Vaginismus Treatment and Vaginal Dilation Therapy in Singapore

Learn about available treatment approaches for vaginismus in Singapore, including vaginal dilation therapy. Our care framework is designed to provide support tailored to individual needs, improving comfort and overall well-being.

What is Vaginismus?

Vaginismus is a condition characterised by involuntary muscle contractions of the vaginal entrance, leading to discomfort or difficulty with penetration during intercourse, tampon use, or medical examinations.

Causes & Risk Factors

The exact cause of vaginismus remains complex, with contributing factors such as past sexual experiences, psychological influences, and cultural perceptions about sexuality. Anxiety and fear of pain may also play a role. While global prevalence estimates range from 1–6%, there is limited epidemiological data on the occurrence of vaginismus in Singapore.

Symptoms

Symptoms of vaginismus may include:

A burning or stinging sensation during attempted penetration
Discomfort or pain resulting from involuntary muscle contractions
Difficulty or inability to undergo vaginal examinations, or insert tampons
Partners may experience a tightness or obstruction during penetration attempts.

Types of Vaginismus

Primary Vaginismus: A condition in which a woman has never experienced pain-free intercourse due to muscle spasms. This type may prevent the use of tampons or undergoing vaginal examinations.
Secondary Vaginismus: This condition can develop later in life, even after years of pleasurable intercourse. It’s often triggered by medical conditions, traumatic events, or life changes such as menopause.

Impact on Quality of Life

Vaginismus can significantly affect emotional well-being, intimate relationships, and access to routine medical care. Some individuals experience psychological distress or avoid medical check-ups due to discomfort. Addressing vaginismus with treatment may involve medical, psychological, and therapeutic support.

Diagnosis & Vaginismus Treatment

Diagnosis involves a comprehensive assessment of medical and sexual history. Vaginismus treatment does not typically require surgery or medication, and may include:

Education and Awareness: Helps individuals understand vaginismus and reduce anxiety.
Pelvic Floor Exercises: Strengthen and relax the muscles to improve comfort and facilitate penetration.
Gradual Desensitisation: Uses vaginal dilation therapy to ease muscle tension and increase tolerance over time.
Psychological Support: Addresses emotional factors such as anxiety, fear, or past trauma.

Vaginal Dilation Therapy

Vaginal dilation therapy is one approach to managing vaginismus. It involves using medical-grade dilators to gradually increase vaginal flexibility and improve comfort.

The therapy may support:

Gradual muscle relaxation
Progressive adaptation to penetration
Improved vaginal elasticity over time.

All dilation exercises should be guided by a certified specialist who can provide individualised recommendations and monitor progress.

When To See A Doctor?

Consider seeking medical advice if you experience:

Persistent discomfort or difficulty with penetration
Anxiety or distress related to vaginal tightness
Challenges with medical examinations or tampon use.

Early medical intervention allows for a comprehensive assessment and a care plan suited to individual needs. Vaginismus is manageable, and with appropriate medical guidance, women can explore treatment approaches to improve their well-being and quality of life.

If you suspect vaginismus, reach out to us to begin your journey towards recovery.

Frequently Asked Questions (FAQ)

How do I know if I have vaginismus?

You might have vaginismus if you experience:

Persistent Pain or Discomfort: Experienced during penetration, tampon use, or medical exams, often caused by involuntary muscle contractions.
Difficulty with Sexual Activity: Inability to engage in intercourse due to spasms in the vaginal muscles, leading to frustration and distress.
Heightened Anxiety or Fear: Emotional distress linked to intimacy, contributing to avoidance behaviours and reduced sexual confidence.
Unexplained Pelvic Symptoms: Issues such as vaginal dryness or pain that interfere with comfort and overall well-being.

If these symptoms interfere with your daily life or relationships, schedule a consultation to get a proper diagnosis and explore vaginismus treatment options.

How long does it take to treat vaginismus?

For vaginismus, we typically expect to review a person 4 to 5 times (on average) over a treatment period of 2 to 3 months. Progress varies from person to person depending on many factors.

Can I treat vaginismus at home?

Your treatment journey begins with an initial assessment, followed by supportive outpatient sessions designed to fit your needs. Between appointments, you will be encouraged to continue dilation exercises at your own pace, in the privacy of your home. We are here to provide guidance and reassurance every step of the way, so you can progress with comfort and confidence.

Are there side effects to vaginal dilation therapy?

Some common side effects of vaginal dilation therapy include:

Mild discomfort during initial use, which typically decreases with regular practice.
Spotting or slight bleeding, which is normal but should be monitored.
Vaginal dryness, which can be alleviated with appropriate lubricants or moisturisers.

To ensure safe and effective therapy, all exercises should be guided by a specialist certified in vaginal dilation therapy. A trained professional can provide personalised instructions, monitor progress, and address any concerns that arise during treatment. Seeking supervision helps minimise discomfort and ensures effective results.

What is the success rate of vaginal dilation therapy?

Studies have shown that vaginismus can be effectively managed with conservative treatment over 2 to 3 months, depending on individual factors. Recovery is a personal journey, with progress varying from person to person. The good news, treatment is accessible, and support is available. No one should have to endure vaginismus alone.