What is it, causes, treatment and consequences of the disease that affects thousands of women in Brazil


The gynecologist explains the causes and how to treat the disease

Photo: Pixabay - Unhappy woman.
Photo: Pixabay – Unhappy woman.

In many cases, it is normal for a woman to experience pain the first time you have sex, which can be caused by nervousness and tension of the moment. Made the call”first time“one must be vigilant if the discomfort persists. According to information from the Brazilian Journal of Human Sexuality, the rate of appearance of vaginismus varies between 11.7% and 42% in women and, despite the data, the subject is rarely discussed.

As explained by Teresa Embiruçu, gynecologist, specialist in sexology and obstetrics, this “disease” causes an involuntary contraction of the muscles of the pelvic floor, muscles located around the vagina. This factor prevents the “entry” of the penis, fingers or any other object into the vagina, even with the will and permission of the woman. That Female sexual dysfunction can be categorized into two types: primary vaginismus (which occurs during the first sexual intercourse of the woman) and secondary vaginismus (occurs when the woman has already practiced pleasurable sexual activities, but they have become uncomfortable).

According to the information of the specialist, there are several causes of vaginismus, therefore it is necessary to observe certain points of the sexual construction of the woman, such as: what she heard about the first time, how she learned , expectations when initiating sexual life, and religious factors, such as viewing the act as wrong, dirty, and sinful. “We will always look at different points, such as: if homeschooling was very castrating and prohibitive, if you have suffered psychological or sexual violence, if you have a history of gynecological health problems (for example, vulvar lichen) , if you have other diseases associated with chronic pain (eg, fibromyalgia), if you have a controlling and hypervigilant personality, and if the person is anxious“says Therese.

The main warning signs of vaginismus are intense pain and discomfort during penetration. “[O vaginismo] is described as sexual pain, pain with intercourse, pain on penetration or more technically genito-pelvic pain”, explains the expert. According to Teresa, there are cases that resemble vaginismus, in which the woman manages to have penetration, but feels burning, pain and discomfort. “It’s like a knife went in, described as vulvodynia. Vulvodynia would already be another localized pain in the vulvar mucosa that prevents or makes penetration difficult.said the doctor.

Vaginismus can occur at any age, so it’s important to be aware of the signs. The diagnosis can be made by a detailed conversation with a gynecologist.
“It must be removed if there are no other causes that justify the pain”, explains Therese. Treatment involves relaxing the muscles and desensitizing the muscles of the vagina to touch and penetration, and can be performed by a gynecologist with the support of psychologists and professionals specializing in women’s sexual health.
“The psychological approach is also essential to work with erroneous beliefs and re-signify certain moments of this construction of sexuality. But the treatment will depend not only on qualified professionals to help and give the necessary tools, but also on the person’s commitment and motivation to improve. Because treatment is a process, there is no right time, there is no medicine that is taken and healed“, explains Teresa Embiruçu.

The most common consequences of vaginismus are a sense of broken expectation and indebtedness to the sexual partner. Even though women with this disease can have sexual desire, feel aroused, reach orgasm, with stimulation of the vulva and clitoris, and have a satisfying sexual response, there are still complaints from women who feel incomplete without vaginal penetration.
“Another frustration frequently reported by people with vaginismus is difficulty getting pregnant naturally. It’s usually when the relationship isn’t going well or when the urge to get pregnant comes along that the person asks for help.”adds the doctor.

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