Vaginismus is a psychophysiological problem seen in 1 out of every 10 women. During sexual intercourse, sexual intercourse is not possible due to involuntary contraction of the pelvic floor muscles at the outer 1/3 of the vagina. Vaginismus means "contraction of the vagina" due to fear and anxiety despite the desire to have sexual intercourse. Vaginismus treatment performed only through the vagina may harm the woman and the future sexual life of the couple. This treatment process begins with the discovery of fears and anxieties, and then develops with the management of thoughts, emotions and physical changes.
Vaginismus is a procrastination disease arising from the fears and anxieties of the person. As a result of misinformation in the subconscious of the person, the muscles located on the outer part of the vaginal canal as a reflex contraction independent of the person's own control makes sexual intercourse impossible. The contractions also manifest themselves in the legs, abdomen, waist and all other muscles except the vagina, and the body contracts and closes itself. Fear, anxiety and panic attacks also accompany the situation. Similar body reactions occur in gynecological examination situations other than sexual intercourse. These people cannot do behaviors such as tamping their vaginas or touching them with their fingers.
Among the factors that may cause vaginismus, there may be anatomical problems related to the genital area and hymen, and sexual abuse, anxiety, fear and misperceptions about sexuality are the basis of most of them. The person has feelings such as pain and pain in her own body.
Physical changes caused by these thoughts and emotions in the body may show signs of panic attacks such as contraction, freezing, and acceleration of breathing. As a result of these, behaviors such as closing the legs, crying, rejecting sexual intercourse, running away from the bed, pushing the partner emerge. There are no direct medical tests to diagnose vaginismus. The diagnosis can be made by defining the problem of women who experience these symptoms and findings. Usually the couple is typically determined by their history, gynecological examination, and other problems.
The most important diagnosis in women applying for vaginismus treatment is fear and anxiety. The cause of voluntary rejection arising from fear, false information and thoughts is a certain emotion. Anxiety, on the other hand, is a deeper emotion that causes involuntary rejection for no apparent reason, often caused by childhood traumas. Women with vaginismus may vary in treatment type and duration depending on which emotion is at the forefront.
Since vaginismus is a psychophysiological disease and it is based on psychological problems against sexual intercourse, psychological reasons should be investigated first when applying treatment.
Vaginismus treatment methods include hypnosis, pelvic floor exercises, dilatation (relaxation) training, transition steps and pain relief applications. Since the majority of the problem is psychological, the main step in treatment is psychotherapy, that is, the step of changing the subconscious by suggestion.
The doctor decides which of these techniques is appropriate after the interview and examination with the patient. This problem can be easily overcome with personalized, personalized treatment methods. Aimed in the treatment of vaginismus, it relaxes the body and provides relaxation of the muscles. For this reason, no technique that will force patients is applied during the treatment to be applied and people are not forced to use different methods.
Vaginismus Treatment is a psycho-sexual therapy that primarily and primarily aims to eliminate the underlying psychological disorders. At the same time, desensitization called deconditioning-desensitization is performed with the help of vaginal dilators. However, botox treatment is an alternative for patients who do not get results from this treatment. Botox application is to prevent the contraction of vaginal muscles by affecting the nerve endings in the muscles in the genital area. With this process, the contraction of the muscles where the botox is applied is prevented. It can affect approximately 5-10 days after the operation. With this application to the pelvic floor muscles, the muscles in this area do not contract and the person can have sexual intercourse without feeling pain due to the absence of contraction.