The Unspoken Struggle: What Every Woman Should Know About Vaginismus
There are conversations that many women hesitate to have - even with themselves. Pain during intimacy, the inability to undergo a simple gynaecological exam, or that sense of “something’s not right” that gets dismissed too often.
On World Vaginismus Awareness Day, we want to open the door to one such conversation. One that is more common than we realise, yet wrapped in silence and misunderstanding- Vaginismus.
Vaginismus is the involuntary tightening of the pelvic floor muscles when any form of vaginal penetration is attempted- be it a tampon, a finger, a speculum during a gynaecological exam, or intercourse.
This reflexive tightening isn’t something you can control. It’s your body reacting with fear or anticipation of pain. And over time, this can start affecting your emotional health, self-image, intimate relationships - and in some cases, your path to pregnancy. Will it affect my Fertility or Pregnancy?
Vaginismus does not directly cause infertility. But it can affect how you approach conception, especially when penetrative sex is painful or avoided altogether.
Here’s how vaginismus can impact your reproductive journey:
Intimacy becomes difficult, sometimes impossible, making conception through penetrative sex challenging.
It may create emotional distress, making couples feel isolated or anxious about planning a family.
Assisted Reproduction Procedures (like IVF, IUI, or ICSI) that require vaginal access may also feel intimidating or painful.
Some studies suggest women with untreated vaginismus may be more likely to have cesarean deliveries.
Most importantly, vaginismus doesn’t mean you can’t become a parent- it just means you may need care, support, and understanding on your journey.
What causes it? While the exact causes of Vaginismus are unknown, they can vary in the following ways:
Past experiences of pain or trauma
Anxiety around sex or medical exams
Lack of awareness about the pelvic floor
Fear of pregnancy or childbirth
Cultural or religious messages about sex
Sometimes, there may not be an apparent cause, and that’s okay. The focus is not on blame, but on healing. shutterstock_2293592563-min-min.jpg1.04 MB How do I know if I have it?
You know your body best. But if you notice any of the following, it may be worth having a conversation with your gynaecologist:
Difficulty inserting tampons or menstrual cups
Pain, burning, or tightness with attempted penetration
Feeling like “your body shuts down” or contracts when trying to be intimate
Trouble undergoing a vaginal exam
These are not the things to brush aside. Pain is never something you should have to tolerate. What can help?
The good news? Vaginismus is treatable, and more women are healing every day. At Fernandez, we believe in gentle, respectful care tailored to your pace and comfort.
Here’s what support can look like:
Pelvic Floor Therapy
Our specialised pelvic health physiotherapists teach exercises that help you become aware of and gently relax your pelvic muscles. These include breathing techniques, stretches (like Happy Baby pose), and posture awareness.
Vaginal Dilators
These smooth, plastic tools come in various sizes and are used to help your body gradually adapt to vaginal insertion—step by step, at your own pace.
Cognitive Behavioural Therapy (CBT) Sometimes, our mind holds fear or tension that our body responds to. Working with a psychologist or counsellor can help you gently unlearn that fear and replace it with trust and comfort.
Supportive Gynaecological Care A kind and informed gynaecologist makes all the difference. Simple changes like explaining procedures before touching, letting you stay in control, or using a mirror during an exam—can empower you and reduce anxiety.
One of the most powerful things we can do this World Vaginismus Day is to acknowledge the silence and break it.
You’re not “overreacting.” You’re not “imagining it.” And you don’t have to “just get over it.” You are worthy of care that listens to your story, respects your pace, and understands your pain.
Whether you’re just beginning to ask questions or seeking healing, you are seen, heard, and supported. At Fernandez, we stand with every woman navigating vaginismus.
Because every woman deserves safe, dignified, and pain-free care always.
At Fernandez, our team of Gynaecologists, Physiotherapists and Psychologists are here to support you. Reach out to us for an appointment at 1800 419 1397
Publication Date
15 September 2025
Category
Equitable, respectful and evidence-based care for women and children since 1948
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