Kink Talk – What does Vaginismus mean?
Vaginismus
Vaginismus is an involuntary tightening of the muscles around the vaginal opening that makes penetration with a penis, fingers, toys or tampons painful or impossible.
What does Vaginismus mean?
Vaginismus is the medical term for pelvic floor muscles around the vaginal opening tightening on their own. Penetration with a penis, fingers, toys, tampons or a speculum then hurts or doesn’t work at all. It’s a reflex, not a choice, and has nothing to do with not wanting your partner. Some people have it from the very first try, others develop it later, for example after painful sex, an infection or giving birth. Desire and arousal can be completely intact.
What causes vaginismus?
Often it’s a mix of body and mind. Fear of pain, anxiety around sex, strict or shaming messages about sex, earlier painful experiences or trauma can teach the body to brace itself. Physical triggers like infections, vaginal dryness, vulvodynia or injuries can start the cycle too: pain leads to tension, tension leads to more pain. Nobody is to blame for it.
Can vaginismus be treated?
Yes, and the chances are good. Treatment usually combines pelvic floor physiotherapy, gradual practice with dilators at your own pace and sex therapy to work with fear and tension. First see a gynaecologist to rule out other causes and ask for a gentle exam. Meanwhile, sex without penetration is still sex, and many couples enjoy hands, mouths and toys outside the body. Never push through pain.