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Vaginismus/Painful Intercourse Treatment in Dubai

Vaginismus is a distressing and often misunderstood condition that can affect women around the world. It is defined by the uncontrolled and involuntary tightening or spasms of the muscles surrounding the vaginal entrance. These spasms can be so intense that any attempt at vaginal penetration, whether by sexual intercourse, tampon, or even a medical examination, becomes painful and often impossible. The severity of vaginismus can vary, ranging from mild discomfort to extreme pain and complete avoidance of any penetration. Some women have vaginismus in all situations and with any object. Others have it only in certain cases, like with one partner but not others. Or they might have it with sexual intercourse but not with tampons or during medical exams.

Cause of Vaginismus/Painful Intercourse

Doctors are unsure why vaginismus occurs but it is generally associated with anxiousness or fear about having sex. Although it’s not often apparent which one started first, the vaginismus or the anxiousness.

  • Psychological Causes: Emotional and psychological factors play a significant role in vaginismus. Past traumatic experiences, such as sexual abuse or a history of painful intercourse, can create an association between sex and pain, leading to involuntary muscle contractions as a protective response.
  • Anxiety and Fear: Anxiety about penetration or fear of pain during sex can further exacerbate the condition. Fear of pregnancy, guilt about engaging in sexual activity, or relationship conflicts can also contribute to vaginismus.
  • Lack of Knowledge and Communication: Insufficient sexual education or misconceptions about sex can lead to anxiety and fear of the unknown, causing involuntary muscle spasms.

Symptoms of Vaginismus/Painful Intercourse

Vaginismus is characterized by the inability to engage in vaginal penetration due to the involuntary tightening of the vaginal muscles. Common symptoms include:

  • Pain during penetration: Attempting vaginal penetration causes a sharp or burning pain, leading to an immediate reflex contraction of the pelvic floor muscles.
  • Avoidance of intercourse: Due to the pain and anxiety associated with penetration, women with vaginismus may avoid sexual activity altogether.
  • Muscle spasms during medical exams: Vaginismus can also make gynecological examinations extremely painful or impossible.
  • Emotional distress: Women with vaginismus may experience feelings of frustration, shame, and inadequacy, leading to low self-esteem and decreased sexual desire.

Diagnosis of Vaginismus

If a woman suspects she has vaginismus, seeking help from a healthcare professional, typically a gynecologist, is crucial. Vaginismus is not the only reason for dyspareunia (Painful Intercourse). Other health problems like vaginal infections or vaginal dryness may cause painful intercourse. It’s important to see a doctor to find out what is the cause.

Your doctor will ask about your symptoms and your medical and sexual history.

Our Gynecologist will do a pelvic exam to look for other health conditions that could cause pain. You might need some treatment (Local Anesthesia) before you can tolerate the exam. She will move as slowly and gently as possible, and explain everything they’re doing.

Treatment for Vaginismus

A thorough medical examination is necessary to rule out any underlying physical conditions. There are different ways that can deal with Vaginismus, it includes doing certain exercises, Pelvic Floor Therapy, Sexual Counselling, using Vaginal Dilators, Cognitive-Behavioral Therapy (CBT), etc. However, the most effective treatment for Vaginismus is with Botox Injection.

How Do Botox Injections Help to Treat Vaginismus?

The purpose of Vaginismus treatment is to reduce vaginal muscular spasms and contractions. Botox therapy can be an effective treatment for vaginismus by temporarily easing muscular spasms that impede with penetration and cause painful intercourse.

Botox injection is a simple and quick non-surgical therapy for woman who are suffering from Vaginismus.

Botox injections are used by our Cosmetic Gynecologists to treat Vaginismus. When Botox is injected into muscles, it relaxes them and prevents them from contracting. Botox injections provide temporary relaxation and pain relief, allowing the body to adjust to the sensations without any contraction. The effect of Botox will last 3 to 4 Months. In most cases, One Injection is enough as the vaginal muscle will get used to being relaxed. But in some cases, they may need another injection after 3 to 4 months. 

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