What is discussed at the first meeting about vaginismus?

Vaginismus may manifest itself with involuntary contraction, pain expectation, intense anxiety or avoidance during sexual intercourse, gynecological examination or vaginal penetration attempts. The person may explain this as “it feels like it’s going to happen but it doesn’t happen”, “my body doesn’t allow it”, “I’m so scared” or “I’m tensing myself up because I’m going to be in pain”.

The most important aspect of the first meeting is that this narrative is listened to without judgment. Talking about vaginismus can be difficult for many people; Therefore, the interview should be calm, respectful of privacy, and proceed at the person’s pace. Vaginismus may not occur for the same reason in every person; Therefore, the evaluation is made individually.

What questions are asked in the first interview?

How long the complaint has been around, whether there has been previous intercourse or examination experience, pain expectation, whether there has been a traumatic experience, signs of infection or dermatological problems, concerns about the relationship, and the person’s expectations from the treatment are discussed. The purpose of these questions is not to question the person, but to determine the correct evaluation method.

Is the inspection done immediately?

At the first meeting, the subject of examination is discussed taking into account the person’s approval and readiness. It is not always necessary to perform an examination in the first minute. Some people just need to talk and get information first. The physician should clearly explain why the examination may be necessary, how it will proceed, and that the person can stop it at any time.

Fear of pain and contraction should be evaluated together

Vaginismus should not be considered only as a psychological state of “not wanting”. Infection, vulvar vestibulitis, dermatological diseases or hormonal changes that may cause pain should also be evaluated. Likewise, fear of pain, previous negative experiences and lack of knowledge can also increase contraction. The right approach addresses these areas together.

How is the treatment plan shaped?

The treatment plan varies depending on the person’s history. Information, body awareness, relaxation and gradual exercises, couple communication, psychological support if necessary, or treatment of underlying physical causes may be on the agenda. The aim is not to get results in a hurry, but to move forward while maintaining one’s sense of confidence.

How can one prepare for an interview?

Before coming to the interview, it may be useful to note how long the complaint has been going on, whether there is pain, the methods previously tried, and at what point the most anxiety is experienced. It is not necessary for the person to come with his/her partner; If he wishes, he can have a meeting alone.

This article has been prepared for general information purposes. It is not a substitute for diagnosis, treatment or personalized medical advice. If you have any complaints, consult your doctor.