I experience severe pain during penetration. What might be causing this?

If you experience pain during penetration, you may be dealing with vaginismus. This condition involves an involuntary contraction of the pelvic floor muscles surrounding the vagina, leading to discomfort that can make penetration challenging or impossible.

Vaginismus can be classified as primary if it has always been present or secondary if it arises after a period of normal sexual activity. It may be generalized, preventing any form of penetration—whether by a penis, finger, tampon, or during gynecological exams—or it might occur only in specific situations.

The causes are often psychological and can stem from various factors such as strict upbringing, negative attitudes toward sexuality, experiences of violence or abuse, painful past penetrations, or feelings of hostility towards a partner. These factors typically manifest as fear responses. In rare instances, physical origins like vaginal malformations or infections may contribute to the issue.

If symptoms persist, consulting a gynecologist or sexologist is advisable. Vaginismus can create a vicious cycle; ongoing pain leads to increased fear of penetration and exacerbates discomfort. This situation may also result in tension within relationships and misunderstandings between partners and could hinder efforts to conceive.

In most cases, treatment involves helping the patient understand her anatomy and learn to relax and control her vaginal muscles. If vaginismus is primary and generalized, behavioral therapy with a sexologist or psychologist specializing in sexology can assist in identifying the origins of her blockages, potentially alleviating pain.

For more information, please schedule a coaching session with a healthcare professional at Women's Health Coaching.