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Information about vaginismus

01, April | No comments

Many women experience vaginismus, however just a few get diagnosed because of the emotional problems involved. In this post, we will explain you what is it and how to treat it.

What is vaginismus?

Vaginismus is a sexual dysfunction which consists of the involuntary tightening of the vagina in which pelvic muscles are unable to relax causing pain intercourses, penetration problems or inability to have intercourse.


Symptoms are not the same in every woman. They will be related to the intensity of the muscle spasm. This muscular contraction can appear during intercourse or can occur suddenly meanwhile you are having intercourse.

Ongoing sexual discomfort, burning or pain with penetration, known as dyspareunia.

Difficulty or impossibility of penetration

Difficulty or inbility inserting tampons

Discomfort during a gynecological exam

Avoidance of sex due to pain and/or failure

Knowing vaginismus

We have already explained what is vaginismus, but how does vaginismus arise?

It is a physical reaction in which your body prepares for something which is expected to be painful or uncomfortable.

Imagine you are walking across the street and you see an object is hurled toward you; your reaction will be to contract your muscles. For instance, most people blink their eyes or they contract their arms when a ball is going to hit their faces or bodies. You do these involuntary reactions in order to avoid pain; you do not think about doing it, you just do it.

It is the same when the mind associates penetration with pain, discomfort or anxiety; the pelvic muscles response against penetration to something which presumably is going to cause pain.

The problem is that this is a vicious circle; mind associates pain, pelvic muscles contract, when they contract you feel pain, the body resists and this resistance causes frustration which can lead to lack of sexual desire and back again making intercourse even more painful or unpleasant.

Myth: Many women think that if you experience vaginismus you cannot have sexual desire or orgasms but it is not true. You can have satisfactory sexual relations (with no penetration) and orgasms by stimulating clitoris.

Vaginismus causes

Vaginismus can be triggered by physical events or psychological causes

Some psychological causes are: negative experiences, anxiety or stress, sense of guilt, partner issues, fear of getting pregnant or not being up to scratch, when intercourse is related to pain…

Some physical causes are: medical conditions such as urinary infections, endometriosis or cancer, childbirth, menopause, vaginal dryness, vaginal atrophy, pelvic surgery, sexually transmitted diseases (STD)… Also some medications with side effects can cause pelvic pain.

Does it cure by itself?

Unfortunately, it does not. If you notice some symptoms or dyspareunia, do not let it go. It is wise to check with a doctor in order to seek a solution as if you do nothing about it; it is likely to get worse.

Types of vaginismus

Primary vaginismus: When a woman has never been able to have pain-free intercourse. Sometimes, these women are unable to insert a tampon or exercise the pelvic muscles.

Secondary vaginismus: When a women, who have had many years of pain-free intercourse, experience pain or difficulties. This type of vaginismus can be triggered by physical causes.

Treatment for vaginimus

Vaginismus is highly treatable and it does not require invasive techniques like drugs or surgery but it is important to check with your doctor to get diagnosed.

It is advisable to treat vaginismus physically and emotionally; you can resort to sex education and therapies.

With Kegel exercises, you will learn how to contract and relax the muscles voluntarily. In this post, you can read how to exercise your pelvic floor.

You can exercise your vagina with vaginal dilators which allows exercising your vagina progressively as you will start with a small size and move to the next size when you are ready. The aim of these exercises is to expanding the vagina and teaches you how to contract and relax the pelvic muscles.

The vaginal dilators are suitable for clinical and home use.

Choosing the best vaginal dilators

There are different types of dilators available in the market so it is important to know which ones are the best for vaginismus treatment according to its material, texture, size and shape.

Material: It is essential that dilators are made of medical-grade silicone. Some dilators are made of plastic but they are quite hard and are not flexible at all so they are not comfortable to use. Besides, they can cause infections, so make sure you buy dilators made of medical-grade silicone.

Texture: The more smooth they are, the easier will be to insert it into our vagina. Silicone ones, are the best thanks to its velvety texture.

Size: Some dilators are too big or too small. We recommend you a set of 3 or 5 dilators to exercise progressively so when one size can be introduced without any discomfort, you can move to the next size up to the biggest.

Shape: The tip width will be always slightly thinner than the base width. Furthermore, they should have a handle (as shown in the pictures) in order to have more control and more hygiene.

How to use vaginal dilators

In this post, we explain how to use dilators and how to clean them.

Remember to use only water-based lubricants, no silicone and oil lubricants. Otherwise, you will ruin the dilators’ material.

Caution before using vaginal dilators

Do not use them in case of vaginal or pelvic infection.

If you experience a lot of pain or you bleed, stop using them and check with your doctor.

After a radiotherapy treatment, follow your doctor´s instruction before using dilators.

Do not use silicone or oil lubricants.


We hope this post has been useful and remember vaginismus is highly treatable, so do not wait and seek solutions!

If you would like to order your vaginal dilators, click here.


The purpose of this post is purely informative. It does not replace a medical consultation.

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