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some people may experience vaginismus after gynecological surgery or radiation. in menopause, when estrogen levels drop, increased dryness may lead to these involuntary contractions. and while some may believe that a history of physical or sexual abuse is a risk factor for vaginismus , there is very little evidence supporting this in research literature.
without a doubt, vaginismus can be a stressful experience and it can also put a strain on a relationship. unfortunately, it doesn’t get as much attention as erectile dysfunction , which can make people who are going through it feel alone.
dr. caroline pukall, psychologist and professor at queen’s university, and director of sex and relationship therapy service psychology clinic says that often people with this condition are invalidated, dismissed, or given poor advice, such as “have some wine, that will loosen you up.” she adds that the perception that ‘everyone’ is having sex or that they are the only one experiencing the condition, contributes to a feeling that something is very wrong with them.
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although it’s rare, some people may experience a sudden onset of vaginismus . pukall suggests that pain occurring in the genital area, such an infection, or something that is physically or psychologically traumatic, can lead to unexpected or secondary vaginismus.
although this condition can take a physical and an emotional toll on the person going through it, treatment is available . some effective strategies include working with a sex therapist, practicing relaxation techniques and hypnosis. vaginal dilators, which are inserted into the vagina by a health-care professional to help expand vaginal tissues, are another option to relieve the painful symptoms of vaginismus. targeted exercises, guided by a pelvic floor specialist, can also improve discomfort.
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it’s not an easy subject to discuss, but it’s important to share how you are feeling with your partner — the support of a therapist can help make the most of these conversations. there are proven therapeutic benefits in talking openly about your emotions and positive health impacts in releasing shame .