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Question
Posted by: Sue | 2011/03/12

Pain

What is the treatment for painful sex/vaginismus?

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Our expert says:
Expert ImageSexologist

It is important to understand exactly when the pain occurs as the causes of the pain can differ. Does the pain occur on penetration or is it a deep pain with intercourse? If the pain is a deep pain, it would be necessary for you to have a gynaecological examination to exclude a pelvic cause of the pain. If the pain occurs at penetration, the cause may be vaginimus. The treatment for this involves taking a thorough indepth history to understand when the pain started, has it always been present or was there a precipitating cause. The next step would be to encourage exercises to enable relaxation of the muscles surrounding the vagina which tighten and cause the pain on penetration. If you need help in this regard and need to contact a health care provider in your area you can contact, please call the SASHA (South African Sexual Health Association) helpline on Tel -0860 100 262 for referral.

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2
Our users say:
Posted by: Learner | 2011/03/14

i went for a checkt to Elna mc Intosh.
i suffer from vaginism before penetration and still do not have sex. it is really painful

Reply to Learner
Posted by: Sexologist | 2011/03/12

It is important to understand exactly when the pain occurs as the causes of the pain can differ. Does the pain occur on penetration or is it a deep pain with intercourse? If the pain is a deep pain, it would be necessary for you to have a gynaecological examination to exclude a pelvic cause of the pain. If the pain occurs at penetration, the cause may be vaginimus. The treatment for this involves taking a thorough indepth history to understand when the pain started, has it always been present or was there a precipitating cause. The next step would be to encourage exercises to enable relaxation of the muscles surrounding the vagina which tighten and cause the pain on penetration. If you need help in this regard and need to contact a health care provider in your area you can contact, please call the SASHA (South African Sexual Health Association) helpline on Tel -0860 100 262 for referral.

Reply to Sexologist

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