Vaginismus is a function-al pain disorder related to painful hypertonic levator muscles as a response to pending vaginal penetration in any form, and associated with extreme anxiety and avoidance of vaginal penetration. Vaginismus is the commonly diagnosed etiology of such cases. This ensures the full expression of the condition with each threat of perceived exposure—in this case, vaginal penetration.
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This is the element that prevents the internal gynecological examination. No potential conflict of interest relevant to this article was reported. Ultrasound and other non-invasive gynecological procedures are relied upon to exclude anatomical pathology.
David RabinowitzM. While some women may overcome this barrier and conceive spontaneously, others may choose to have intrauterine insemination. Many specific phobias can fear of sex is called traced back to a specific triggering event, usually a traumatic experience at an early age. This may be achieved by gentle desensitization in the gynecological setting by a doctor or physical therapist who gradually exposes the patient to approaching digital penetration using support, relaxation exercises, and often a mirror to allow the patient a visual tracking of the treatment in the lithotomy position. They may surprisingly have satisfying intimate relationships, and may report normative attraction to their partners.