The diagnosis of vaginismus through external examination, abdominal or intravaginal ultrasound and magnetic resonance imaging is done, among other techniques.
If a pelvic examination may reveal this contraction of the perineal muscles and the levator ani muscles with adduction muscles is performed.
Treatment of vaginismus
Functional dyspareunia can be treated with advice and psychotherapy. If the patient has partner is also should be interviewed.
Specialists in Aesthetic Medicine advised to precoital caresses the vaginal lubricant, menopause, sometimes the laser vaginal rejuvenation is recommended.
In the case of organic dyspareunia the underlying cause, either rigid hymen or cervicitis be treated.
Moreover, vaginismus is caused when a strong contraction of the vaginal muscles without functional or physical cause the best treatment is the therapy with botulinum toxin.
Sometimes also applying other mild sedative muscle relaxants which relieve emotional stress and help contractures may not be necessary.
Prognosis and treatment of vaginismus
Functional dyspareunia and organic dyspareunia disappear quickly after eliminating the causes that cause.
When vaginismus is primary, that is, no physical cause, vaginismus medical treatment more effective is the use of botulinum toxin which is injected into the vaginal musculature is involuntarily contracted so as to relax it and prevent its involuntary contraction. Treatment is only one doctor, in consultation, on an outpatient basis under local anesthesia using anesthetic cream to the area and using minimal injections into the vaginal muscles will injecting botulinum toxin.
1-4 sessions are needed botulinum toxin to obtain a final result of vaginismus.