The reason some women hate sex: Vaginusmus – It’s been five years since the episode, which makes Ritika Sohni comfortable to admit, “I had no idea where the vagina was positioned in my body.”At the time, Sohni was 33, and newly married. After failing to consummate her marriage for six months, she decided to consult a gynaecologist, who inserted a vaginal speculum inside her.
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This ruptured her hymen, causing slight bleeding. But the memory of the pain she experienced put her off sex. Each time, the couple got intimate, Sohni would clamp up in fear, refusing to let her husband enter her.
“Another gynaecologist we consulted advised my husband to slap me if I didn’t cooperate. Fortunately, he wasn’t comfortable with the advice. It was only after researching online that I realised I was suffering from Vaginusmus,” she says.
The condition refers to the involuntary tightness of the vagina during attempted intercourse caused by contraction of the pelvic floor muscles. Sometimes, it can lead to pain, burning or stinging during sex, making intercourse impossible.
Dyspareunia, say experts, is the umbrella term used to refer to any kind of pain during penetration, intercourse, and/or following intercourse.
Associations of pain
“It’s often that women have no clue why they are unsuccessful in bed,” says Dr Rajan Bhonsle, HOD of the Department of Sexual Medicine at Parel’s KEM Hospital. In a large number of cases, he says, the fear of pain is psychological. “It’s possible that she may have suffered abuse as a child, or was told by a friend that sex is painful. For various reasons, she associates the idea of penetration with trauma,” he adds.
Treatment in such cases, Bhonsle adds, involves counseling the couple so that they are able to trace the root of the fear. “We get them to try exercises that help them get intimate at a leisurely pace, and comfortable with each other’s bodies rather than plunging straight into intercourse.”
Sometimes, the woman is asked to self-dilate her vagina using dilators or inserting her own fingers which helps her realise that the process needn’t be painful.
“Awareness is low. Several couples have to be made to understand that the vagina is capable of expanding enough to allow a child to pass through, so, entry during sex isn’t a problem,” says Mirror sex columnist Dr Mahinder Watsa. He adds that in a large number of cases, insufficient foreplay can lead to discomfort. “Women take longer to get aroused. If the vagina is dry, penetration is bound to cause pain,” he adds.
Nine out of 10 cases of Dyspareunia, says Bhonsle, can be attributed to dryness. Applying an anaesthetic gel — 15 minutes prior to the act and wiping off the excess — or using a lubricating gel can provide temporary relief.
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