Vaginismus is a spasm of smooth muscles of the outer third of the vagina and pelvic floor muscles, which occurs while penis or gynecological mirror get into the vagina. Vaginismus can be true and false.
The causes of false vaginism have physiological nature:
- dense hymen;
- dryness of the entrance to the vagina;
- inflammatory diseases of the vagina
The causes of true vaginismus are psychological:
- wrong sex education, which inspired girls that sex is something shameful and unacceptable;
- fear of pain during defloration, fear of first intercourse;
- aggressive partner behavior or rape attempt
As a result, there is conditioned reflex appears, which prevents penetration of the penis into the vagina.
The indications for this procedure are:
- the presence of a verified diagnosis - vaginismus;
- pain and spasm of the pelvic floor muscles while introjection
Procedure: treatment of vaginismus with botulinum toxin type A injections;
Purpose: to eliminate the spasm of the muscles of the pelvic floor, to restore the possibility of sexual intercourse / gynecological examination
How it works: the mechanism of botulinum toxin is the chemical denervation of the muscle. The therapeutic effect consists in interrupting the pathological stimulation of the muscle, because of which it is in a state of spasm. This property of BTA is used in the treatment of patients with vaginism, a condition in which, due to the spastic stress of the vulvar (m. Bulbospongiosus) muscle and muscle lifting the anus (m. Levator ani), the lumen of the vagina closes and penetration becomes impossible;
Method: after preliminary consultation and determination of the level of invasion, anesthesia is performed in the area of the supposed intervention. The preparation of botulinum toxin is injected into the muscles of the pelvic floor using thin needles
Anesthesia: generall / spinal
Duration: it is recommended to repeat the procedure if necessary, but not more than once every 6-12 months
Caution: the procedure should be performed by a specialist trained in intimate plastic