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Going to a Cleveland Clinic location? People experience it at the start of sex, while inserting a tampon or while getting a pelvic exam. Vaginismus can make intercourse painful dyspareunia. Kegels, vaginal dilators and cognitive behavioral therapy CBT can help relax muscles and stop spasms. Appointments Vaginismus is the involuntary tensing or contracting of muscles around the vagina.

The vagina is part of the female reproductive system. It connects the lower part of the uterus cervix to the outside of the body. These unintentional muscle spasms occur when something — a penis, finger, tampon or medical instrument — attempts to penetrate the vagina. The spasms may be mildly uncomfortable or very painful.

Many people may be too embarrassed to talk about the problem with their healthcare providers.

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Vaginismus symptoms may appear during the late teen years or early adulthood when a person has sex for the first time. Some women develop vaginismus later in life. It can happen after years without any problems. Or you may have them only at certain times, such as during sex or pelvic exams. It can cause physical, psychological and sexual issues. Bladder infections, UTIs and yeast infections can worsen vaginismus pain.

You should see a doctor if you have painful sex or pain while inserting a tampon.

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Your healthcare provider will ask about your symptoms and your medical and sexual history. A pelvic exam can help rule out other problems or confirm the presence of muscle spasms. Your provider may apply a topical numbing cream to the outside of the vagina before the exam to make the process more comfortable for you. Vaginismus treatments focus on reducing the reflex of your muscles that causes them to tense up. Treatments also address anxieties or fears that contribute to vaginismus.

Vaginismus can affect your sex life and relationships with your partner. It can affect your mental health, leading to increased anxiety. We don't know what causes some people to develop vaginismus. Many people with vaginismus no longer experience the problem after treatment. Many problems, including vaginismus, can cause painful intercourse. Almost all of these problems are treatable. A lot of people see ificant improvements in their sex lives and their mental health after vaginismus treatments. Cleveland Clinic is a non-profit academic medical center.

Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Vaginismus Vaginismus is an involuntary tensing of the vagina. How common is vaginismus? Who might get vaginismus? Symptoms and Causes What causes vaginismus? Factors that may contribute to vaginismus include: Anxiety disorders. Childbirth injuries, such as vaginal tears.

Prior surgery. Fear of sex or negative feelings about sex, perhaps due to past sexual abuse, rape or trauma. What conditions are similar to vaginismus? These problems can cause symptoms similar to vaginismus: Vaginal atrophy: Lack of estrogen after menopause makes the lining of the vagina thinner and drier vaginal atrophy.

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Vulvar vestibulitis provoked vestibulodynia : This condition causes painful sex dyspareunia. People may have pain from initial penetration throughout the entire experience. What are the symptoms of vaginismus? s of vaginismus include: Discomfort or pain during vaginal penetration.

Inability to have sex or have a pelvic exam due to vaginal muscle spasms or pain. Painful intercourse. Diagnosis and Tests How is vaginismus diagnosed? Management and Treatment How is vaginismus managed or treated? Your healthcare provider may recommend one or more of these treatments: Topical therapy: Topical lidocaine or compounded creams may help with the pain associated with this condition.

Pelvic floor physical therapy: A physical therapist will teach you how to relax your pelvic floor muscles. Vaginal dilator therapy: Vaginal dilators are tube-shaped devices that come in various sizes. Their primary purpose is to stretch the vagina. People with vaginismus use dilators to become more comfortable with, and less sensitive to, vaginal penetration. Your provider may recommend first applying a topical numbing cream to the outside of the vagina to make insertion easier.

Sex therapy: Trained sex therapists work with individuals and couples to help them find pleasure again in their sexual relationships. What are the complications of vaginismus? Prevention How can I prevent vaginismus? Living With When should I call the doctor? You should call your healthcare provider if you experience: Genital irritation or itching.

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Painful urination dysuria. Unusual or foul-smelling vaginal discharge. Vaginal redness, soreness or swelling. What questions should I ask my doctor? You may want to ask your healthcare provider: Why am I experiencing pain with penetration? What is the best treatment for me? How can I make sex more pleasurable? Is vaginismus likely to get better or worse with time?

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Will mental health support, like counseling, help me? Show More.

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