Ivi / courtesy
Most of the time, vaginism is not only related to the body, but also to women’s emotional history and beliefs.
O vaginism It is a sexual dysfunction that causes involuntary contractions of the pelvic pavement muscles around the vagina, which makes vaginal penetration difficult or unfeasible.
It is one of the origins of a intense or frequent pain during sex – that should not be considered normal.
Gynecologist Catarina Marques explains that for fertile women who want to get pregnant, the diagnosis may represent a real obstacle but is not insurmountable.
“With proper follow-up, it is possible to find a successful way to realize the dream of maternity,” comments the specialist in IVI Lisboa Reproduction Medicine.
But it is essential to look at the emotional dimension The woman is only effective: the approach should include specialized treatment, emotional and psychological support and, if necessary, alternative design methods.
“Treatment should be structured and oriented by a multidisciplinary team. Vaginism diagnosis is based on careful clinical evaluation, complemented by active listening and, in some cases, complementary examinations. The therapeutic plan may include pelvic pavement physiotherapy, cognitive behavioral therapy, use of vaginal dilators and, in specific situations, the application of botulinum toxin. (Botox) To relieve muscle contraction ”, describes Catarina Marques.
For effective treatment, it is necessary: time, woman involvement and often the collaboration of the partner.
O Vaginism has cure. Many women resume their full sex life after treatment, which may allow natural conception, as long as there are no other factors of infertility, “always with respect for the rhythm and individuality of each woman,” continues the gynecologist.
And most of the time, Vaginism is not only related to the body, but also to women’s emotional history and beliefs: “Trauma, fear, shame, cultural or religious rigidity and absence of proper sex education may be on the basis of the problem.”
O psychological follow -up and essential To treat dysfunction and to restore self-esteem, pleasure and sexual well-being that can lead to pregnancy naturally.
