Types of Vaginal Contractions

The article was professionally consulted with Master, Doctor Dinh Thanh Ha - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Nha Trang International General Hospital.

Persistent vaginal spasms can affect any woman and cause pain and discomfort during daily activities or during sex. In clinical practice, there are many types of vaginal spasms with different mechanisms, so it is important to know the types of contractions so that the treatment is as optimal as possible.

Vaginal spasm is a condition in which certain muscles in a woman's vagina tighten or spasm due to a foreign agent entering this sensitive area, be it a tampon or a man's penis. Vaginal spasms can be uncomfortable, mild to very painful, so when you have any suspicious symptoms, it is necessary to seek medical attention as soon as possible to be diagnosed and treated.

The two main types of vaginal spasms that are commonly encountered in clinical practice are:
2.1. Primary vaginal spasms Primary vaginismus is acquired when a woman has very frequent symptoms of pain in the vaginal area, due to foreign objects entering this area including the man's penis. Also known as penetrative sex. Primary vaginismus is also common when a woman is unable to insert any foreign object into the vagina, also known as permanent vaginal spasm.
2.2. Secondary vaginal spasms This case often happens to women who have had sex in the past but did not feel pain, and then develop symptoms of not being able to insert the penis into the vagina. because it is very painful or difficult to perform sexual activities. These are also known as acquired vaginal spasms.

The main symptoms of vaginal spasms are:
Pain during sex: This is the first sign of vaginal spasms. The pain occurs during penetrative sex, meaning the man's penis is inserted into the woman's vaginal area. After the end of this operation, the pain also stops, but in some special cases the woman will still have vaginal contractions after the penis has been removed. Burning sensation During physical examination there may be discomfort and pain when the doctor inserts tampons into the vaginal area Unable to have sex or not being able to insert tampons into the vagina

Feeling afraid of pain during sex Loss of sexual desire These symptoms need to be thoroughly examined and treated because they do not go away on their own like other common symptoms.

The cause of vaginal spasms has not been fully studied so far. However, some experts believe that the condition is often related to anxiety disorders or psychological anxiety, fears during sex, although it is still not possible to determine which cause is the cause. primary of vaginal spasms. Many women can experience vaginal contractions in any situation, with any foreign body or vice versa. Some vaginal contractions only in certain cases with different specific objects. So, vaginal spasms can be experienced during sex or in any other situation or health problems such as infections, vaginal dryness that also increase the pain.

Vaginal spasms are diagnosed by taking the patient's medical history and sexual history. After that, the patient will have a gynecological examination to examine the pain status. During the examination, the patient may experience pain for a short time, and if necessary, analgesia can be performed. It is the responsibility of the physician to explain to the patient what the examination is doing and to proceed as gently as possible to minimize the pain as much as possible.

Treatment for vaginismus usually focuses on: managing your emotions during vaginal penetration and exercises to help you get used to vaginal penetration. Patients with vaginismus can do exercises at home that help train and relax the vaginal muscles, allowing them to relax and control when an invasion occurs. One of the most popular exercises today is the Kegel exercise, which helps to tighten muscles and stop the flow when going to the toilet. The exercise is carried out by the following steps:
Tighten the muscles Hold this position for about 2 - 10 seconds. Kegel relaxation should be done about 20 times for 1 exercise, can be done many times a day.
Along with Kegel exercises, patients can also use their fingers to put them into the vaginal area during Kegel exercises to practice feeling for the vagina, note to ensure that the hands are trimmed clean and should apply a specialized gel to be done more easily. After the vagina is used to this exercise, can increase to 2 or 2 fingers depending on the specific case and feel that the vagina is gradually tightening the fingers. During exercise, if you feel discomfort and pain, stop immediately and can return to practice in a more comfortable state. After practicing with fingers, the patient can also use conical pads to get used to the vagina to get used to this pressure, about 10-15 minutes in each exercise.

Vaginal spasms often occur in both women who have had sex or in cases outside of sex, can cause pain, discomfort and affect the patient's sexual activities. Therefore, when there are signs of suspicion, it is necessary to go to a qualified medical facility for examination and treatment as soon as possible.
Currently, Vinmec International General Hospital is implementing a package of examination and counseling on sexual dysfunction in women, for customers between the ages of 18 and 65 years old or older who need to be examined. Counseling and treatment for sexual problems, including vaginal spasms.
The examination is always performed by a team of doctors, experts and qualified medical staff in the condition of modern medical equipment. Therefore, customers can rest assured and contact the doctor when needed.

Reference source: webmd.com