problems in a few months.
Is it necessary to involve my partner during treatment?
We encourage partners to be involved during the treatment process. They will be taught how to facilitate your success through dilator therapy.
We also believe that having a present partner can help to provide the open communication and emotional support the both of you need to start enjoying sex again. We want to address your concerns and feelings of your partner as well.
Should I do kegels to manage vaginismus?
No! It particularly frustrates me when health professionals prescribe kegels for patients with vaginismus without a thorough assessment of the physical state of their pelvic floor. Here’s why kegels should never be done on a tight pelvic floor muscle.