Physiotherapy treatment for Vaginismus

  • February 6, 2019
Vaginismus Treatment at Progressive Care

Vaginismus  is an involuntary contraction of muscles around the opening of vagina in women causing muscle spasm with no abnormalities in the genital organs.

TYPES:

  1. Primary Vaginismus -Pain with or an inability to tolerate insertion upon first attempts(usually a tampon or finger around puberty).
  2. Secondary Vaginismus -Pain or Spasm that is developed in later stages of life.It can also result fom menopause or gynecological cancers.

CAUSES:

  • Anxiety and fear of having sex
  • Traumatic life events like rape
  • A belief that sex is wrong
  • Relation problems
  • Infections
  • Painful medical conditions like Pelvic Surgery

SYMPTOMS:

  • Dysparenia (pain during intercourse)
  • Pain during tampon insertion
  • Pain with bowel movements
  • Pain during gynecological examination
  • Muscle Spasm

DIAGNOSIS:

  • Based on Symptoms and Examination

TREATMENT:

  • Medical
  • Education and Counseling
  • Physiotherapy
  • Behavior therapy
  • Surgery

Medical treatment -Drugs like Vaginal diazepam.

PHYSIOTHERAPY TREATMENT

Goals of treatment

  • To reduce involuntary tightening of pelvic floor muscles mainly pubococcygeus.
  • To reduce fear of pain.

Exercise Protocol followed at Progressive Care :

In this condition there is usually significant pelvic floor dysfunction that needs to be      addressed first.

  • Relaxation techniques – Breathing Exercises and gentle touching exercises.
  • For Chronic pain – Internal Pelvic floor Myofascial treatment.

A Randomized Clinical Trial was presented at International Pelvic Pain Society Conference and has been published in the Journal of Urology (2012) which demonstrated that this exercise was effective in 59% of patients compared to generalized massage therapy.

  • Vaginal dilators.
  • Pelvic floor strength training
  • Pain education
  • Biofeedback – To learn how to relax muscles , to minimize pain,to reduce anxiety.

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