October 2024

In recent years, awareness of pelvic pain conditions like vaginismus has been on the rise, thanks in part to media coverage in shows like "Sex Education." It’s refreshing to see these topics being discussed openly, bringing more attention to issues that many people silently endure. If you’re unfamiliar with vaginismus, or if you or someone you know is dealing with this condition, ‘How Do You Know If You Have Vaginismus?’ aims to shed light on what vaginismus is, why it occurs, and how a holistic approach with pelvic floor physical therapy can be an effective treatment.

What is Vaginismus?

Vaginismus is a condition characterized by the involuntary spasming or clenching of the pelvic floor muscles, particularly those around the vaginal opening, during any attempted penetration. This reaction can occur during various activities, such as inserting a tampon, undergoing a gynecological exam, or engaging in vaginal intercourse.

Vaginismus involves a complex interplay of physical, emotional, and psychological factors.

Why Does It Feel Like My Tampon Is Hitting a Wall?

If you’re wondering what vaginismus feels like - it’s often described as a sensation like you’re ‘hitting a wall’ when you attempt insertion, and it’s often accompanied by significant pain. This is because of the pelvic floor muscle contraction and tightness that occurs with this condition, and if you try to push through the resistance you may experience significant discomfort. The intensity of the pain can vary and can be a sensation of stinging, burning, or sharp pain with penetration or attempted insertion and even after.

What Causes Vaginismus?

Vaginismus can start from the very first attempt at insertion or develop later in life, even if you had no issues previously. It might be triggered by a pelvic floor injury or trauma that sets off this involuntary response. While there is no single explanation for why vaginismus occurs, it is understood to be a complex interplay of physical, emotional, and psychological factors. Initially, the body may react to penetration with pain, and subsequently, it anticipates the discomfort, causing the muscles to tighten protectively. This Fear-Tension-Pain cycle can perpetuate the condition, as the anticipation of pain leads to further clenching and spasm. Despite its complexity, vaginismus is common and, importantly, it is treatable.

Can Vaginismus Be Cured?

Yes - vaginismus is treatable! With a holistic approach that addresses the body, mind, and spirit, achieving pain-free penetration and enjoying gynecological health without fear is possible.

How To Treat Vaginismus

Treating vaginismus effectively requires a holistic approach that combines pelvic floor physical therapy with relaxation techniques, mindfulness, emotional support, and lifestyle changes. 

Pelvic floor physical therapy begins with a comprehensive evaluation to assess the condition of your pelvic muscles. We determine whether the muscles are tight and in need of stretching or if they are reactive and require gradual desensitization. This evaluation helps us tailor a treatment plan that includes both in-session exercises and a personalized home program aimed at promoting pelvic floor relaxation.

Our therapeutic approach often involves manual therapy techniques to improve fascial health and relieve muscle tension. We may use dilator tools to facilitate gradual exposure to comfortable insertion, supporting a more progressive and less intimidating process. In addition, we integrate practices to soothe the nervous system, such as deep diaphragmatic breathing and mindfulness techniques. These practices are designed to reduce overall tension, anxiety, and stress—key factors that can exacerbate vaginismus—while also calming the mind to foster a more conducive environment for healing.

We also evaluate and address other aspects of well-being such nutrition, stress management, and overall lifestyle factors to optimize your body’s healing process. Recommendations may include strategies for effective hydration and incorporating healing foods that support fascial health and overall healing. This holistic approach ensures that all aspects of your well-being are being addressed and optimized, creating a comprehensive and supportive path for healing and to promote a more fulfilling and pain-free intimate life.

Everyone's experiences with sex are different and unique where emotional and psychological factors, including anxiety, stress, trauma, and past experiences, can significantly impact one's ability to enjoy pain-free intimacy.  This is why we love to work with sex therapists and behavioral counselors to better understand how your past experiences and ideas around sex may be impacting you now. Sex therapy, in particular, can be beneficial in addressing and resolving underlying psychological barriers or and emotional blocks related to intimacy and penetration. 

Final Thoughts

If you suspect that you have vaginismus or experience muscle tension that feels like an obstruction during insertion, remember that help is available. Seeking guidance from a pelvic health specialist can set you on the path to recovery.

As pelvic floor physical therapists, our mission is to break down barriers to seeking help, foster inclusivity in discussions, and empower individuals to reclaim a fulfilling and pain-free intimate life. We work with you to achieve your personal goals, whether or not they involve penetrative sex. By embracing a collaborative approach that considers physical, emotional, and psychological aspects, we can pave the way for healthier and more satisfying connections.

Call 404-769-5544 to schedule with one of the expert, caring pelvic physical therapists at Renew Pelvic Health, or book your appointment online!