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I remember the first time I heard about the condition. A 20-year-old opened up and said she didn’t have a hole. She had tried to use tampons but she couldn’t get through. I was confused because I didn’t think it was possible to not have a hole. It was after she visited the doctor that she realized that she had a vulva but she had a condition called vaginismus.
What is Vaginismus?
Vaginismus is the involuntary and unintentional contraction of the vagina that makes vaginal penetration painful, difficult or even impossible. Women experience vaginismus when something attempts to penetrate the vagina or even comes close to the vaginal area. It usually occurs when a person has sex for the first time while inserting a tampon or during a pelvic examination.
It also occurs in menopausal women because oestrogen levels have dropped and the vagina is not lubricated so penetration is painful.
What Causes Vaginismus?
Experts are not sure why some women experience vaginismus but there are factors known to contribute to the condition which is mostly psychological. They include;
1. Sexual abuse
2. Trauma from rape
3. Fear of sex due to negative feelings about sex
4. Past painful intercourse
The vaginal contraction is some sort of defence mechanism the body has built to prevent these negative experiences from happening. The vagina closes, preventing any form of entrance.
This sounds serious!
Can it Be Treated?
Yes, it can. Vaginismus can be treated and treatments are usually focused on reducing the reflex of our muscles that causes them to tense up.
Since vaginismus is more psychological than it is physical, counselling and therapy are effective ways to treat it. It addresses the mind and the anxieties or fears that contribute to the condition. There’s also physical therapy which aims at teaching you to relax your pelvic floor muscle and the use of vagina dilators.
Vagina dilators are tube-shaped devices that come in various sizes and gets progressively bigger. The main purpose of the dilators is to stretch the vagina and get the woman comfortable with vaginal penetration. As she gets more comfortable, she increases the size of the dilators until she’s comfortable enough to use the biggest. Because it has to do with both the mind and the body, treatment might take time and the patient has to be content to wait if necessary.
Conclusion
In this part of the world, conversations about sex are somewhat forbidden and are supposed to be left unsaid which is one of the reasons people suffer in silence. Vaginismus is not your fault and there is nothing to be ashamed of.
If you are experiencing any pain during vaginal penetration, feel free to speak up about it and seek medical attention. You will, in no time get better!
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