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Best Vaginismus Treatment in Hyderabad

Vaginismus is a type of sexual dysfunction in females characterised by involuntary or persistent contraction of the muscles around the vagina. This condition can cause significant distress, interfere with couples’ relationships, and reduce the quality of life for those experiencing it.

Women suffering from vaginismus often feel embarrassed to seek help and struggle alone with this concern. But there’s no need to feel ashamed, as there are treatments available for vaginismus in Hyderabad that help in managing the condition effectively.

Consult our expert, Dr. A. Maalavika, a cosmetic gynecologist in Hyderabad, who has years of experience in treating women with various sexual dysfunctions, including vaginismus.


What is Vaginismus?

Vaginismus is a condition that causes involuntary contractions of the muscles surrounding the vagina, making penetration difficult or impossible. The muscles around the vagina are normally under your control, but with vaginismus, they tighten up involuntarily when something tries to enter the vagina. This can be very painful and frustrating.

Patients develop significant fear and anxiety associated with vaginal penetration, leading them to avoid sexual intercourse, getting vaginal exams, or using tampons.

Common types of vaginismus are:

Primary vaginismus: This is when a woman has never been able to achieve vaginal penetration, even with tampons or during gynecological exams.

Secondary vaginismus: This type develops later in life. It is when a woman was previously able to achieve vaginal penetration, but is no longer able to due to factors such as childbirth, gynecologic surgery, trauma, or radiation. Even after treating the cause, the pain can persist due to conditioned responses or psychological factors like trauma.

Global vaginismus: This is when a woman experiences symptoms with any type of vaginal penetration.

Situational vaginismus: This is when a woman only experiences symptoms with certain types of vaginal penetration, such as during sex but not with tampons.

Some women may experience vaginismus after menopause. During this time, lower estrogen levels can lead to a lack of vaginal lubrication and elasticity, making intercourse painful, stressful, or impossible, potentially leading to vaginismus.

Symptoms of Vaginismus

The main symptom of vaginismus is involuntary tightening of the vaginal muscles, making penetration difficult or impossible. This tightening can occur during sexual intercourse, tampon insertion and gynecological examination. Other symptoms include:

  • Pain or discomfort during vaginal penetration
  • Fear, anxiety, or anticipation of pain associated with vaginal penetration
  • Avoidance of sexual activity or discomfort with any activity involving penetration
  • Burning, stinging, or tearing sensations during attempted penetration
  • Feeling like the vagina is “walling up” or closing up

What Causes Vaginismus?

How To Identify Vaginismus | Best Vaginismus in Hyderabad

The exact cause is unknown but its development can be influenced by physical and psychological factors. The cause may vary from person to person. Some common reasons why it might occur include:

  • Past trauma, negative sexual experiences, anxiety, fear of pain, or other psychological issues.
  • Medical conditions or events that cause pain or trauma to the vaginal area, such as infections, childbirth injuries, surgery, or medical procedures involving the genital area.

In certain cases, the direct cause cannot be identified. To diagnose vaginismus in Hyderabad, the doctor will conduct a physical examination and inquire about the medical and sexual history.

Vaginismus Treatment in Hyderabad

Vaginismus is treated through various approaches. The aim is to reduce muscle tension and address underlying psychological factors. These approaches may include:

Sex Therapy and Counselling: The patient undergoes counselling sessions, either individually or with their partner. These sessions can help address any underlying psychological factors such as anxiety, fear, and negative beliefs. The counselling also includes providing education about sexual anatomy and function. It helps develop communication and coping skills for sexual intimacy.

Progressive Desensitization: The woman will be encouraged to gently touch the area near the vaginal opening daily, progressing closer each day without causing discomfort. Once she feels comfortable with this, she will be guided to touch and gently open the vaginal lips, or labia. The next step involves gradually introducing a finger into the vagina. With each step, the goal is to reduce fear and discomfort associated with penetration.

Vaginal Dilators: The woman will receive guidance on gradually using a dilator, starting with the smallest size and progressing as tolerated. If pain decreases during this process, she may be advised to attempt intercourse with her partner. However, if pain persists or if the patient struggles with the dilator, alternative approaches will be suggested.

Physical Therapy: For women having difficulty using dilators, pelvic floor physical therapy can be beneficial. Physical therapists specializing in the pelvic floor will teach relaxation techniques and guide on using dilators.

Topical Therapy: This involves using numbing creams or gels, such as lidocaine, to help reduce pain during penetration by temporarily desensitizing the area. This method is mostly used alongside other treatments.

Botox Treatment: This involves the use of botulinum toxin, a muscle relaxant, to address the involuntary muscle-causing contractions.

  • During the procedure, the muscles that are prone to excessive contraction are identified, through a pelvic examination.
  • The treatment is usually administered under local anaesthesia, although general anaesthesia may be used for patients who are sensitive to needle discomfort.
  • The dosage of botulinum toxin is determined based on the size and severity of the target muscles.
  • It is injected into specific areas of the pelvic floor muscles, avoiding the urethra and rectum to prevent unintended side effects such as incontinence.

Botox treatment for vaginismus in hyderabad is generally safe and effective, but it is not suitable for individuals with certain medical conditions that may increase the risk of complications, such as myasthenia gravis or amyotrophic lateral sclerosis.

Surgery: This option is very uncommon and only considered when there’s an underlying issue with the vagina that resembles the symptoms of vaginismus.


Benefits of Vaginismus Treatment in Hyderabad

  • Eliminates involuntary muscle spasms during penetration and improves sexual function.
  • Reduced physical symptoms such as pain, discomfort, or muscle spasms aiding control of the vaginal muscles.
  • Reduced anxiety and fear, leading to increased confidence and comfort.
  • Enhanced intimacy and relationship satisfaction.
  • Enhanced quality of life.


If you’re experiencing muscle spasms or pain that make intercourse difficult or impossible, don’t hesitate to seek consultation with the best cosmetic gynecologists in Hyderabad at Eternelle Aesthetics. Many issues, including vaginismus, can lead to painful intercourse, but nearly all of them can be treated. Many people recover and experience improvements in their sex lives and mental well-being after receiving treatment for vaginismus in Hyderabad.



1. At what age do women develop vaginismus?

Women can develop vaginismus during late teenage years or early adulthood, particularly when initiating sexual activity. However, it can also occur later in life, causing discomfort during any vaginal penetration, regardless of age.

2. How do I know if I have vaginismus?

You may have vaginismus if you experience involuntary muscle tightening or pain during attempted vaginal penetration, such as during intercourse, tampon insertion, or pelvic exams.

3. Can vaginismus be cured?

Yes, the condition can be cured. However, the approach to treatment will vary based on the underlying cause, which can involve physical, psychological, or a combination of both factors. The duration of treatment may also vary depending on the complexity of the cause or the severity of symptoms. In general, more complex causes or severe symptoms may require longer treatment periods.

4. What are the complications of vaginismus?

Vaginismus can cause problems with sex and relationships. It can also make people feel more anxious. If you are trying to conceive, vaginismus might make it harder to get pregnant.

5. How long does it take to see improvements with treatment for vaginismus in Hyderabad?

The timeline for improvement varies for each individual. Some may experience relief within a few weeks or months, while others may require more extended therapy. Consistency with treatment and open communication with the doctor is essential for optimal outcomes.




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