Inability to have sexual intercourse in women
Vaginismus is the most important cause of female inability to have sexual intercourse. Women who are usually not aware of this problem until they get married may refer to it as ‘first night fear’. Over time, if this is not resolved, it can lead to a number of marital and sexual problems.

Vaginismus is a sexual health problem that develops for psychological and anatomical reasons. Sexual intercourse is often not possible at all, and sometimes it can be painful and spasmodic. There are some definitions of vaginismus. Vaginismus spouses express this situation they experience during intercourse in different ways such as: ‘it is as if she has no vagina, I cannot go forward’, ‘her vagina is like a wall of flesh’, ‘I hit a wall during intercourse’.

Problems such as sexual reluctance in women (frigidity) and vaginal dryness are also among the reasons for not having sexual intercourse. There are also some organic (physical) reasons that prevent sexual intercourse. These are some of the organic causes:

• Vulvar vestibulitis syndrome,
• Vaginal canal infections,
• Bartholin gland cyst and abscess,
• Fibroids born in the vagina,
• Giant condylomas,
• Poor healing of stitches due to previous vaginal surgery or childbirth,
• Vaginal dryness and narrowing of the vagina due to menopause,
• Congenital anomalies of the vaginal canal.

With the treatment of these physical problems, the problem of inability to have sexual intercourse in women can be eliminated.

Inability to Have Sexual Intercourse in Men
Men may also experience inability to have sexual intercourse, although less frequently than women. It is more likely to occur in people who do not have enough knowledge about sexuality, who are less experienced or inexperienced. In addition, problems of premature ejaculation, erection (hardening) and sexual reluctance that develop later can also be the reason why men cannot have sexual intercourse.

In the case of homosexuality, which is actually widespread in today’s society but difficult to articulate, there can also be problems in having a relationship with the opposite sex. .

As with women, physical problems must first be excluded when men are unable to have sexual intercourse. Physical problems should be investigated by consulting a specialist physician and urological examination. If the problem is psychological, treatment should be planned with sexual therapy methods.

The most common inability to have sexual intercourse in women: Vaginismus
Vaginismus is the most common cause of inability to have sexual intercourse in women. Once it is accepted by the couple that this is a disease, the treatment process begins.

However, it may not be easy for couples to accept this disease. Symptoms can be experienced in different ways. Most of the time, the problem manifests itself in the absence of intercourse on the first night. Over time, the complaint of ‘not being able to have intercourse at all’ or ‘having partial, painful intercourse’ may be the reason for consulting a doctor.

When the past lives of the patients are questioned, different findings such as not being able to look at the vagina, not being able to insert a finger into the vagina, not being able to use tampons, not being able to insert suppositories, not being able to go to gynecological examinations, not being able to stand on the examination table, not being able to undress and dress in the presence of others, not being able to touch the genital area, and even not being able to clean their own genital area can be observed.

Vaginismus is a common sexual dysfunction and is defined as a disease. In the DSM-5 diagnostic criteria announced by the American Psychiatric Association in 2013, it is classified as Genital Pelvic Pain and Penetration Disorder in the Female Sexual Dysfunction Disorders group. This class includes vaginismus and dyspareunia (painful sexual intercourse) problems together.

It is recommended that patients who are accepted to have vaginismus and who are fully diagnosed with gynecological examination should start treatment as soon as possible. Otherwise, the untreated problem grows over time and leads to serious psychological problems that are very different and affect the whole of life. Therefore, early diagnosis and early treatment are extremely important in vaginismus.

It is important to consider some criteria to reach the most reliable address for vaginismus. It is very important to choose the best doctor and the ideal treatment method for you before vaginismus treatment. Vaginismus treatment should be given by people who are experts in their field and who have good communication with the patient. If the bond of trust between the doctor/therapist and the client is not established, we may encounter an unresolved situation.

Treatment for Inability to Have Sexual intercourse
Couples who have problems with sexual intercourse are first subjected to a detailed anamnesis (medical history) and physical examination. If there are systemic diseases, they are questioned, and the psychological, sexual and social history of the person is discussed in detail. It also assesses whether there are marital problems between the couple. Afterwards, treatment or treatments are applied for the cause.

For definitive treatment, the most important step is to contact centers that specialize in the treatment of inability to have sexual intercourse. After a detailed examination and examinations, permanent recovery can be achieved with treatments planned specifically for you.