Narrow vagina or vaginismus?

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May 25, 2017/ 0 Comments / in Sin categoría @en / by

Some women experience problems when attempting to engage in sexual intercourse, often mistakenly referred to as “narrow vagina or a small vagina”. This happens when attempting to engage in sexual intercourse the penis collisions into the vaginal opening and cannot penetrate. Despite all efforts, the vagina seems totally closed, even when there is great desire and strong sexual arousal. In this post, we will approach and explain this condition called vaginismus, which is an issue that generates anxiety and frustration for both parties.

Can vaginas be too narrow or too small?

There are different types of vagina, no two vaginas are the same! However, we cannot speak of too small, too narrow or large ones, although, it is true that some women cannot enjoy coital sex (intercourse) because penetration seems impossible, almost as if there was a barrier that blocks all access to the vagina.

Is it a common problem? Is there any solution?

Of course there is a treatment for vaginismus and it has a very high rate of efficacy. The first step is to go to a specialist who will provide the right diagnosis and propose an appropriate treatment.

What is vaginismus?

Vaginismus is a sexual pathology that consists of an involuntary spasm of the muscles found around the vagina. The key is that it is involuntary, so the woman is not aware of it, and that is why it is so frustrating: she cannot understand why her body rebels against something that she seems to desire.

Are there different types of vaginismus?

Total Vaginismus: As a result of those spasms, the vagina closes and makes sexual intercourse virtually impossible. It also obstructs gynecological or medical explorations. In these cases, when attempting penetration, the woman feels intense pain which contracts the vagina and makes it impossible to introduce any object into it (such as tampons or gynecological examination material).

Selective vaginismus: Vaginismus syndrome does not manifest in the same way in all cases. Some women suffer from “selective vaginismus” and they cannot have intercourse with penetration, even though they are able to undergo gynecological examination and / or use tampons.

Primary vaginismus and secondary vaginismus

There is also primary vaginismus, which has been suffered always, or secondary vaginismus, which appears suddenly, at a particular time after years of experiencing no problem as far as sexual intercourse is concerned. These cases are common if the female has suffered a period of painful sexual intercourse such as if often the case when resuming sexual relations after giving birth or after a traumatic event, i.e. sexual abuse. The body associates penetration with pain and discomfort so it sends signals of contraction to the muscles of the pelvic floor to prevent it.

Narrow vaginas. Some women have a lower amplitude in the vaginal orifice that can be mistakenly linked to problems in intercourse.

Others, have the perception that the vagina has been “closed” after a long time without having sex.
However, vaginal size does not pose any problem for intercourse with penetration, as long as there is no previous anatomical abnormality.

Is vaginismus common?

The syndrome of vaginismus is a pathology that comprises about 10% of female sexual problems and is suffered between 2% and 4% of the female population. A woman with vaginismus can reach orgasm and achieve sexual satisfaction but exclusively by stimulating the clitoris without simultaneous vaginal penetration

When can it appear?

It can be motivated by an unpleasant sexual experience, by some trauma or sexual abuse suffered in the past, by psycho-emotional factors such as problems with the couple, or by a high sensitivity to pain. Since there are several causes that can trigger this pathology, it is essential to go to a specialist who can identify its origin, in order to obtain a complete diagnosis and treatment.

Inflamed vagina or irritated vagina. Among the organic causes of vaginismus, we can find a vaginal inflammation arising from the use of an abrasive product and / or an allergic reaction, or an irritation resulting from an infection (due to sexually transmitted disease or candidiasis, for example).

Why do some women suffer from it?

The explanation of why this involuntary contraction of the vagina happens, is not evident for those who suffer from it, so it generates a lot of anxiety and misunderstanding, towards oneself and sometimes, on behalf of the partner who can begin to blame himself due his woman´s apparent rejection.

Sex therapists with experience in the field, will be able to decipher what is behind the vaginismus.
In principle there seems to be an unconscious association between vaginal penetration and a situation of danger, so that the body acts as if an instinctive defense mechanism is activated.
But it is vital to seek expert help and conselling; each case is unique and it is necessary to find out the origin of this pathology to address it with the appropriate psycho-sexological treatment.

Which is the treatment for vaginismus?

The methodology for treating vaginismus syndrome is to attend psychological and sexual therapy, individually and with the partner, if it´s possible. It is a treatment with a very high success rate, above 97%, as long as there is patient collaboration and adherence to guidelines.
The physician skilled in this type of sexual problem will guide the patient in learning to relax the muscles of the vagina, to learn more about their own anatomy and acquire control over the muscles of the pelvic floor.

In addition to psycho-sexual therapy, it is usually necessary to use small vaginal dilators along with targeted exercises, which that will improve the body’s awareness and little by little realise that there is no pain and no perceived danger when introducing these small utensils

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