Vaginismus Treatment - How to Cure, Treat Vaginismus?

Vaginismus treatment

Treatment of vaginismus can be achieved by using a variety of behavioral and medical techniques.

Medical education concerning sexuality and pelvic anatomy is critical to allow the patient to become familiar with her own genitals and how the body functions in a sexual capacity.

Progressively sized vaginal dilators or vaginal inserts remain the mainstay of treatment for those who suffer from vaginismus. Dilators, which are progressive in size, diameter and girth, are inserted into the vagina under the patients own control in a step wise fashion. The use of progressive dilators, coupled with cognitive behavioral therapy to decrease anxiety, can help overcome the fear of penetration.  During vaginal dilator insertion, the patient is instructed to engage in relaxation techniques to lessen the anxiety she maybe experiencing. Some relaxation techniques include: sensate focusing, mindfulness, focal point assessment, distraction, rhythmic breathing and guided imagery. Pelvic muscle training with the assistance of a specialized and trained pelvic floor therapist can help with relaxation of pelvic muscles. This can be accomplished by internal manipulation or use of biofeedback of muscle tension..

Psychological counseling with cognitive behavioral techniques and relaxation are also encouraged. It is also important to encourage the couple to maintain sensual intimacy with alternative sexual behaviors including oral, manual or digital stimulation even when penetration is impossible. It is important to encourage couple closeness and improved communication to ensure that frustration and anger be minimized. According to the National Institutes for Health, vaginismus treatment is accompanied with a high success rates if treatment is followed by a specialist in sex therapy or counseling. A certified sexual therapist or counselor will often use a multimodal approach to therapy, including education, physical pelvic floor therapists and an aggressive dilator program. Close follow up is predictive of success.




Read more about symptoms affecting the vulva and vagina that may be causing discomfort or pain.

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Read more about vulvar and vaginal disorders that affect women and their quality of life.

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