21/01/2023 - 15:56

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Vaginismus (Psychotherapy)

Vaginismus (Psychotherapy)

Vaginismus is the involuntary contraction of the vaginal muscles that makes sexual intercourse difficult or impossible. It causes marked distress among affected women or negatively affects the sex life of couples. This is moderately related to stress levels.

Vaginismus causes deterioration of marital relations, infertility. This condition has been associated with higher risk, such as anxiety, depression, and low self-esteem.

Vaginismus is divided into two. The first is the involuntary contraction of the woman's vaginal muscles and vaginal intercourse never happens.

The second is the situation where the woman had sexual intercourse before and could not have vaginal intercourse afterwards due to muscle spasms.

Secondary vaginismus may be situational and is often associated with pain during intercourse. Pain management strategy has been shown to be beneficial in its treatment.

Vaginismus is the most common female psychosexual dysfunction. That's why psychological treatments are effective.


Psychological therapies should be done face to face.Combinations of systematic desensitization are performed, including the use of graduated dilators (phantom or both).This includes sex therapy (individually, together, or with a surrogate partner) in which a gradual approach is taken to overcome the disorder, including education, homework, and cognitive therapy; relaxation therapy; combined hypnotherapy or pelvic-perineal retraining within cognitive behavioral therapy.

The intervention consisted of direct behavioral exercises, including the unsolicited gratification prescription or 'sensory focus'; the aim was to (re)experience sexual pleasure in the absence of anxiety arising from perceptions of performance demand or excessive self-monitoring of sexual performance.

In recent years, systematic desensitization has been the basis of treatment. Flooding has also become a method used to overcome phobias. It was among the treatments on exposure. These are different forms of exposure such as imaginary exposure, virtual exposure. Presenting the situation with the stimulus that triggered the original trauma to a patient and finally performing satisfactory exercises are among the treatment methods.

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