Vaginismus: There is a fix, don’t suffer! 

It’s embarrassing, so many women go undiagnosed. Vaginismus is a condition lots of women suffer from – many silently – but there is a fix!

Fear of intercourse or sexual activity, a reduction in sexual desire, pain during penetration and frustratingly a desire to have sex but physically penetration is impossible. The condition could even make it impossible to insert a tampon or have an internal examination, the response does not need to be through sexual contact.

If you recognise this in yourself, it’s time to get a solution, please done suffer in silence. 

What is Vaginismus

Vaginismus is a condition characterized by involuntary muscle spasms in the pelvic floor muscles, making penetration painful or impossible. It can have both physical and psychological causes and affects women of all ages. 

Physical Causes:

Infections or Trauma:

Infections in the genital area or past traumatic experiences, such as childbirth or surgery, can contribute to vaginismus.

Psychological Causes:

Fear and Anxiety:

Negative associations with sex, fear of pain, or anxiety about sexual performance can trigger vaginismus. 

History of Sexual Abuse:

Past experiences of sexual abuse or trauma may contribute to the development of vaginismus.

It is a normal part of our day to talk about sex and emotions and to carry out intimate examinations. We do understand that these things are hard and for many carry shame. Be brave, our job is to help you! 

Treatment Options:

Pelvic Floor Physical Therapy:

Specialized physical therapy focuses on relaxing and strengthening the pelvic floor muscles. Techniques may include biofeedback and exercises to improve control. Treatment at N2 Physical Therapy is tailored, we work together with clients to uncover why this is happening in order to develop a treatment plan.

Gradual Desensitization:

Gradual exposure to the idea of penetration, starting with small objects and progressing to larger sizes, can help desensitize the body’s response. At N2 Physical Therapy we specialize in dilator training, which is all about gradually and comfortably stretching the pelvic muscles and tissues. Our skilled therapists work closely with you, ensuring a safe and supportive environment throughout each session. We understand that this can be a sensitive topic, and we want you to know that your comfort and privacy are our top priorities.

Counseling or Psychotherapy:

Addressing psychological factors through counseling can be crucial. Cognitive-behavioral therapy (CBT) is often effective in changing negative thought patterns.


Open communication with a partner is essential. Building trust and understanding can reduce anxiety and contribute to a more positive sexual experience.

Medical Interventions:

In some cases, medications or injections may be prescribed to help relax the pelvic muscles.

Next Steps

N2 Physical Therapists are experts in pelvic health, experienced in supporting women with this vaginismus. Through emotional support and tried and tested physical therapy methods it can be resolved. 

Vaginismus isn’t a condition women should have to ‘put up with’ or suffer from, there is a fix. N2 can provide the solution in a way that’s right for you, get to the root cause and set you free. All we can say is start the conversation. Book your appointment at your nearest office.