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Vaginismus

Vaginismus, sometimes anglicized vaginism, is the condition that affects a woman's ability to engage in any form of vaginal penetration, including sexual intercourse, insertion of tampons and/or menstrual cups, and the penetration involved in gynecological examinations. This is the result of a reflex of the pubococcygeus muscle, which is sometimes referred to as the "PC muscle". The reflex causes the muscles in the vagina to tense suddenly, which makes any kind of vaginal penetration—including sexual intercourse—painful or impossible.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with vaginismus, 84% report having pain during intercourse, 52% report having pelvic pain, and 34% report having vaginal pain. The symptoms that are highly suggestive of vaginismus are pain during intercourse, pelvic pain, vaginal pain, vaginal dryness, painful menstruation, hot flashes, and heavy menstrual flow, although you may still have vaginismus without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with vaginismus often receive pelvis exam, examination of breast, urinalysis, ultrasonography, rectal examination, complete physical skin exam performed (ml), mammography and pap smear .

Common Medications

The most commonly prescribed drugs for patients with vaginismus include estradiol, estrogens, conjugated (usp) (premarin), progesterone, ortho cyclen, drospirenone / ethinyl estradiol, pindolol, tolnaftate topical, neostigmine, teriparatide (forteo), desflurane, bupivacaine / epinephrine, chlordiazepoxide / clidinium and pentosan polysulphate sodium (elmiron) .

Who is at risk?

Groups of people at highest risk for vaginismus include age 30-44 years, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 5-14 years, age 1-4 years, and age < 1 years almost never get vaginismus.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
1.8x
30-44 years
2.0x
45-59 years
1.3x
60-74 years
0.1x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
0.7x
Hispanic
0.9x
White
1.1x
Other
0.9x
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