Vaginismus is a condition where the muscles around the entrance to the vagina tighten involuntarily, making vaginal penetration difficult, painful or sometimes impossible.
This tightening is not something a person chooses to do; it is an automatic protective response of the pelvic floor muscles.
Vaginismus can affect women of any age and may develop before any vaginal penetration has occurred (primary vaginismus) or later in life after previous pain-free experiences (secondary vaginismus).
Although it can feel isolating, vaginismus is more common than many people realise, and with the right support, many women are able to make significant progress.
Pelvic health physiotherapy forms an important part of treatment by helping women understand their symptoms, reduce muscle tension and gradually improve confidence.
Women with vaginismus may experience:
Symptoms vary from person to person and can affect both physical and emotional wellbeing.
There is rarely a single cause.
Contributing factors may include:
Sometimes no obvious trigger can be identified.
Your first appointment is primarily about understanding your symptoms and ensuring you feel comfortable.
Assessment begins with a detailed discussion about:
A physical examination is only performed with your full consent and can be postponed if you are not ready.
Your comfort and trust are always the priority.
Treatment is entirely individualised and progresses at a pace that feels right for you.
Treatment may include:
Learning how to recognise and reduce involuntary muscle tension is often the first step.
Improving breathing patterns can help reduce protective muscle tightening and improve comfort.
Where appropriate and always with consent, gentle techniques may help improve tissue flexibility and reduce sensitivity.
Treatment may include gradual desensitisation techniques and education to help build confidence over time.
We work collaboratively with you throughout treatment, ensuring you remain in control at every stage.
Vaginismus can affect confidence, relationships and emotional wellbeing, but it is a treatable condition.
Our specialist pelvic health physiotherapists provide a confidential, understanding environment where you can discuss your symptoms openly and receive personalised care without judgement.