In second degree, the spasm is present but maintained throughout the pelvis even with reassurance. Intercourse too soon after surgery or childbirth. Some treatments for female sexual pain do require a doctor's care. So problems with the cervix such as infections can cause pain during deep penetration. Peri-menopausal and menopausal vaginismus, often due to a drying of the vulvar and vaginal tissues as a result of reduced estrogen, may occur as a result of "micro-tears" first causing sexual pain then leading to vaginismus. Problems with the cervix opening to the uterus. Make sure to practice gentleness and patience.
In third degree, the patient elevates the buttocks to avoid being examined. This is a condition in which the tissue that lines the uterus grows outside the uterus. This may be due to physical causes such as a yeast infection or trauma during childbirth , while in some cases it may be due to psychological causes, or to a combination of causes. Pacik expanded the Lamont classification to include a fifth degree in which the patient experiences a visceral reaction such as sweating, hyperventilation, palpitations, trembling, shaking, nausea, vomiting, losing consciousness, wanting to jump off the table, or attacking the doctor. Peri-menopausal and menopausal vaginismus, often due to a drying of the vulvar and vaginal tissues as a result of reduced estrogen, may occur as a result of "micro-tears" first causing sexual pain then leading to vaginismus. Injury to the vulva or vagina. This is a common condition. The treatment for secondary vaginismus is the same as for primary vaginismus, although, in these cases, previous experience with successful penetration can assist in a more rapid resolution of the condition. Some individuals may need to resolve issues such as guilt, inner conflicts regarding sex , or feelings regarding past abuse. In the third, entry and movement are painful, and in the fourth penetration is impossible and forced entry is extremely painful. This is a pregnancy in which a fertilized egg develops outside the uterus. In some cases, a woman can experience painful sex if one of the following conditions is present: If vaginal dryness is due to menopause, ask a health care professional about estrogen creams or other prescription medications. These may include genital warts , herpes sores, or other STDs. Treatment of vaginismus may involve the use Hegar dilators , sometimes called vaginal trainers  progressively increasing the size of the dilator inserted into the vagina. Lamont describes four degrees of vaginismus: Some treatments for female sexual pain do require a doctor's care. For example, painful sex after pregnancy can be addressed by waiting at least six weeks after childbirth before having intercourse. Spasm of the entry muscle accounts for the common complaint that patients often report when trying to have intercourse: In addition to the physically painful sex , there is also the possibility of negative emotional effects. Intercourse too soon after surgery or childbirth. These include the entry muscle bulbocavernosum and the mid-vaginal muscle puborectalis. Pelvic inflammatory disease PID. A simplified and more versatile version of the classification includes symptoms that vary over four ranges. In first degree vaginismus, the patient has spasm of the pelvic floor that can be relieved with reassurance. Doctors don't know what causes it, and there is no known cure.
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