Patient's question:
I have been married for three years and have been unable to have sexual intercourse. I only recently found out that this is vaginismus. I don't want to use that vaginal dilator. Hello, is there any effective medication for this? Anesthesia or something? Thank you.Doctor's answer:
Vaginismus is a symptom of female sexual dysfunction, primarily referring to the uncontrolled, intense, and persistent tightening of the vagina and pelvic floor muscles during sexual intercourse, making it difficult for an erect penis to penetrate or causing pain and discomfort in the vaginal opening or deeper during or after intercourse. When sexual activity has begun, the husband should try to suppress his urgent sexual impulses and first engage in ample foreplay until the woman reaches a certain level of sexual arousal before slowly inserting the penis into the vagina. During thrusting, it should be done slowly, gently, and with small movements. If the woman cannot tolerate it, the activity should be immediately stopped. Improvement involves adopting the female-on-top position, where the woman guides the penis and controls the movements.