I have pain during my period.

Some female friends will feel that their lower body becomes particularly painful after their menstrual period, and they will also have symptoms of vaginismus, which is very painful for female friends. If vaginismus occurs too often, it will cause sexual dysfunction, which will cause some fear and anxiety about sexual life, which is difficult to overcome with medication.

Vaginismus is a symptom of female sexual dysfunction, which mainly refers to the involuntary, violent and continuous contraction of the vagina and pelvic floor muscle system during sexual intercourse, which makes it impossible to insert the erect penis, or even if it can be inserted, pain and discomfort occur in the vaginal opening or deep during or after sexual intercourse. The cause of vaginismus is mainly related to psychological factors. Most patients suffer from this condition due to lack of sexual knowledge and extreme fear and anxiety about sexual intercourse. Women who have suffered sexual violence or have a history of vulvar and vaginal trauma are also prone to it. Dissatisfaction between husband and wife can also have an impact on dissatisfaction with their spouse. [1]

1. Most patients with vaginismus suffer from psychological reasons. It often occurs in young women with strict family education. Some patients have a history of severe sexual injury in childhood or adulthood.

2. Severe pain secondary to injury or treatment in the vaginal area can sometimes cause vaginismus. Such minor lesions as navicular fissure, ulcer, urethral caruncle and hymen infection can cause reflex spasm and hinder sexual intercourse.

3. Insufficient synovial fluid secretion caused by insufficient sexual arousal or sexual phobia can also cause vaginal spasm and pain during sexual intercourse. In addition, fear of stigma, sexually transmitted diseases or cancer may also be a factor.

Dyspareunia caused by vaginismus needs to be differentiated from dyspareunia caused by primary diseases of the vulva and vagina.

1. Congenital imperforate hymen, tough and thick hymen, no vagina, incomplete vaginal atresia, vaginal stenosis, vaginal septum, and vaginal septum. The diagnosis can be confirmed through a careful gynecological examination.

Scarring of the vaginal opening after vulvar or vaginal surgery or too tight sutures in the perineum repair. There is a history of surgery and the diagnosis can be confirmed through gynecological examination.

Local examination includes inspection of the vulva, digital vaginal examination, and whether the cervix is ​​tender when lifted and whether the cardinal cervical and iliac ligaments are tender. Bimanual examination was used to exclude inflammation of the uterus and its appendages, ovarian prolapse and other diseases. Patients who experience vaginismus during sexual intercourse sometimes do not experience it during gynecological examinations, but if the examination fingers press back on the lower part of the vaginal wall, spasms can often be found.