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For some women, the vaginal muscles involuntarily or persistently contract when they attempt vaginal penetration. This is called vaginismus. The contractions can prevent sexual intercourse or make it very painful. A gentle pelvic exam typically shows no cause of the contractions. No physical abnormalities contribute to the condition. Sexual dysfunction can occur in both males and females and can usually be treated.

Nevertheless, these disorders can interfere with your relationships and your quality of life. Some women develop vaginismus after menopause. When estrogen levels drop, a lack of vaginal lubrication and elasticity makes intercourse painful, stressful, or impossible. This can lead to vaginismus in some women.

Dyspareunia is the medical term for painful sexual intercourse. To make a diagnosis, your doctor will do a physical exam and ask about your medical and sexual history. These histories can help give clues to the underlying cause of the contractions.

Involuntary tightening of the vaginal muscles is the primary symptom of vaginismus, but the severity of the condition varies between women. In all cases, constriction of the vagina makes penetration difficult or impossible. Vaginismus can have additional symptoms, including fear of vaginal penetration and decreased sexual desire related to penetration.

Women with vaginismus often report a burning or stinging pain when anything is inserted into the vagina. Women who have the condition can still feel and crave sexual pleasure and have orgasms. Diagnosis of vaginismus usually begins with describing your symptoms. Your doctor will likely ask:. If your doctor recommends a pelvic exam, you can discuss ways to make the exam as comfortable as possible for you. Some women prefer not to use stirrups and to try different physical positions for the exam. You may feel more at ease if you can use a mirror to see what your doctor is doing.

They may suggest that you help guide their hand or medical instruments into your vagina to make penetration easier. You can ask your doctor to explain every step of the exam to you as they go along. Vaginismus is a treatable disorder. Treatment usually includes education, counseling, and exercises. You can connect to a physician in your area using the Healthline FindCare tool.

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Education typically involves learning about your anatomy and what happens during sexual arousal and intercourse. Counseling may involve you alone or with your partner. Working with a counselor who specializes in sexual disorders may be helpful.

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Relaxation techniques and hypnosis may also promote relaxation and help you feel more comfortable with intercourse. Your doctor or counselor may recommend learning to use vaginal dilators under the supervision of a professional. Place the cone-shaped dilators in your vagina.

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The dilators will get progressively bigger. This helps the vaginal muscles stretch and become flexible. To increase intimacy, have your partner help you insert the dilators. After completing the course of treatment with a set of dilators, you and your partner can try to have intercourse again.

If you have a hard time using dilators on your own, obtain a referral to a physical therapist who specializes in the pelvic floor. Sexual dysfunction can take a toll on relationships. Being proactive and getting treatment can be crucial in saving a marriage or relationship.

Talking with your partner about your feelings and fears about intercourse may help you feel more relaxed. Your doctor or therapist can provide you with ways to overcome vaginismus. Many people recover and go on to live happy sexual lives. Scheduling treatment sessions with a sex therapist may be beneficial. Using lubrication or certain sexual positions can help make sexual intercourse more comfortable. Female orgasmic dysfunction is a condition in which a woman has difficulty reaching orgasm. Learn about its causes, symptoms, and treatment.

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Kegel exercises can benefit both men and women. Women can experience a weakened pelvic floor postpartum or as they get older. Try these five exercises to strengthen pelvic muscles. Are you curious how often others have sex or what types of sexual activity they have?

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Learn about common sexual norms among Americans. Sexual dysfunction occurs when you have a problem that prevents you from wanting or enjoying sexual activity. Talking about sex can be awkward. But it's also a key adult skill. We asked sex and relationship experts for the best ways to talk about sex.

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For women, eating on the first date can be a type of interrogation on their character, confidence, and self-esteem. Does it really say anything about…. Menorrhagia is the clinical term for a heavy or abnormally long menstrual flow. A doctor can help identify an underlying cause and come up with a….

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What Is Vaginismus? Medically reviewed by Janet Brito, Ph. Types of vaginismus. Causes of vaginismus. Symptoms of vaginismus. Diagnosis of vaginismus. Treatment options for vaginismus. Living with vaginismus. Read this next. Orgasmic Dysfunction. Medically reviewed by Debra Rose Wilson, Ph. Kegel Exercises. Medically reviewed by Deborah Weatherspoon, Ph. What Are Sexual Norms? Medically reviewed by University of Illinois. What Is Sexual Dysfunction? How to Talk About Sex Talking about sex can be awkward. How My Disordered Eating Magnifies First-Date Anxieties For women, eating on the first date can be a type of interrogation on their character, confidence, and self-esteem.

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