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Vaginismus is vaginal tightness causing discomfort, burning, pain, penetration problems, or complete inability to have intercourse. The tightness is actually caused by involuntary contractions of the pelvic floor muscles surrounding the vagina. The woman does not directly control or will the tightness to occur; it is an involuntary pelvic response. She may not even have any awareness that the muscle response is causing the tightness or penetration problem. In some cases, vaginismus tightness may begin to cause burning, pain, or stinging during intercourse.
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» What is vaginismus?

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Recent research has highlighted controversies in the conceptualisation, diagnosis and treatment of vaginismus. Vaginal trainers are currently the most widely used treatment. Themes were: 1 Lack of knowledge, 2 Invalidation of suffering by professionals, 3 Difficult journey, and 4 Making the journey easier. This paper describes themes 3 and 4. Accessing effective treatment for vaginal penetration difficulties is difficult.
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Vaginismus is vaginal tightness causing discomfort, burning, pain, penetration problems, or complete inability to have intercourse. The vaginal tightness results from the involuntary tightening of the pelvic floor, especially the pubococcygeus PC muscle group, although the woman may not be aware that this is the cause of her penetration or pain difficulties. Vaginismus is a common cause of ongoing sexual pain and is also the primary female cause of sexless unconsummated marriages.
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