Vaginismus

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Causes of painful intercourse

Female reproductive anatomy (mid-sagittal)

Uterus

Treatment involves extensive therapy that combines education, counseling, and behavioral exercises. Such exercises include pelvic floor muscle contraction and relaxation (Kegel exercises).

Vaginal dilation exercises are recommended using plastic dilators. This should be done under the direction of a sex therapist or other health care provider. Such therapy should involve the partner, and can gradually include more intimate contact, ultimately resulting in intercourse.

Educational resources should be provided. This includes information about sexual anatomy, physiology, the sexual response cycle, and common myths about sex.

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When treated by a specialist in sex therapy, success rates are generally very high.

Vaginismus may lead to unsatisfying sex activity and tension in intimate relationships.

If you have pain associated with intercourse or difficulties with successful vaginal penetration, contact your health care provider.

Review Date: 07/23/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).