Brief Answer:
Evaluation and planned management.

Detailed Answer:
Hello,

Thanks for posting your query.

From your history, I presume you are experiencing primary vaginismus, or the condition where consummation of marriage has never happened.

To manage the situation, evaluation of the problem has to be done in detail. The several causes include pelvic infections, urinary infections, severe stress, childhood or adolescent anxieties, high ethical values which consider intercourse as immoral, and so on.

To understand the difficulty and allow to grade the condition, it is necessary that the attending doctor assesses all these factors step by step. The tightness of the pelvic floor muscles, which go into a spasm on introduction of any foreign body into the vagina, is also assessed, along with the general reaction of the person.

This condition is highly treatable. After excluding/treating infections, psychological counselling is given along with pelvic floor training by experts. Slow dilation is given to allow relaxation of the pelvic floor. Couple counselling is also given to enhance relaxation. Medications like Botox have been shown to help in pelvic floor relaxation. Anxiolytics can also be tried.

Please see a specialist in sex-related problems to get further help.

Hope your query has been clarified. Please feel free to contact for further information. I will be happy to help.

regards,
Shanti.V.

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Brief Answer:
Please see sexologist and psychologist.

Detailed Answer:
Hello,

Thanks for writing back.

Please upload any reports that you have in relation to these consultations. If the doctors have diagnosed the condition, it is implied that some treatment may have been prescribed. If not, you should consult a sexologist and a psychologist for proper management. Please remember, such problems are often treated with a little counselling and patience.

Hope your query has been answered. Please get back if you need any more help. I will be glad to do so.

regards,
Shanti.V.

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