What should you know about vaginismus how to cure?

Vaginismus is an automatic tightening of muscles around the vaginal opening. It may begin after pain, an infection, childbirth, surgery, menopause-related dryness or a distressing experience, though there may be no single clear cause. The clinician’s assessment helps separate vaginismus from conditions that can also cause pain during sex, such as irritation or pelvic pain.

Treatment often starts with education, consent and techniques for relaxing the pelvic floor. Pelvic floor physiotherapy can address overactive muscles and improve awareness. Vaginal dilator therapy may then introduce gradual, controlled stretching at home or with guidance. Counselling or sex therapy can help with fear, body confidence, relationship communication and trauma-related distress. Progress is measured by comfort and control, not by forcing a particular sexual activity.

Seek assessment when pain or tightening prevents sex, tampon use or a medical examination. Get prompt advice for bleeding, sores, fever, unusual discharge or sudden severe pelvic pain. Return for review if exercises cause worsening pain or if there is no progress, because the plan may need to change and another cause may need attention.

Ask what may be contributing to your symptoms, which treatment should come first, how to pace home exercises, and how progress will be reviewed.