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Vaginismus remedy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   I had not had intercourse for over 3 years since my husband died suddenly. I do masturbate so know that I am capable of being sexually active and having pleasure. I am 60 yrs old and a few years post-menopausal. My first attempt at intercourse with a new partner who is very understanding and patient was not very successful for him. My vagina seems way too tight and although we used a lubricant could not seem to gain penetration. We tried different positions to no avail. Do you have suggestions as we would like to try again and I would like both of us to enjoy it fully.
Doctor :   hello
Doctor :   query**
User :   Hello Dr ..
Doctor :   and before that you had not any problems at all ?
User :   Not at all
Doctor :   was there no penetration at all by your partner ?
User :   None or very little
Doctor :   ok
Doctor :   and are you on any medications ?
Doctor :   how is your health otherwise ?
Doctor :   do you have any other medical problems ?
User :   I take sertraline and have for years and it has had no effect previously on penetration
User :   And I take 10mg of Crestor
User :   No other medical problems
Doctor :   ok
Doctor :   well what you have told me is a condition called Vaginismus.
Doctor :   i assure you that its completely curable
User :   And what is it
Doctor :   there are many causes for it and one of the common cause that it in your case is sudden contraction of vaginal wall muscles
Doctor :   Vaginismus is the instantaneous, involuntary tightening of the pelvic floor muscles in anticipation of vaginal penetration
User :   do you mean contraction during the act or contraction as result of lack of use
Doctor :   both play a role in it
Doctor :   now i will tell you what you can do to treat it .
User :   Great
User :   Where did you go?
Doctor :   to begin with when you discuss it with your gynecologist , they recommend the use of dilators
User :   OK
Doctor :   i think there was a technical problem
Doctor :   anyway we are back now
User :   yes
Doctor :   Vaginal dilation exercises are recommended using plastic dilators
User :   ok
Doctor :   Such therapy should involve the partner, and can gradually include more intimate contact, ultimately resulting in intercourse.
Doctor :   i can assure you that the success rates are almost 100%
User :   That's good to hear as I do not wish to miss this part of coupling
Doctor :   you have what we call as a secondary vaginismus
Doctor :   The cause for their secondary vaginismus is the loss of lubrication and elasticity in the vagina
User :   So do I need to talk to my dr about hormone replacement
Doctor :   yes i do recommend that, and they can also tell you more about the home dilator kits available
User :   OK
Doctor :   also let me tell you some exercises you can do that will also help you
User :   OK
Doctor :   these are called touching exercises.
User :   ok
Doctor :   At first, touch an area as close to the vaginal opening as you can without causing pain. Each day, you should move a little closer to the opening, slowly increasing how close you can come to the vagina without causing pain. When you can touch the tissues around the opening (called labia), you can practice opening the labia. You are encouraged to use a mirror to see your genitals. also you need to bear down (as when having a bowel movement), which makes the vaginal opening larger, so that it can be seen more easily. Once you can touch the vaginal opening without pain, you insert your finger, pushing or bearing down while inserting the finger to enlarge the opening and make insertion easier.
User :   I do not have pain at the vaginal opening and can open the labia
Doctor :   but the best way and the quickest way would be using dilators, since your is a secondary cause and before you had no problem . so it will no issue at all
User :   So, I would start with the finger to open and press down, right?
Doctor :   yes
Doctor :   thats correct
User :   Does a pharmacy carry dilators?
Doctor :   yes they do
User :   Well, my brother-in-law who is a pharmacist will enjoy filling this order!!
Doctor :   well dont worry, its nothing major. soon you will be all fine
User :   Great and thank you.
Doctor :   Your most welcome
User :   bye
Doctor :   gald to help you
Doctor :   take care of yourself
Doctor :   bye bye
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