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Want and can not: control without anxiety
It is the involuntary contraction of muscles near the vagina that
prevents penetration by penis, finger, or gynecological speculum or
even a cap. The woman can not control the movement of contraction,
although even want sex. There is intense suffering. They may also show
signs of panic, nausea, excessive sweating and shortness of breath when
the person tries to address this fear, approaching your partner. Even
desiring sexual contact, there is complete lack of control over their
physical reactions of rejection.
It's not a very common disorder and usually affects women with a high intellectual level, in good economic situation, it feel like a type of controller and difficulties with intimacy.
But, why?
Several factors can determine the vaginismus. We should always observe if there are any organic cause for pain during intercourse, hormonal imbalances, painful nodules or infection of the genitals. The use of some medications have side effects like decreased vaginal lubrication should be screened.
The deeper psychological causes are:
trauma of sexual abuse or rape
anti-sex messages during childhood (such as listening to parents that sex is dirty)
blame
controller or seductive behavior by parents
difficulty in uniting love with sex in the same person (wife prostitute X)
rages between the couple
feared competition with the father or mother, among others.
And have a solution?
Vaginismus is a disorder relatively easy to treat when it aims to empower the patient only for penetration. However, until women to seek help, many years of suffering might pass. Generally it is the gynecologist who discovers that his patient has difficulties in performing the examination. He heads to the sex therapist to evaluate the need for some medication and prepare the patient emotionally to face the desensitizing treatment, most indicated technique for this sexual dysfunction. In moderate and severe cases of vaginismus, the Analytically Oriented Psychotherapy is essential to enable the patient to seek the gynecologist.
Desensitization technique
Desensitization is performed by the obstetrician and the woman is to gradually expose the situation of vaginal penetration with the use of finger or cone-specific treatment. It begins with the orientation of how the female genitals, showing a woman with a mirror of his own anatomy. Then tries to insert a finger into the vagina. Gel lubricant is used. With the development of the technique, the woman will reduce her vaginal hyper-sensitivity, allowing the introduction of cones and after, the penis of their sexual partner. The tasks are carried out with the partner in intimacy. The gynecologist serves as a facilitator, trying to lessen the fantasies of women to feel torn, perforated or torn.
Psychoanalytic psychotherapy
Indicated for cases where there is moderate to severe emotional conflicts, for example, childhood sexual abuse. It consists of psychotherapy sessions where the patient is asked to say everything that comes to mind. The Sex Therapist, through interpretation, confrontation and bleaching, will help the patient understand the link between their deepest problems and sexual symptom of vaginismus. With the alleviation of fears and fantasies of pain and personal invasion, the patient may be forwarded to your gynecologist for desensitization.
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