Vaginismus is a condition where the pelvic floor muscles surrounding the vagina involuntarily spasm. This makes penetration of any kind painful, difficult or seemingly impossible. There tends to be a fear component as well. Searching for the reason you have vaginismus is usually pointless. What’s not pointless is getting treatment because it’s very treatable. It …
Continue ReadingCan you be sedated for a Pap smear?
Let’s be honest. No one enjoys getting a Pap smear. Or a pelvic exam. They can be uncomfortable at best, and at worst resemble a form of torture. Many women experience intense pelvic pain with any kind of penetration, and for this group of gals – just the thought of a speculum can ignite a …
Continue ReadingTensing Your Body During Sex
It seems that part of having an orgasm for many women is tightening up their pelvic muscles. This is yet another example of one of those things that women do which they think is “weird.” Most women whom I’ve spoken with give me one of their “oh-my-g-d-you’re-not-going-to-believe-me” looks when they admit that they need to …
Continue ReadingVaginismus Success Story: A Patient’s Perspective
After working with women with vaginismus for almost 15 years, I have learned how isolating and alone this condition can make one feel. Women struggle with this secret and it takes tremendous courage to reach out and seek treatment. I’d like to share a recent success story of a patient of mine who faced her …
Continue ReadingGGG: Good, Giving, Game – Aren’t we All?
A young female patient of mine has started head first into the world of online dating. Besides the usual ups and downs of navigating that ever-changing landscape, she also had some questions and confusion on what some of the terms individuals use to describe themselves (in her case she is interested in heterosexual men). She …
Continue ReadingPregnancy and Vaginismus
Women with un-treated vaginismus wonder if it is possible for them to get pregnant if they are unable to have intercourse. If they do get pregnant, they then wonder if natural childbirth will cure their pre-existing vaginismus by stretching the vaginal opening. The truth is that some women with primary vaginismus have been able to conceive …
Continue ReadingLearning to fantasize: go where your brain takes you.
I spend a lot of time with patients talking about fantasizing. For many women it’s not something they do naturally. It’s something that they have to learn. I’ve come to believe that fantasizing is a skill like many others. While some people take to it more naturally than others, everyone is capable of doing it …
Continue ReadingHow many women use vibrators?
“More than half of 2,056 women, aged 18 to 60, used a vibrator either during masturbation or intercourse, says Debby Herbenick, PhD, MPH, associate director of the Center for Sexual Health Promotion at Indiana University, Bloomington, who led the survey.” If more than half of all women use vibrators, why is there still such a …
Continue ReadingHow wet is too wet?
Every once in a while we have a patient who says their partner is concerned because her vagina feels too wet or too loose. They tell us that the partners are unhappy because they don’t “feel” them and complain that their penis doesn’t seem to get enough traction in their vagina. Admittedly, we are always …
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