Vaginismus is the inability of a woman to maintain penetration in sexual relationships, and affects 8% of women. Vaginismus may be preceded by dyspareunia, which is discomfort or pain that hinder or even prevent intercourse. Sometimes also it precludes medical examination vaginally.
Causes of vaginismus
According to specialists in aesthetic medicine , we differentiate three types of vaginismus. When it is caused by an underlying disease or organic cause, we talk about organic vaginismus; when vaginismus is caused by a vaginal muscle contraction, we talk about functional vaginismus; when it caused a sum of organic causes and functional causes, known as mixed vaginismus.
There are different causes of organic vaginismus, but the most common are:
- Vaginal secretion decreased, especially in the region of the vulva. We differentiate between primary dyspareunia, dyspareunia occurs when high early, and, when it occurs so late. Furthermore, it can be outside in the hall, or internal, in the deep portion of the vagina or inside the pelvis. In some cases, the discomfort can be in both areas.
- Occlusive or rigid hymen.
- Vaginal contracture, partitioned vagina, severe cervicitis, retro position of the uterus, uterine prolapse, neoplastic disease of the uterus, tubes and ovaries infection or pelvic endometriosis.
- Abnormalities of the vulva, vagina, urethra or anus, caused by trauma or regional inflammatory processes.
Depending on the intensity, three types of vaginismus are distinguished; the grade I, in which the vagina can be explored gynecological, Grade II, in which the vagina can not be scanned but penetrated by dilators or other objects as buffers, and grade III, which can not be scanned or penetrated.
The main factors that cause functional vaginismus are fear or anticipation of intercourse pain, tearing fear, fear of pregnancy or fear lie with a pelvic problem; previous anxiety or stress to sexual intercourse; relationship problems, such as abuse or mistrust; traumatic experiences, such as violence or sexual abuse; and childhood experience with a rigid parenting or inadequate sexual education.
Sometimes, however, there is no physical or non-physical identifiable cause.