Vaginismus as a hidden problem: our case series

Vaginismus is a hidden problem because it is not discussed enough among professionals or inside the family. Consequently, the treatment of this problem is done secretly and by people who are not professionals, not to mention that they do not know what vaginismus really is. Vaginismus causes a woman’s pelvic floor muscles to contract at the attempt of vaginal penetration, making the vagina narrower and tighter. These muscle spasms are involuntary, and women with vaginismus often have trouble with any type of vaginal penetration, such as vaginal intercourse, tampon insertion, and gynecological exams. Penetration, when possible, is usually quite painful and causes great anxiety. For some women, intercourse is impossible. We present series of three cases treated in our Institute after a long-time treatment by others. All of them came et our Institute after a long period of time seeking alternative help and hiding the problem. Much work needs to be done on the sex education of the population in order to make them aware that they can discuss sexual problems freely. Physicians and other health personnel should also include a sexual history as an equal part of the medical examination.