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When a woman is detected with vaginismus, her vagina's muscles spasm when something is being inserted into her Vagina, like a tampon or penis, the concept of penetration is painful in any form. It can be mildly uncomfortable, which is what it is in most cases. It can make it very painful and difficult for a woman to have sexual intercourse, in some extreme cases it is IMPOSSIBLE for a woman to have sexual intercourse. There are exercises a woman can do that can help, sometimes within weeks. Over time with awareness building around vaginal health, a lot more cases are coming up.

Types of Vaginismus


Primary Vaginismus 

  1. A lifelong condition in which the pain continues for a life time. Such a condition is very rare but as we all can imagine is the harshest and the most severe type of the problem.
  2. Difficulty in using a tampon and difficulty in letting the doctor conduct a vaginal examination. We can call this 2nd degree i connect to Vaginismus.
  3. Often experienced by women during their first attempt at intercourse, as they have never had anything enter their vagina so deep, the exploration results in an understanding of the problem they have. This is still the preliminary phase of this problem, and one must take it on seriously. 
  4. The male partner is unable to insert his penis into the vagina describing a sensation like “hitting the wall” at the vaginal opening, this is where we can be certain that the opposite sex has vagianismus. Unfortunately this is what most women complain of when the doctor surely knows they have Vaginismus.
  5. There may be pain, generalised muscle spasms, and the women may temporarily stop breathing due to the fact that the woman has vaginismus.

causes of vaginismus

Secondary Vaginismus

  1. Develops after a woman has already experienced normal sexual function. 
  2. Can occur at any stage of life, and may not have happened before.
  3. Usually stems from a specific event, such as an infection, menopause, a traumatic event, development of a medical condition, relationship issues, surgery or childbirth
  4. Even after the underlying medical condition is corrected, pain can continue if the body has become conditioned to respond in this manner


  1. Painful intercourse (dyspareunia) with tightness and pain that may be burning or stinging 
  2. Penetration being difficult or impossible
  3. Long term sexual pain with or without a known cause
  4. Pain during tampon insertion
  5. Pain during gynecological exam

Generalized muscle spasm or breathing cessation during attempted intercourse

vaginismus- cycle of pain

Treating Vaginismus

  1. Pelvic floor control exercises including muscle contraction/ relaxation activities or kegel exercises
  2. Education and counselling
  3. Emotional exercises that can help one identify, express and resolve any contributing emotional factor
  4. Reducing sensitivity to insertion
  5. Insertion or dilation training 

If you experience any of the mentioned symptoms, do not hesitate to discuss this with your doctor. Your pain is REAL and what you are experiencing is REAL. Do not let shame or stigma prevent you from seeking help.

Comments (2)

  • reeta on June 27, 2020

    If someone is suffering from this problem it’s better to consult a gynaecologist

  • Kashvi on June 27, 2020

    Tampon insertion is very harmful. It’s better to use biodegradable pads over tampons

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