What can I do? A clear diagnosis is important in order to decide on the therapeutic path. Consultation and treatment history and causal attributions in an online sample of women with lifelong and acquired vaginismus. My boyfriend hardly ever gets erections. Only by gynecological examination can painful peri-vaginal hypertonus be definitively diagnosed and differentiated from other types of gynecological pain, e. Due to its seemingly relatively low prevalence, fear of vaginal penetration in the absence of pain needs to be more recognized. Female sexual dysfunction FSD may present as disorders of sexual desire, arousal, or orgasm, alone or in combination, and separately as sexual pain disorders, a category which is independent of the triphasic sexual response cycle.
Multimodal treatment regimens need to be deployed, and a multidisci-plinary approach is usually necessary.
I have a phobia of penetrative sex
As in all phobic disorders, the woman is constantly guarding against any penetration, and will not dare to insert tampons, or permit inadvertent penetration, even self-digital, during erotic activity, thus preventing any form of naturalistic behavioral desensitization. It is usually a primary condition. A good sex therapist could identify the cause, then create a treatment plan. They are often noted to be very concerned about causing pain to their partners, and in that sense they become participants of the avoidance behavior themselves. Conversely, pre-existing sexual trauma does not invariably predict this condition. Implicit in the vaginismus discourse is that it is a phenomenon found essentially in heterosexual women.