The treatment of choice with vaginismus is an extensive therapy program that combines education and counseling with behavioral exercises. Exercises include pelvic floor muscle contraction and relaxation (Kegel exercises) to improve voluntary control.

Vaginal dilation exercises are recommended using plastic dilators. This should be done under the direction of a sex therapist or other health care provider and treatment should involve the partner. This treatment should gradually include more intimate contact, ultimately resulting in intercourse.

Educational treatment, including information about sexual anatomy, physiology, the sexual response cycle, and common myths about sex, should be provided as well.

When treated by a specialist in sex therapy, success rates are generally very high.

Vaginismus is one common cause of female sexual dysfunction, which may lead to dissatisfaction and discord in intimate relationships. This problem can lead to erectile dysfunction in the male partner after repeated unsuccessful attempts at intercourse.

If you have pain associated with intercourse or difficulties with successful vaginal penetration, you should discuss this with your health care provider.