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Home page > Specialties > Gynaecology > Vaginismus

Vaginismus

 

Vaginismus is a highly debilitating female sexual condition.  Here at The London Clinic a breakthrough new service is available for the treatment of vaginismus with muscle relaxing injections.

 

 

What is vaginismus?

Vaginismus is a condition where the muscles around the vagina tense involuntarily when vaginal penetration is attempted. It makes sexual intercourse, pelvic examinations and smears painful, challenging or even impossible in more severe cases.

 

Many women will likely experience vaginismus at some point in their lives, with the condition being most common from the late teens until the thirties. It can even occur in women who have a history of enjoyable and painless sexual intercourse.

 

 

Possible causes of vaginismus include:

  • * an unpleasant sexual experience at a young age, sexual abuse, or sexual assault

    * poor understanding of sexual intercourse and/or feelings of shame or guilt

    * injury, infection or inflammation of the vagina, pelvis or bladder

    * persistent vaginal dryness or irritation caused by spermicides or latex in condoms

    * fear or dislike of sexual intercourse because it is difficult or painful, or fear that the 

  •    vagina is too small

  • * fear of getting pregnant or the after-effects of childbirth

    * relationship problems

    * tiredness or depression

    * alcohol, drugs or some medications

 

 

Treatment

Vaginismus is very treatable. If the cause is psychological, it may be treated using counselling or sex therapy.

 

For women who find these treatments unhelpful, muscle relaxing injections can be an option.

  • * Muscle relaxing injections

    Muscle relaxing injections have a local effect and block transmission between the nerve  

    endings and muscle fibres, which causes weakness of the nearby muscle.


    Tiny injections are delivered directly into the muscles in the pelvic floor, with no anaesthesia

    required. The procedure takes approximately ten minutes and discomfort is usually minimal

    and brief. The relaxation of the pelvic floor muscles takes effect within five to seven days.

 

 

Our experts

 

Despite its proven effects, using muscle relaxing injections to treat vaginismus is not common practice, with only very few gynaecologists in the UK experienced in offering this treatment.

 

Mrs Britt Clausson, Consultant Gynaecologist