Diagnosis of Vaginismus
For the diagnosis of vaginismus it is necessary to exclude physical causes. For this purpose, the examination is performed after the end of the treatment, which makes the examination possible. The patient is in a sitting position on the chair, after dilution of the labia minora, they are examined in the mirrors or fingered through the hole of the hymen. This simple technique (finger examination) can simultaneously confirm the presence of a normal vagina and presume a diagnosis of vaginismus.
Vaginismus should be differentiated from psedovaginizma, when pain when trying to introject, spasmodic spasm and defensive reaction of a woman are secondary, are caused by damage to the genysegmental component (developmental defects, colpitis, adhesive process and other gynecological diseases that make the introtus sharply painful). In addition, vaginismus must be differentiated from co-tophobia - fear of pain during sexual intercourse, preventing its implementation and not accompanied by convulsive contraction of the muscles of the vagina. Similar phenomena with vaginismus can be caused by incorrect actions, caused by ignorance of the anatomy of the genital organs by both partners. In this case, a single correction is enough to restore the sexual function.