Types of Vaginismus

1. Primary Vaginismus:

Pain or inability to penetrate has always been present since first attempts at intercourse or vaginal exams.

2. Secondary Vaginismus:

Develops after a period of normal sexual function, often triggered by trauma, childbirth, menopause, or painful experiences.

How Common is Vaginismus?

• Vaginismus affects 5% to 15% of women seeking help for sexual pain.

• In India and other conservative societies, the numbers may be underreported due to stigma or lack of awareness.

• It is one of the most common causes of unconsummated marriage in South Asia.

At our clinic, we routinely help women facing vaginismus—you're not alone, and treatment works.

What Causes Vaginismus?

Vaginismus is often a protective reaction, where the body reacts to fear, pain, or anxiety by tightening the pelvic floor muscles.

Psychological Factors

• Fear of pain, bleeding, or pregnancy

• History of sexual trauma or abuse

• Negative beliefs about sex (often culturally or religiously ingrained)

• Anxiety or depression

• Fear of losing control or being judged

Physical Factors

• History of painful sexual activity (dyspareunia)

• Vaginal infections or injuries

• Hormonal changes (e.g., menopause)

• Childbirth-related trauma

• Post-surgical changes

Relational Factors

• Lack of trust or emotional connection with partner

• Pressure to have intercourse

• Communication issues

Vaginismus can also coexist with other conditions like vulvodynia, endometriosis, or pelvic floor dysfunction.

How is Vaginismus Diagnosed?

At our clinic, we ensure a respectful, trauma-informed evaluation. We prioritize your comfort and emotional safety.

Diagnosis typically involves:

• A detailed history of symptoms, fears, and relationship factors

• A gentle, non-invasive pelvic exam (only if you're comfortable)

• Ruling out infections or physical causes

• Assessing for related psychological concerns

We take time to build trust and ensure you feel in control throughout your care

Treatment Options for Vaginismus

Vaginismus is completely treatable, and most women experience significant improvement or complete resolution with the right approach.

We offer multidisciplinary care, combining medical, psychological, and physical therapy strategies.

1. Education and Counseling

• Understanding anatomy, arousal, and the role of pelvic muscles

• Reframing negative beliefs about sex

• Reducing fear and anxiety

2. Pelvic Floor Physical Therapy

• Guided muscle awareness and relaxation training

• Biofeedback therapy

• Vaginal dilator therapy (starting from small sizes)

• Stretching and desensitization exercises

3. Psychosexual Therapy

• Identifying and addressing emotional blocks

• Techniques like CBT (Cognitive Behavioral Therapy)

• Mindfulness-based relaxation for anxiety

• Couples therapy to enhance trust and intimacy

4. Medical Management

• Lubricants and vaginal moisturizers for dryness

• Topical anesthetics for pain reduction (if needed)

• Hormonal creams (e.g., estrogen for postmenopausal women)

In most cases, vaginismus is reversible with consistent support and guided therapy. You can learn to relax the vaginal muscles, reduce anxiety, and regain pain-free intimacy.

Why Choose Our Clinic for Vaginismus Care?

• Confidential and Compassionate Environment: We understand how sensitive and distressing this issue can be.

• Evidence-Based, Personalized Approach: Our treatment is based on international guidelines and adapted to your comfort and pace.

• Partner-Inclusive Therapy: When appropriate, we involve partners to improve communication, reduce pressure, and build emotional closeness.

Take the First Step Toward Comfortable Intimacy

Living with vaginismus can feel isolating—but it doesn’t have to be. Whether you're newly married, planning pregnancy, or struggling for years, our team is here to help you move forward.

Empower yourself with the care and support you deserve. Healing starts here