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Sexual Dysfunctions

Sexual dysfunctions may include problems such as sexual reluctance, orgasm problems, arousal problems or sexual pain for women. Such sexual dysfunctions in women may cause a decrease in the quality of life and affect family life. Vaginismus One of the most common diseases that causes sexual pain is vaginismus. Vaginismus is a condition in which the vagina contracts involuntarily during intercourse, causing the individual to experience pain (dyspareunia). Spasm in the vagina blocks the entrance to the vagina, preventing sexual intercourse or causing painful sexual intercourse.


The disease sometimes occurs under the influence of physical and sometimes psychological factors. The underlying causes of this contraction may also be problems such as fear of pain, traumas, excessive excitement, and lack of sexual knowledge. Sometimes painful sexual intercourse can be caused by ovarian cysts, vulvodynia/vestibulodynia, bladder infections, vaginal sagging or dryness, etc., in addition to vaginismus. may be caused by diseases. An involuntary contraction occurs and its treatment may vary for each woman. The specialist doctor makes a definitive diagnosis of the disease through physical examination and preliminary examinations and carries out a treatment process in patient-doctor communication according to the patient's condition and the severity of the disease. Vaginismus is noticed when the patient has sexual intercourse for the first time. Another realization occurs during the pelvic examination. In the development of vaginismus, the woman becomes alienated from sexual intercourse, withdraws from sexual intercourse, or avoids pelvic examination. Nowadays, most women have low awareness about this issue. Another reason is that the patient is afraid of the situation while searching for a solution to the disease.


In cases of inability to have sexual intercourse or painful intercourse during vaginal penetration, an examination by a specialist doctor is required. The focus of vaginismus treatments is to weaken vaginal contractions. The treatment process is carried out using methods such as medical treatment, pelvic floor rehabilitation, cognitive behavioral therapy and sexual therapy. Psychological problems underlie vaginismus cases. In this respect, it is important to receive psychological support. In our hospital, sexual therapy carries out the psychological and physiological treatment process for sexual dysfunctions in a coordinated manner. Likewise, sexual physical therapy rehabilitation treatments, Kegel exercises, breathing exercises and relaxation exercises are used as alternatives in treatment methods.

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