What does pain during sex feel like with vaginismus?

The discomfort may begin before penetration, at the vaginal opening, or as insertion is attempted. Some people describe a feeling of resistance, clenching, or an involuntary closing response. Pain can ease when the attempt stops, but repeated painful experiences may create anxiety that makes the muscles tighten again. Vaginismus can occur with a partner, a tampon, or an examination, and the pattern can vary from one person to another.

Do not push through pain or continue an activity that causes your body to tense. Pause, communicate with your partner, and consider non-penetrative intimacy while you arrange an assessment. A clinician can check for skin irritation, infection, pelvic-floor muscle tenderness, and other causes of pain. Treatment may include pelvic-floor physiotherapy, gradual desensitisation, counselling, or a combination tailored to your symptoms.

Arrange medical care if pain is persistent, prevents penetration, or affects intimacy or daily life. Seek prompt help for new severe pain, bleeding after sex, fever, unusual discharge, sores, or pain with pregnancy-related concerns. These features need assessment because they can point to problems alongside or instead of muscle tightening.

Could pelvic-floor muscle tightening explain my symptoms? What examinations are necessary, and can we stop if they hurt? Which treatment options fit my symptoms, and how should I track improvement?