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What a Woman Needs To Know If She Has Painful Sex




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Though Vaginismus, often mistakenly called Vaginism, describes painful sex or that intercourse is impossible, you need to know there are only two key kinds and it can be classified into 5 different levels. The understanding of this by clinicians and patients alike is important so that the proper treatment can be instituted. In the following paragraphs, we are going to describe in depth the various kinds and the various degrees of Vaginismus.


The Different Kinds of Vaginismus

There are 2 main kinds of Vaginismus

1. Primary Vaginismus
2. Secondary Vaginismus


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Primary Vaginismus


When a woman has never at any time been able to have pain-free intercourse due to vaginal tightness, her condition is known as Primary Vaginismus. This kind of Vaginismus is very common among women who tried to have sex for the first time. Primary vaginismus is the common cause of sexless, unconsummated marriages.


This kind of Vaginismus typically comes about as a consequence of physical reasons as well as certain psychological causes including bad past sexual experiences (abuse or rape), fear of getting pregnant, assuming sex is a painful act, performance anxiety and so on.

Secondary Vaginismus


Secondary Vaginismus refers to the experience of tightness, pain or penetration difficulties later in life, after previously being able to have normal, pain-free intercourse.  This kind is much more prevalent in women in the age bracket of 25-50. The factors are mainly physical and usually occur in women who suffer from painful or traumatic experiences such as strain to the vagina throughout child delivery, having sex in out of the ordinary sexual positions, pelvic surgeries as well as others.

What Is the Difference between Primary and Secondary Vaginismus

There is no significant difference between primary and secondary types of Vaginismus. The symptoms seen in women who are afflicted by either primary or secondary Vaginismus are almost the same (pain and discomfort throughout vaginal penetration, burning feeling and so forth.). Therefore, any treatment for Vaginismus which aims to prevent the cycle of involuntary tightening of the pelvic floor muscles can be applicable to both types of Vaginismus.

So, these are the 2 types of Vaginismus which can affect women in all stages of their life. We will now take a closer look at the different levels of Vaginismus. The level of Vaginismus can be determined by observing a woman’s response while she undergoes a gynecological or pelvic floor examination. The various levels of Vaginismus are outlined below:

First Degree Vaginismus: At this level, there is a spasm within the pelvic floor of the girl, which involuntarily closes the vaginal entrance making intercourse painful and uncomfortable. This particular spasm can be relieved with reassurance and generally reduces as time passes and she is able to go through a pelvic exam without going through any sort of pain.

Second Degree Vaginismus: At this level, the spasm in the pelvic floor continues despite reassurance and the woman is unable to unable to relax for the gynecological or pelvic floor exam.

Third Degree Vaginismus: At this level, the particular spasm inside the pelvic floor is so severe that the patient lifts up her buttocks with the fear and anxiety of being examined.

Fourth Degree Vaginismus: This particular degree of Vaginism is considered the most extreme level because the woman totally gives up and also withdraws any attempt of being examined. The woman will lift up her buttocks and close off her thighs to prevent any examination.
These were the various levels of Vaginismus, which a woman may possibly face with. However, regardless of whether a woman has the first degree of Vaginismus or the fourth degree of Vaginismus, this is a condition that can be treated very easily with the help of a suitable treatment program. What a woman needs to have is the will power as well as determination towards treating her situation.


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Clinical statistics showed that those who have complied with the methods of their treatment program have higher success rates as compared to those who failed to follow and complete the treatment. According to different, independent studies, the success rate of treatment for Vaginismus is around 75-100%, depending on the woman’s compliance with her program. This is mainly because; most of the treatment plans for Vaginismus include vaginal dilating, Kegel exercises as well as others provide total relief from the vaginal pain experienced while having sex. Additionally, the leading essence of these Vaginismus treatments is they are generally affordable and will help a woman to eliminate Vaginismus at her own pace.



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