Painful intercourse (dyspareunia)
Penetration is painful or difficult
Long term sexual pain with or without cause
Pain during gynecological examination
VAGINISMUS AND VULVODYNIA
Vaginismus is a condition in which there is involuntary spasm of the outer third of the vagina that can interfere with having sex, gynecological examinations, inserting tampons, and can result in marked distress and interpersonal difficulty straining relationships. Some women experience a total vaginismus with inability to tolerate penetration of any sorts and some women have partial vaginismus with ability to allow penetration however is painful and difficult.
Vulvodynia is considered a cluster of symptoms also known as ‘burning vulva syndrome’ with these symptoms lasting more than 3 months. Women experience severe pain to touch, pressure at the vestibule or even to attempt to vaginal penetration. This symptom can also be reproduced by certain infections or sexually transmitted diseases which will then require further investigation from your physician.
At i-Health Physical Therapy, your therapist will discuss with you and prepare a program that will best suit you with or without inclusion of any below mentioned approach up to your tolerance only. We also help the patient understand causative environmental elements that can cause the condition and which ones should be eliminated. Our holistic treatment approach will include-
Exercises for the pelvic girdle for abdominal and core strengthening
Relaxation of the pelvic floor muscles
Internal and external soft tissue mobilization to promote flexibility and improve tolerance to touch
External Electrical stimulation
Use of vaginal dilators as and when appropriate