Under vaginismus refers to the reflex narrowing of the vaginal orifice when trying into the vagina completely or partially penetrate (z. B. with penis, finger or dildo), despite an expressly confirmed by the woman desire for penetration and the absence of structural or other physical anomalies.

Vaginismus is often the result of a fear of painful sexual intercourse; He usually begins with the first attempt at sexual intercourse, but can also develop later after periods of stress. Women can show a phobia like avoiding penetration. So most women with vaginismus can not tolerate a complete or often even partial penetration. Some women can not tolerate the insertion of a tampon, or it does not want to try. However, most women enjoy a nichtpenetrative sexual activity with vaginismus.

Under vaginismus refers to the reflex narrowing of the vaginal orifice when trying into the vagina completely or partially penetrate (z. B. with penis, finger or dildo), despite an expressly confirmed by the woman desire for penetration and the absence of structural or other physical anomalies. Vaginismus is often the result of a fear of painful sexual intercourse; He usually begins with the first attempt at sexual intercourse, but can also develop later after periods of stress. Women can show a phobia like avoiding penetration. So most women with vaginismus can not tolerate a complete or often even partial penetration. Some women can not tolerate the insertion of a tampon, or it does not want to try. However, most women enjoy a nichtpenetrative sexual activity with vaginismus. A knee-jerk muscle constriction may also occur in any cause dyspareunia, which occur in addition to the pain difficulties in penetrating. By the anticipation of pain at the onset of sexual intercourse, the muscles contract, making the attempt of sexual intercourse more painful. Diagnosis Clinical Investigation Because of the symptoms is made a tentative diagnosis. Pain causing physical abnormalities (eg. As the cause dyspareunia) should be excluded by physical examination. However, the study design because of the anomaly itself difficult. One strategy may be to initiate as described under treatment and to postpone the confirmation examination. The doctor can give the feeling of the patient to have control of the situation by sitting upright in front of a mirror and look at their genitals during the examination. The woman spreads her labia and leads her own finger or provided with a glove finger of the examiner to the hymen past, while it presses. This simple test can confirm the presence of a normal vagina and the diagnosis of vaginismus simultaneously. Progressive desensitization treatment In progressive desensitization women get used to it gradually, himself close to, on and then touching through the vaginal orifice. At first the woman should touch every day as close to the vaginal orifice and thereby spread the labia with her fingers. Once their shyness and fear of self contact has reduced the Introit, the woman is more likely to tolerate a physical examination. In the next step they should introduce her finger past the hymen; is pressed during the penetration down, the opening can be expanded and penetration will make easy. If the insertion of a finger causes no symptoms, vaginal cones can be introduced progressively increasing sizes; one about 10 to 15 minutes unprocessed cone accustomed perivaginal muscles gently increasing pressure without triggering a contraction reflex. In the beginning, the woman introduces a cone itself; if she feels comfortable with the cone, it can allow her partner to help her during a sexual encounter with the introduction of a cone, in order to prove that it can be easily introduced when she is sexually aroused. Runs the introduction of this type easily, the couple should supplement during sexual play the stimulation of the vulva with the penis, so that the woman used to it, to feel the penis on her vulva. Finally, it leads to the penis of the partner partially or completely, in which it considers it as an object for insertion. Maybe you self-confidence is strengthened when it is above. Some men experience doing a situational erectile dysfunction, which can be remedied by a phosphodiesterase inhibitor.

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