Anxiety Disorders
The exact cause of vaginismus is unknown, but it’s thought to be a conditioned reflex involving physical and psychological factors. The physical component involves the pelvic floor muscles tensing up when vaginal penetration is attempted. The psychological component may involve anxiety. In some cases, it may be a combination of physical and psychological factors.
It’s believed that anxiety plays a role in the development of vaginismus in some women because it can lead to muscle tension and flashbacks of past trauma, both of which can contribute to tightness in the pelvic floor muscles.
Women who are anxious about having penetrative sex may experience their bodies tense up in anticipation, making it difficult or impossible for their partners to enter them. Similarly, women with PTSD or other anxiety disorders may avoid certain stimuli that can lead to muscle tightness and spasms when confronted with those stimuli.
Treatment options for vaginismus typically fall into three categories: medical interventions, therapy, and self-help measures. It is best to schedule an appointment with a gynecologist or another healthcare provider specializing in sexual health concerns. They will be able to develop a treatment plan tailored to their needs.