Vaginismus and dyspareunia.

These are two personal conditions women experience and often have difficulty reaching out directly for support. Let this be a comfortable space for people experiencing one or both of these conditions to learn about the diagnoses and how physical therapy can help.

Vaginismus refers to difficulty with penetration and a feeling of “something blocking the entrance” or a “tight spot.” This could be related to overactivity of the superficial and deep muscles of the vagina. A muscle that should be looked at first is the bulbocavernosus, which can be closed tightly.

Dyspareunia is associated with recurrent pain or discomfort related to attempted or complete vaginal penetration.

Superficial dyspareunia involves pain or discomfort upon vaginal entry or at the vaginal introitus.

Deep dyspareunia involves pain or discomfort during deeper penetration.

Pelvic therapy can help address trigger points in the vagina that affect the pain women experience during this activity. Relaxation training, avoiding muscle tension, and using vaginal trainers can help improve outcomes for these patients.