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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Vaginismus Be Treated?

I am extremely afraid and fearful of vaginal penetration. I am almost 20 and have a very trusting boyfriend. We have a open relationship and I can tell him everything. He respects me and yes we engage in sexual activity but when it comes to anything in or around my vagina I tense up. I looked up if there is a term for this and its Vaginismus. I don t know what to do or how to fix this. I have tried to put a tampon in and I was sick to my stomach just trying to insert it. I ve tried every breathing technique there is and nothing. I want to have sex one day and have kids and I need help getting over this fear. Any advice?
Fri, 6 Jan 2017
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General & Family Physician 's  Response
Hi,

Vaginismus is mostly due to nervousness of pain during intercourse. So during intercourse there is constriction of vaginal and anal sphicter and perineal muscle. But once after insertion of penis and enjoyment of sex will begin, it will automatically decrease. You can take following advises: Insert penis very slowly, once you feel pain then stop more insertion and divert mind toward other thing, do some other movement. In starting day you enjoy sex by just inserting glans of penis and gradually increase length of penis insertion. Breath from mouth at the time of insertion. It will relax anal and vaginal sphincter. Use water based lubricant like K-Y gel during intercourse. It make entry of penis very smooth and painless.

Also rule out any vaginal / urinary infection, pelvic inflammatory disorder by consulting gynecologist is problem remain persist. Other things that will help if problem persists: Couple of psychological counselling is given along with pelvic floor training by experts. Medications like Botox and anxiolytic can be used at last. Avoid stress, take healthy diet, drink plenty of water, maintain proper pelvic hygiene and do regular exercise.

Hope this may help you. Contact further if follow up needed.

Best regards,
Dr. Sagar
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How Can Vaginismus Be Treated?

Hi, Vaginismus is mostly due to nervousness of pain during intercourse. So during intercourse there is constriction of vaginal and anal sphicter and perineal muscle. But once after insertion of penis and enjoyment of sex will begin, it will automatically decrease. You can take following advises: Insert penis very slowly, once you feel pain then stop more insertion and divert mind toward other thing, do some other movement. In starting day you enjoy sex by just inserting glans of penis and gradually increase length of penis insertion. Breath from mouth at the time of insertion. It will relax anal and vaginal sphincter. Use water based lubricant like K-Y gel during intercourse. It make entry of penis very smooth and painless. Also rule out any vaginal / urinary infection, pelvic inflammatory disorder by consulting gynecologist is problem remain persist. Other things that will help if problem persists: Couple of psychological counselling is given along with pelvic floor training by experts. Medications like Botox and anxiolytic can be used at last. Avoid stress, take healthy diet, drink plenty of water, maintain proper pelvic hygiene and do regular exercise. Hope this may help you. Contact further if follow up needed. Best regards, Dr. Sagar