Vaginismus is the involuntary tightening of the vaginal muscles, which can cause painful intercourse. History and physical examination are important to make the correct diagnosis and direct appropriate therapy
Women with postmenopausal atrophy are most commonly treated with topical estrogen. Practitioners may also consider whether the muscles have concomitantly tightened, causing pain during intercourse. This can be true of post-partum women as well. The use of vaginal dilators to re-stretch the muscles which have tightened can significantly help to alleviate the pain experienced by the patient.
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