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Vaginismus is defined as recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty. In this report, we describe the successful treatment of vaginismus in a year-old lady based on a model proposed by Keith Hawton. The eclectic approach involved education, graded insertion of fingers, Kegel's exercises and usage of local anesthesia with vaginal containment along with the prescription of Escitalopram. Vaginismus is defined according to DSM IV-TR[ 1 ] as recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina, which interferes with coitus and causes distress and interpersonal difficulty.
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Successful management of vaginismus: An eclectic approach

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When sex gives more pain than pleasure - Harvard Health

A thorough medical history. Your doctor might ask when your pain began, where it hurts, how it feels and if it happens with every sexual partner and every sexual position. Your doctor might also inquire about your sexual history, surgical history and childbirth. Don't let embarrassment stop you from answering truthfully. These questions provide clues to the cause of your pain. A pelvic exam. During a pelvic exam, your doctor can check for signs of skin irritation, infection or anatomical problems.
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Painful Sexual Intercourse (Dyspareunia)

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Vaginal dryness is a common symptom during and after menopause, but it can happen at any age and for various reasons. Vaginal dryness usually results from low estrogen levels.
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Dr Yong shares treatment options and home remedies that may help. A doctor will diagnose dyspareunia after taking a thorough medical history from the patient and carrying out a pelvic examination. Further tests such as a pelvic ultrasound, urine culture test, and allergy test may be required. Dyspareunia treatment will depend on the cause. Physical causes are typically treated with medical intervention.
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