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overcoming vaginismus

44 replies

Zebedah · 13/04/2016 15:11

Hello!
Don't want to drip feed (or out myself) so will try to be concise.
Was diagnosed with vaginismus around 7 years ago. Started therapy but wasn't getting anywhere fast then therapist left and wasn't replaced. Have tried with dilators but only get so far before pain resumes. God knows how I've let so much time pass.
Have recently been referred to new therapist- if this doesn't work we're looking at surgical intervention and/or botox. Also been prescribed Citalopram- in the hope it relaxes me.
Questions- has anyone successfully overcome this? How? Any experience with Citalopram/surgery/Botox?
Also feeling painfully shy- any advice on how to push through this? Ridiculous as been with DH for over 10 years! Want to build up slowly but those first few steps feel so scary.
Thanks!

OP posts:
BillBrysonsBeard · 17/04/2016 23:35

Haha Maggie! Yes the book was great, very well written and everything made sense... really taught me how to relax properly.

No worries OP, I will admit though that I do still have some issues (not with sex though- that's all good!) but I have never had a smear due to fear and it's the same feelings I had about a penis. I also requested an ELC with my DS because I couldn't handle the thought of stretching and possible forceps etc. I did manage to get through several internal examinations though, but hated them and the nurses commented on how tense I was and I couldn't open my legs properly. I can now use tampons successfully but still use pads as it's less faff!

So it hasn't fully gone away for me in those cases where it involves anyone other than DP, but sex is great, which is the important bit for me Smile

Probably should dust off the book again...

Zebedah · 19/04/2016 09:25

That's interesting bill- I would have assumed that once you could overcome the sex bit everything else would follow, but then I guess it stands to reason that you know the nice feelings are coming.
It gives me real hope and I feel like I'm starting to break down my own barriers- beginning with being nicer to myself and giving myself a break!
I can use tampons but went through a phase where even that was difficult and uncomfortable.
I managed to have my first smear a few months ago, I was ridiculously proud of myself and I think it gave me a real boost.
If you can get a sympathetic nurse and make them aware of your difficulties it can make all the difference, but that's totally up to you.
I'm struggling to find the book on amazon but my phone doesn't work brilliantly with the site so ill try on the laptop. I think learning to relax properly sounds like exactly what I need! DH is very good when it comes to DTD and will listen to instruction- I just need to learn to speak out more! It's tricky though as I hate to think I'd hurt his feelings. What a bloody nightmare lol.

OP posts:
Zebedah · 22/04/2016 20:14

I can't get the book :-( no copies on amazon and I can only find it in dollars and it's expensive. I don't have a kindle :-(
There are others though- anyone got any experience with any other treatment books?

OP posts:
NameChange30 · 23/04/2016 00:00

Do you have a tablet or smartphone? If so you could download the Kindle app on there.

Zebedah · 23/04/2016 15:33

Oh I didn't realise you could just have it as an app?! I thought you had to physically own a Kindle. I'll look into that as do have smartphone.
Have a Nook but it's obsolete in the UK now.

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PotatoesPastaAndBread · 24/04/2016 14:42

Hi zeb - I'll share my experience in case it helps. I also want to say thank thank you to icequeen because your experience sounds similar to mine and it makes me feel less crazy to know someone else has been through similar!

I'm 36. Had vaginismus since aged 19 (maybe before - that was when I found out). I met my husband when I was 22 and married at 31. Didn't have piv sex with him until I was 33 (although we did have a sexual relationship). Ironically we're now having fertility treatment.

I think the start of my vaginismus was due to my mum's strong Catholicism and similar to icequeen a real fear of being caught having sex and knowing sex was bad. However things got really bad (and the psychological became physical) when I had an unwanted smear test at 19 which was incredibly painful so the fear and guilt got mixed up with pain.

Now it's all about control for me. Even though I can have sex, I have to be completely in control. DH can't penetrate me without my total control.

I tried seeing a therapist but I didn't really find it helped. The only benefit was that each time we saw her she'd ask if we'd done the exercises she prescribed and it was like being asked if you'd done your homework, it forced me to progress. But her treatment didn't really help. In the end it was working on my own with dilators that did it. As above: on my own, not sexual, not with DH. And lots of lube when trying to have sex. Always me on top in control of the speed and depth of penetration. It took over a year.

Sadly since then we've hade ivf and a complex miscarriage which has set me back because of the very invasive and painful treatments. I have just realised today that I need to go back to dilators. And I will check out the forum recommended above.

I think i will never be "cured" of vaginismus, the best I hope for is that I will able to manage it.

Between the age of 19 and 32 I literally thought every day about what a freak I was, about how everyone could do this except me, how I couldn't ever imagine getting over it. I still worry today that if I ever have kids I'll fuck them up about sex because I'm so screwed up.

It's so helpful to hear other people's experiences and to know I'm not the only one. I wish you all the best zeb.

Zebedah · 24/04/2016 20:50

Thanks for your story Potatoes,and sorry to hear about your fertility problems and mc Flowers I can only imagine what you're going through and the medical procedures must have been doubly awful.
It's interesting to hear that for you its a long term management thing rather than the 'cured' result ive read about and also that it's tied up in control- I usually just go with the flow but think a key change to make will be for me to take control when we get to piv. I just need to overcome this shyness Blush
I can totally relate to feeling like a freak and thinking about it all the time. It's so horrid. I'm really trying to cut myself a little slack and build up my sense of self-worth and hoping it helps my confidence.
Once the dreaded AF has done I'm going to dig out my dilators and start again. In the meantime I plan to download the recommended book and take care of myself a bit.
Good luck, and FWIW I don't think you'll mess up your dc at all; quite the opposite as I think we all have a deeper understanding of the link between mind and body when it comes to sex iyswim?

OP posts:
crystalgall · 24/04/2016 21:40

Hello!
I have Vaginismus. Am 33. Been with DH since I was 26. He is my only sexual partner and me his.

I have done therapy and dilators. They defo helped a bit. However we have both been a bit lazy about the whole thing as we have plenty of sex that isn't PIV and are quite happy with it.
We've only had PIV sec a handful of times in the last 7 years. The first time we conceived our DS. And DD was a splash pregnancy! V rare I think!
I don't know. We are happy and set in our ways a bit and I suppose because neither of us know any different we are happy with our lack of PIV sex life. We do lots and lots of other stuff and are happy.
Sometimes I think we are not b normal at all and I start the dilators again and we will give it a go. But it still always hurts and we soon go back to non PIV sex.
I would say experiment with different things and first enjoy non PIV sex in as many ways as possible.

crystalgall · 24/04/2016 21:43

Blimey that was a lot of 'happys'ConfusedGrin

tb · 24/04/2016 23:15

There is a book called the Sexual Healing Journey, and although I think it was primarily aimed at victims of sexual abuse, it starts of with very, very basic sensate focus exercises base on how you feel about any touch on your skin - and I remember it suggesting building up a collection of materials - like silk, a really soft material - bit like baby blanket, velvet, cotton wool etc so that you experience the feeling of touch of any of these anywhere on your body to explore what you like touching your skin, and what you don't like.

There was, or used to be, a relate book that took you through the sensate focus exercises, and there are others - more specifically about orgasm that talk about examining your feelings about sex and working up to taking time to massage each other - avoiding all possible erogenous zones/sexual parts of the body. The aim of this is so that you can be relaxed with this, and just experience a sense of deep relaxation. It's written by a doctor and called The Elusive Orgasm: A Woman's Guide to Why She Can't and How She Can Orgasm Paperback and the author's name is Dr Vivienne Cass who's a sex therapist.

I suffered from uncomfortable and painful sex not long after we were married and the GP suggested that dilators were a problem. In the end, I vaguely remember asking the rather more approachable doctor at the family planning clinic. It happened as a result of my mil being completely unable to accept we were married and was emotional rather than physical in origin. It also happened some years later when I was rejected by my dm.

I have wondered if the feelings weren't really vaginisimus, but were vestibulitis as there were burning and at the entrance rather than internal, if that makes sense. At other times, including before DH and I were married I've never had any problem.

One thing people haven't mentioned is a vagimoose - it's mentioned on the relationships threads somewhere as that is where I heard about it. It's a long thin wavy piece of plasticy material - sort of perspex but not really 'hard' that is used by women on their own. It's about 4" long and is a bit wavy in shape and the idea is to get used to having something in the vagina by inserting it every night for a number of weeks. After that time, you gradually insert more and more of it waiting for about 2-3 weeks before moving it in a 'notch' - bit like practising with bigger and bigger dilators - until you can insert the whole thing without any problem. It's now being prescribed by specialist sexual therapy clinics, although it costs about £80 to buy. There is a website that gives much more detail www.vagimoose.co.uk.

Finally, there is also another feeling that's almost like cramp that's nothing to do with either feeling, more with intense desire and a need to be 'filled' - I think that in certain circumstances I was confusing the two Blush

Btw, I've been married to DH 39 years this year, and some things I've learned rather late in life, so you've got plenty of time left.

Good luck, but don't take anti-depressants for this, pain medication, yes, anti-depressants kill your sex drive (as does some medication for high blood pressure).

bibblebobblebubble · 24/04/2016 23:30

Hello, you have good advice already but just adding in some more support. I had trouble with sex right from the start and had an operation aged about 19-20 to break the hymen (sorry if tmi....) not sure if I ever really got over the association of sex and pain which was probably what led to the vaginismus.

If I managed either sex or using dilators 3x a week it was manageable though I never really lost the anxiety altogether. For me it definitely was very different after childbirth as the muscles were much less tight.

If I were to take back myself in time I think I'd get myself a good therapist much much earlier on. Tried an NHS one once which was just awful. In hindsight I would have scrimped and saved to get a really good one and get to the root cause rather than the symptom.

PotatoesPastaAndBread · 25/04/2016 07:18

crystal thank you for your post. DH and I have a similar thing, eight years of non piv sex, both perfectly happy with that. The thing that has driven my obsession with "getting over" the vaginismus is the desire to conceive. Which has lead us to sex, infertility, ivf etc. If I could conceive easily I'm sure if prefer it your way - perfectly happy non piv sex. I get all the the "happy"s, I really do!

Merd · 25/04/2016 07:33

Great post from tb!

On the TTC note - anyone reading this who's panicking over it might want to think about using a pot and tiny syringe instead.

We talked to a doctor about this years ago, and she said it was no different from regular PIV "trying" in terms of results, and was probably a lot more efficient. (You'd still need to work a bit though as the syringes are about the size of a tampon.)

tb · 25/04/2016 12:30

Bugger! It's www.vagi-wave.co.uk Blush vagimoose is the name of the lubricant they sell - must be senility setting in, and there I was thinking that 60 was just a number...
....or it's the painkillers for ocular shingles that have got to me!

Merd thanks for the compliment - undeserved (see above).

FishinthePerculator · 25/04/2016 13:47

I've been following this thread with interest, scared to post in case I out myself but also keen to help because I know the loneliness all too well and how much it means to know that other people are affected by this too.

I've had vaginismus since I was 16 - or at least, that was the first time I attempted to have sex and like others, had been brought up in a way to believe that sex was bad which I do think really fucked up my mindset for a long time. That first time, I was a willing participant, despite being terrified, right up until the crunch point and then it didn’t happen and forcing it was so painful it just became a vicious circle of terror, pain and shame. And then the bastard punched me in the face for being a cocktease, which definitely added to my already extreme reaction to sex in later years.

I met my now-husband at 20 years old. He was also a virgin and of course, I still had the same reaction which did cause some disappointment and difficulties at first but he was, and still is, amazing. His lack of forcing the issue (both emotionally and physically) meant that I was able to put complete trust in him and we were able to create intimacy without piv sex. Despite his reassurance however, I still felt like a freak and spend most of my twenties withdrawn from my friends, feeling I was set apart from them and that they had something I never would. This was when Sex and the City was at its peak and the popularity of that programme made me so sad and angry on a regular basis because it was all about taking a casual approach to sex, taking control of your sexuality as a woman and using intimate conversations as a way to creating amazingly strong female friendships. All this seemed so far out of my reach. I was in a very dark place for a while. I also couldn’t cope with the thought of any intimate examinations or smear tests - mostly to do with the penetration issue but also because, by this point, I had convinced myself that I was actually deformed and didn’t even have a vagina. It honestly felt like a brick wall down there and I couldn't bear the incredulity that I had got to this age without realising I was different from all the other girls, or possibility not even a proper female at all. Every time a smear notification arrived in the post it was like a slap in the face, telling me I was a freak and I used to burn them in the sink when no-one was around. I had tried, once, not long after DH and I got together, to discuss this with a GP but she was completely dismissive, telling me I was clearly not with the right person and I should just have a glass of wine to relax and get it over and done with. When DH and I bought our first flat and moved to a different part of the city, I therefore decided not to register with the GP practice - going off grid, would mean I would not receive smear alerts and would not have to attempt to explain myself again. That lasted a couple of years but obviously things happen, bugs and viruses came and I needed prescriptions and sick notes so I had to go back on grid, which only resulted in lectures about looking after my health and when they noticed I hadn't had a smear, sent me along to the Practice Nurse to do it then and there which put me into a complete panic. Again I tried to explain the situation - I even had it all written down on that occasion but I was told I was just being silly.

DH and I got married when I was 27. I had this expectation that, despite the fact we had already been living together for four years, the act of marriage would somehow unlock something in my mind which would allow me to have sex. Consequently, I spent my wedding day getting more and more agitated about the wedding night, despite DH's assurances that we didn’t have to try anything. I got myself so drunk, in an attempt to calm the nerves, I could barely stand up and ended up passed out at the end of my own wedding. It didn’t help that my DM had a constant catsbum mouth on the lead up to the wedding, and kept making references to what we would be getting up to in the hotel that night and how it was disgusting and shameful. By my late twenties, DH and I were in a situation where we still had intimacy but it was less and less frequent, due to the limited things we could do, being stuck in a rut and me blaming myself. The reduced frequency also meant it was more difficult for me to "turn it on" when we did attempt anything so again it was a vicious circle and we started to fall into the flatmate category.

I made a pact with myself - without even telling DH - that I was going to get this sorted when I turned 30. So, six weeks after my birthday - having torn myself up inside over the thought, I made another GP appointment and was determined to make them listen. DH ended up finding out though when I broke down in tears that morning. This time, however, I finally lucked out with a very sympathetic GP who listened to my story and read my notes when I couldn't bring myself to say the words. She took me off the smear list and prescribed me amotryptaline to deal with the pain and recommended an online stockist for dilators. She also referred me to a sexual health clinic which offered expertise in psycho-sexual gynaecology and trauma and throughout the six month wait for me to get an appointment there, stayed in contact though regular phone appointments to check how I was getting on. I should mention that while the drugs worked in terms of lessening pain; I really didn’t get on with the amotryptaline at all - felt like I was walking around in a fog and was always two beats behind the rest of the world which affected my work so eventually I had to give up the medication.

Eventually getting into the specialist clinic was the day my life restarted again. I was assigned to the most amazing doctor who was both therapist and gynaecologist. She was wonderful and it actually because easy to open up to her about my life and past experiences. From the beginning she said it would take a while to overcome and she made me a promise not to touch or examine me for at least a year and not until I felt I was ready. In return I had to promise I would stop trying to have sex and instead look at other ways of intimacy and being comfortable with DH. I started off meeting her fortnightly and also had sessions with DH. We discussed things I thought I could never say and she gave us lots of tips on different things to do, positions to try etc without actually attempting penetration. One of the most useful things, although difficult at first lying in a close embrace with his penis inside my labia so therefore running along the length of my vulva rather than angled up to go inside iyswim. Even now, we use this as a way to relax and get my body used to what is happening when initiating sex. She also gave me a better set of dilators than the ones I had ordered previously and I practiced with these every day. It took ages to move between sizes and about 18 months before I could use the largest one but it did happen. I also found it was useful to try to hold it inside for as long as possible untiI relaxed and was barely aware it was there. After a while I got DH involved also. Having him put the dilator in me was difficult but was a way of practising giving up a bit of control and it work although even when using the largest size on myself, I could only allow him to use the smallest on me. Along with my parent's attitudes contributing to my fear of sex, my hugely heavy and painful periods, therefore lack of control over that part of my anatomy, were also a factor as was the fear of getting pregnant as I was terrified by the notion of childbirth. Going on the pill took those last two fears away overnight. I had just been too scared to ask my GP about it before as I assume it would involve having some kind of examination or difficult conversation.

Almost two years after starting these sessions - which had reduced to monthly after a while - DH and I were having a "intimate moment" when, I was obviously so relaxed and comfortable with the situation for the first time in my life that he just suddenly "popped in" unexpectedly and by accident. It was a strange moment. It did hurt but in a different way to the forced pressure I had always felt before and the pain was overtaken by complete euphoria that this was happening to me. To us! Almost as quickly however, my body realised what had happened and started to shut down so the pain came back. But it had worked and no-one could take that away from us. My doctor was delighted with this news and so we began working on ways to build on that progress - again through positions, techniques, breathing exercises etc. Within about 8 weeks, we were able to have proper piv sex for the first time in our lives and not only that but enjoy it too. Like others have said, I soon became aware that this is a work in progress and is not a situation which will ever be cured. Our doctor warned we might go two steps forward and one back for quite a while and yes, that did happen. There were occasions where my brick wall was back but knowing that we could get back there again made it easier not to dwell on the failures and just shrug them off, ready to try again another day. I still used the dilators and still had regular appointments at the clinic to discuss progress and also at that point we decided it would be time to tackle my fear of smears and examinations. This took another couple of years before I was able to allow a smear to take place and although I'm proud of myself for managing it, it was still very difficult. I have my next one due in June and am already sick with nerves. My wonderful doctor has also retired and although she ensured I was still in the clinic system so that they can give me all the time and assistance needed, the thought of having to go through it all again with a complete stranger, having worked so hard and for so long, is terrifying and I've noticed the vaginismus is already started to creep in again with DH - the two things will always be linked for me.

I'm 37 now and am happy to say my vaginismus has been managed for the last 6 years. Like others, I have to stay in control of sex. It is always me that initiates it and I can't imagine ever being able to give that up but with that one caveat, we are able to do it regularly and I enjoy it. I really, really do! I've also reconnected with friends and feel like life has completely turned around. I even put my career trajectory down to overcoming/managing my vaginismus - obviously not directly but that feeling of being a freak used to make me hide in the shadows so much and now I feel I'm able to compete equally with everyone else. I know that was always the case but it took this to let me see that I am , and have always been, normal. We don’t have DC and we both go back and forward on whether we want to. The desire isn’t that strong but I don’t know if that's because we always assumed it wouldn’t or couldn’t happen for us. I know that time is running out though so it's something to think about very soon. Right now however, I still don’t think I could cope with pregnancy and birth.

Zebedah · 26/04/2016 07:32

Wow, I can't thank you all enough for sharing these difficult experiences. I know how hard it felt at first to create this thread but I'm so glad I did because I truly feel like I'm not alone in this and it's not so freakish after all.
crystal it's heartening to read you have managed to conceive your DC- though I imagine DD was a shock! It's good to read you can be genuinely happy with non-piv, I think intimacy is about so much more than piv and it's good to have that validated.
tb thanks for the recommendation re the vagi-wave, I have read about it and it sounds like a mini miracle! I have also read about sensate focus techniques and I think they would really help- if I could get my breathing under control I'm sure I would feel more able to relax. I do find myself holding my breath sometimes and that can only lead to being tense.
bibble Not tmi at all- is there such a thing on the sex board?! Your operation sounds traumatic and I'm not surprised you had troubles afterwards. In a strange way I hope childbirth stretches me out- DH and I have joked about it often as a cure! If my next NHS therapist is rubbish I will be sure to seek out a good private one. We will find the money somewhere.
Merd it's funny you mention the pot and syringe as I was reading back through an ancient thread where this is what people were doing with success- it's good to know that it can work, if I struggle with piv for conception, as this is the next step for us in our lives I think.
Fish I can sense how tough that was for you to write but I'm so glad you did. I feel better for reading it and hope it was a bit of a release for you? It sounds like your early sexual experiences were horrid what a bastard but I'm glad to read a happy ending. It sounds like you had a really good Dr on your side in the end which always helps. I get a bit angry when I'm upset so probably would have flipped out at a Dr telling me to stop being silly and have a glass of wine again, what a bastard but good on you for persevering after your move. Some of the techniques you mention are things we have done in the past for non-piv, though on a couple of occasions I feel sure it didn't accidentally pop in Hmm.. but I will be in control next time! I hope you manage your smear ok Flowers
It's also comforting to read that this isn't a linear process for most and that it's not failing to go back a bit before going forwards.
DH & I seem to be a bit more open with each other just lately- not that I felt especially closed off, but I feel more able to talk about what's going on down there ..
We even had a little sexy time last night Blush and it felt good to re-establish those bonds. I forget how it boosts my confidence and makes me feel less inadequate.
Moving forward, I think I'm going to have a read around other gynae issues as I tried with a dilator and tried to focus on the pain a little and figure out exactly what and where it is. It doesn't feel brick wallish- well, I got it in- it's a tightness inside then a burning sensation in a ring around my entrance. Fingers crossed this is the start of things going in the right direction!

OP posts:
IWasToldTheredBeCake · 13/05/2016 13:38

Thank you for creating this thread Zebebah. Makes me realise that I'm not alone and the advice on here has been invaluable. Thank you.

The mere thought of inserting a tampon fills me with dread or getting a smear done and I've not been able to have full sex for around 5 years. It annoys me when I know that it's meant to be a pleasurable act and yet I can't even engage in it. Feel a failure.

Merd · 15/05/2016 16:18

Bumping for someone Smile

Zebedah · 10/01/2017 15:09

Hello!
Sorry to revive a zombie thread but I just wanted to write a quick update.
After the frankly fabulous advice and support I received on here, I made 2016 they year I finally got my vaginismus under control.
My GP was unable to find me a therapist- local services have been cut to such an extent that there wasn't any I could access.
In the end I went private and started therapy in July 2016. It was pretty eye-opening really and the therapist was bloody brilliant. I started off with weekly sessions then they dropped to around once a fortnight. A combination of the therapy and reading a book about vaginismus and how to properly relax through breathing techniques, as well as a little dilation first, finally enabled me and DH to have PIV for the first time in so long. I was so relieved and happy I actually cried. Poor DH Grin
We are now actively ttc which is very exciting and makes everything feel worthwhile. I only wish I'd chased up better therapy sooner.
I'm not saying we're at it like rabbits but we can actually dtd! Communication is better than ever and I'm so very happy now this final niggle is resolved.
We'll continue to take things slowly, and talk, but hopefully this is the start of better things to come.
Thanks so much to everyone who contributed to this thread Flowers

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