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Sexual Health

Vaginismus: Breaking the Silence Around Painful Sex

Up to 2% of women experience vaginismus, a condition that makes penetration impossible or severely painful. With the right support, it is highly treatable.

DS

Dr. Sophie Laurent

Psychiatrist

April 19, 2026
7 min read
Clinician reviewed
Vaginismus: Breaking the Silence Around Painful Sex

Understanding Vaginismus

Vaginismus is an involuntary spasm of the pelvic floor muscles that makes vaginal penetration, whether for sex, tampon use, or gynaecological examinations, painful or impossible. It is not a choice, not a lack of attraction, and not a psychological weakness. It is a conditioned physiological response that can develop for various reasons including past trauma, anxiety, pain during a previous experience, or sometimes with no identifiable cause.

The Impact on Women's Lives

Women with vaginismus often feel profound shame, isolation, and confusion. Many delay seeking help for years because they feel abnormal or don't have language to describe what they're experiencing. Relationships can suffer enormously. The inability to undergo a cervical smear can lead to avoided cancer screening. This is a condition with real, wide-reaching consequences that deserves medical attention.

Treatment Is Highly Effective

Vaginismus is one of the most successfully treatable sexual pain conditions. Pelvic floor physiotherapy, including relaxation techniques, biofeedback, and progressive desensitisation using vaginal dilators, has success rates of over 90% in appropriately supported women. Psychological therapy addressing anxiety and any underlying trauma significantly improves outcomes. You do not have to accept this as permanent.

Medical Disclaimer

This article is written for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making health decisions.

DS

Dr. Sophie Laurent

Psychiatrist

All TryHerCare articles are written and reviewed by qualified medical professionals. Our content is clinician-reviewed to ensure accuracy and clinical relevance.